Ryan Frazine

Internal Medicine and Obesity Medicine physician. Aledade ACO doc. Father of 3 awesome girls.

[Dr. Glaucomflecken @DGlaucomflecken]

Private equity, insurance companies, and hospital corporations are racing each other to see who can monopolize health care the fastest. Optum is the largest employer of physicians in the US. Medical decision making is dictated by payors and PE investors. Reimbursement is still declining, cost of education is still increasing, residency spots are capped, and social media misinformation is worse than ever. If you are still, in the year 2024, questioning why new physicians want to work 4 day weeks, take sick leave, get married to a human instead of a pager, and view medicine as a job, with all due respect, shut the fuck up.

[Ryan Frazine @rfrazine]

@DrNadolsky @EricTopol We monitor with InBody BIA monthly and I’ve never seen a weight loss patient lose close to 50% from lean mass. Most are 25% or less. And most of that lean mass is related to water loss. Only time body fat% goes up is in the first month when they drop a bunch of water.

[Southern Illinoisan @thesouthern]

Prep Notebook | Massac, Benton should be proud of their golf accomplishments https://t.co/6tzpPKixAy

[Massac Co Athletics @MCHS_Patriots]

After a solid first day at the 1A State Final Tournament, the Lady Patriots are in third place as a team with Elise Coakley leading the charge in 5th place as an individual. Good luck to the girls today in the final round...GO PATRIOTS!!!

[Ryan Frazine @rfrazine]

@bijans “And then he says it: "the payor won't reap the benefit of the MACE reduction; the next payor/employer will"” - I’ve been saying this for a long time. What’s the business model for payers? Because unfortunately in our current US healthcare system this will be deciding factor.

[Ethan J. Weiss @ethanjweiss]

New from @matthewherper. My takes: 1) people don’t see a benefit when they take medicines to lower cholesterol or BP, they are convinced by their doctors that taking them will improve their health in the future. https://t.co/7PvjiKTt6V

[Ryan Frazine @rfrazine]

Americans should be more upset about this. Not just for these meds, but all meds.

[Marc Lipsitch @mlipsitch]

US Drug prices are a major form of foreign aid to other high income countries. https://t.co/iBQVUbfWji.

[Ryan Frazine @rfrazine]

https://t.co/kGQ4QBtUHF

[Ryan Frazine @rfrazine]

@Travis_Broome This is spot on. Money in a well performing ACO (AKA Aledade ACO) can compete with concierge, but the stress of quality management and controlling unnecessary utilization and hospitalization is much greater in ACO.

[Ryan Frazine @rfrazine]

@Travis_Broome I struggle with this daily. I don’t think there is any way the supply of docs is increasing in primary care soon, so it has to be doc as team leader. But that is a hard transition to make for docs that don’t like to give up control and patients that expect their doctor always.

[Ryan Frazine @rfrazine]

@Travis_Broome So don’t throw out the computers, changes the processes, requirements, expectations of data entry, documentation, etc (some of this is already happening).

[Ryan Frazine @rfrazine]

@Travis_Broome Also the fact that you are never away from it. Paper charts stayed at the office. EHR is always with you. Docs getting IM from hospital staff on their phones. Patients sending portal messages all hours all days and if you are on the EHR finishing notes, you see them.

[Farzad Mostashari @Farzad_MD]

If there's a practice considering the Medicare Shared Savings Program (deadline 30 days away), and I could say one thing to them, it would be..

this:

[Ryan Frazine @rfrazine]

@ukcats21 I guess I’m young, cause I had to look it up. I was NOT disappointed!

[Ryan Frazine @rfrazine]

@bijans If we had a healthcare system that valued the long term health of patients and lifelong healthcare costs then we would find a way to get these meds to everyone who needs them. Unfortunately still not covered by Medicare and excluded on many commercial plans.

[Ryan Frazine @rfrazine]

@bijans The long term benefit of this degree of weight loss to the individual and the population at large is massive. Unfortunately the popular discussion is stuck on people taking them off label or it being a short cut rather than the massive benefit it can provide those who need it.

[NEJM @NEJM]

This week’s most viewed article: Current Causes of Death in Children and Adolescents in the United States https://t.co/CC470FTtuf

#GunViolence

[CBS Sunday Morning 🌞 @CBSSunday]

Sarah DiGregorio - the author of "Taking Care: The Story of Nursing and Its Power to Change Our World" discusses the power of the nurse-patient relationship, and how poor nurse-to-patient ratios can be a matter of life or death. https://t.co/UxxXwFwJMs