Mark N Bair

Manager of chaos. Emergency Physician, Medical informatics consultant, and Medical Politician. Father, brother, son, and Uncle.

[Mark N Bair @mark4success]

@asherrkiinee 93

[Mark N Bair @mark4success]

#NewProfilePic

[AMA @AmerMedicalAssn]

In his final address as AMA President, Dr. Bobby Mukkamala highlights the importance of finding purpose in medicine as he reflects on a year defined by personal health challenges and major shifts in the healthcare landscape. #AMAmtg
Read more: https://t.co/R7xnfI4HsV

[Mark N Bair @mark4success]

@Yulchik_bb Love to

[Mark N Bair @mark4success]

@Gosleepriya Skin

[Mark N Bair @mark4success]

@alyamistt Perfect

[Marilyn Heine @MarilynHeineMD]

No Surprises Act lawsuits favor providers as insurers appeal.

If insurers provided good faith contracts, IDR could often be avoided.

Regulators must enforce when insurers fail to follow legal requirements, such as when insurers bill patients after IDR. https://t.co/acRhrHly9Y

[Tansu Yegen @TansuYegen]

She won the match, then turned her opponent’s tears into a smile 🥹

[Jerome Adams @JeromeAdamsMD]

👇🏽👇🏽👇🏽

[Sara Berg, MS @SaraTheIceBerg]

This story also features examples of well-being work being done at these health systems:
@BaptistHealth
@PermanenteDocs
@WeAreConfluence
@dallasneph

[Sara Berg, MS @SaraTheIceBerg]

Exclusive AMA data shows doctor burnout easing for the fourth consecutive year, but persistent system challenges mean ongoing efforts are still needed. https://t.co/3sgYQcApQJ (via @AmerMedicalAssn)

[Peacemaking Saint @PeacemakingSt]

President Dieter F. Uchtdorf (@UchtdorfDF) yesterday:

"The church is an open church. I think it is wonderful that we have now this openness of showing what is happening so no one can feel that we’re keeping anything in the hidden, because there’s nothing to hide. It’s only sacred, and we hope it will be honored and respected."

(@Tad_Walch, Deseret News)

[CNN @CNN]

The use of Tylenol by women during pregnancy was not associated with autism in their children, according to results of a nationwide ​study in Denmark. https://t.co/cxC9qgfMbw

[Kevin Pho, M.D. @kevinmd]

Your primary care clinician is being graded on a system they were never taught to navigate.

Primary care physicians, PAs, and NPs are now compensated partly on quality dashboards. Mammogram rates. A1C control percentages. HCC coding accuracy. Colonoscopy completion.

Almost none of them were taught how any of it actually works.

Kenneth Botelho, PA and founding program director of the Doctor of Medical Science program at the College of St. Scholastica, named the gap clearly: clinical training produces excellent individual-patient care. The health system then expects panel-level population health management from the first shift. The bridge between those two worlds is built accidentally, through mistakes and administrative corrections, usually in the first eighteen months of practice.

That gap has a cost. A clinician who cannot explain why a cervical cancer screening percentage matters starts treating the number as an administrative chore rather than a clinical question. The connection between metric and meaning breaks. In the exam room, the "why" disappears. The result is a compliance exercise worn as a stethoscope, and a direct pathway to moral injury and early career attrition.

Kenneth's proposed fix is worth bookmarking:

Medical education does not need a complete overhaul. Residency programs are already the right place to introduce population health systems thinking for MDs and DOs. For PAs and NPs, the training window is shorter, so the intervention has to live in structured postgraduate onboarding. A fellowship or formal onboarding program, ideally starting after the new graduate has practiced long enough to see the dashboards in context.

Give clinicians the framework. Give them the "why." They stop operating as passive dashboard operators and start shaping the system they work in. That is where real advocacy begins, for clinicians and for patients.

If value-based care is going to succeed, we cannot just change how we measure care. We have to change how we prepare the people delivering it.

Listen to the full conversation on The Podcast by KevinMD. Link in the replies.

Search "The Podcast by KevinMD" wherever you listen to podcasts.

What is the single value-based care concept you wish someone had taught you before your first day of practice? #ThePodcastbyKevinMD

[Marilyn Heine @MarilynHeineMD]

🌠 Physicians score major win
with @CMSGov claims electronic attachments rule.

CMS’ final rule on claims attachments reflects the @AmerMedicalAssn’s successful and sustained advocacy to standardize electronic attachments for claims.

🧵

[Mark N Bair @mark4success]

@Kristinartz why put a bumper sticker on a Rolls-Royce.

[Marilyn Heine @MarilynHeineMD]

🤔 Key legal and operational considerations if you deploy #AI #scribes | @McDermottPlus

-Patient and provider consent
-Public trust
-#HIPAA-designated record sets
-Data retention
-Real-time AI-assisted clinical prompts
-Other emerging issues

👓 https://t.co/du9glQTiQ2

[Latter-day Saint Quotes @LDSquotable]

President Dallin H. Oaks

“This Easter season, we testify that Jesus Christ is risen. He lives. He is the Way. Jesus Christ’s atoning sacrifice and Resurrection are the ultimate evidence of God’s love. He called us His friends and declared: ‘Greater love hath no man than this, that a man lay down his life for his friends.’ His Atonement is a universal gift made possible by His love and the love of the Father.”

[Ronald A. Rasband @RonaldARasband]

Nearly 2000 years ago, Palm Sunday marked the beginning of the last week of the mortal ministry of Jesus Christ. Scriptures tell us that the week began with throngs standing at the gates of the city to see “Jesus the prophet of Nazareth of Galilee” (Matthew 21:11).

Though we do not stand at the gates of Jerusalem today with palms in our hands, the time will come when “all nations, and kindreds, and people, and tongues, [will stand] before the throne, and before the Lamb, clothed with white robes, and palms in their hands” (Revelation 7:9). #GreaterLove