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Venkatesh Ramnath

👤 Person
141 total appearances

Appearances Over Time

Podcast Appearances

Behind the Bastards
It Could Happen Here Weekly 172

However, ever since people have had iPhones and been on Airbnb and everything else since 2007, that inflection point actually had a wave of opportunity that washed right into medicine. And as Kaveh is saying, we have such a fragmented healthcare system

Behind the Bastards
It Could Happen Here Weekly 172

that has folks living in rural areas, suburban areas, and urban areas, all of whom are at the mercy of what specialists may be there contracted at any given time for any given specialty. Now, telemedicine, as it's gotten more and more popular, has kind of leveled the playing field. I mean, you can be in...

Behind the Bastards
It Could Happen Here Weekly 172

that has folks living in rural areas, suburban areas, and urban areas, all of whom are at the mercy of what specialists may be there contracted at any given time for any given specialty. Now, telemedicine, as it's gotten more and more popular, has kind of leveled the playing field. I mean, you can be in...

Behind the Bastards
It Could Happen Here Weekly 172

that has folks living in rural areas, suburban areas, and urban areas, all of whom are at the mercy of what specialists may be there contracted at any given time for any given specialty. Now, telemedicine, as it's gotten more and more popular, has kind of leveled the playing field. I mean, you can be in...

Behind the Bastards
It Could Happen Here Weekly 172

rural place like where I'm sitting right now on the U.S.-Mexico border, or you can be in New York City, one of the densest populations, but you might not have access to specialty expertise without telemedicine. With telemedicine, you can now have access. And I've seen patients love it. You can deal with the sickest of the sick, like I said, intensive care units.

Behind the Bastards
It Could Happen Here Weekly 172

rural place like where I'm sitting right now on the U.S.-Mexico border, or you can be in New York City, one of the densest populations, but you might not have access to specialty expertise without telemedicine. With telemedicine, you can now have access. And I've seen patients love it. You can deal with the sickest of the sick, like I said, intensive care units.

Behind the Bastards
It Could Happen Here Weekly 172

rural place like where I'm sitting right now on the U.S.-Mexico border, or you can be in New York City, one of the densest populations, but you might not have access to specialty expertise without telemedicine. With telemedicine, you can now have access. And I've seen patients love it. You can deal with the sickest of the sick, like I said, intensive care units.

Behind the Bastards
It Could Happen Here Weekly 172

But you can also have outpatient experiences. And we've seen a number of different commercial opportunities that have leveraged that. But the point is that as we're hearing on this, it's become sort of a standard operating procedure for how we deliver health care. And if you just pull the rug out from that, there can be some unintended consequences to that that are not insignificant.

Behind the Bastards
It Could Happen Here Weekly 172

But you can also have outpatient experiences. And we've seen a number of different commercial opportunities that have leveraged that. But the point is that as we're hearing on this, it's become sort of a standard operating procedure for how we deliver health care. And if you just pull the rug out from that, there can be some unintended consequences to that that are not insignificant.

Behind the Bastards
It Could Happen Here Weekly 172

But you can also have outpatient experiences. And we've seen a number of different commercial opportunities that have leveraged that. But the point is that as we're hearing on this, it's become sort of a standard operating procedure for how we deliver health care. And if you just pull the rug out from that, there can be some unintended consequences to that that are not insignificant.

Behind the Bastards
It Could Happen Here Weekly 172

Yeah. So basically, the sort of this convoluted way that we pay for services is it looks to one standard, even though some may argue, how did that standard come about? But regardless of that, Medicare is the central authority that basically tells everyone this is what we should be doing and this is how much we should be paying for it.

Behind the Bastards
It Could Happen Here Weekly 172

Yeah. So basically, the sort of this convoluted way that we pay for services is it looks to one standard, even though some may argue, how did that standard come about? But regardless of that, Medicare is the central authority that basically tells everyone this is what we should be doing and this is how much we should be paying for it.

Behind the Bastards
It Could Happen Here Weekly 172

Yeah. So basically, the sort of this convoluted way that we pay for services is it looks to one standard, even though some may argue, how did that standard come about? But regardless of that, Medicare is the central authority that basically tells everyone this is what we should be doing and this is how much we should be paying for it.

Behind the Bastards
It Could Happen Here Weekly 172

Now, the commercial insurers can decide to exceed that if they wish. If they, say, have an employer whose employees they want to have a special contract with, that's fine. That's not restricted. But the bottom of what is considered a reimbursable amount is really set by Medicare. And so they move the bottom. And so if you drop the bottom,

Behind the Bastards
It Could Happen Here Weekly 172

Now, the commercial insurers can decide to exceed that if they wish. If they, say, have an employer whose employees they want to have a special contract with, that's fine. That's not restricted. But the bottom of what is considered a reimbursable amount is really set by Medicare. And so they move the bottom. And so if you drop the bottom,

Behind the Bastards
It Could Happen Here Weekly 172

Now, the commercial insurers can decide to exceed that if they wish. If they, say, have an employer whose employees they want to have a special contract with, that's fine. That's not restricted. But the bottom of what is considered a reimbursable amount is really set by Medicare. And so they move the bottom. And so if you drop the bottom,

Behind the Bastards
It Could Happen Here Weekly 172

you can pretty much well assured in this, you know, in a capitalist, you know, sort of mentality that the costs should go down, right? I mean, why should you pay more for something that you don't need to, right? And we see that every year, okay? Every year there's new technology, but the slightly older technology, which is, again, covered by Medicare, they move those reimbursements down.

Behind the Bastards
It Could Happen Here Weekly 172

you can pretty much well assured in this, you know, in a capitalist, you know, sort of mentality that the costs should go down, right? I mean, why should you pay more for something that you don't need to, right? And we see that every year, okay? Every year there's new technology, but the slightly older technology, which is, again, covered by Medicare, they move those reimbursements down.

Behind the Bastards
It Could Happen Here Weekly 172

you can pretty much well assured in this, you know, in a capitalist, you know, sort of mentality that the costs should go down, right? I mean, why should you pay more for something that you don't need to, right? And we see that every year, okay? Every year there's new technology, but the slightly older technology, which is, again, covered by Medicare, they move those reimbursements down.

Behind the Bastards
It Could Happen Here Weekly 172

So whether it's a sleep study, you know, for someone with obstructive sleep apnea or difficulty sleeping at night, or it's some ophthalmology technology, or it's some ultrasound machine, it doesn't really matter what it is. Medicare is always trying to minimize costs, which is understandable. They want to make it cost effective, but they are setting the lead. So everyone will follow what they do.