ER doc building @CounselHealth; prev virtual care + hospital-at-home @MountSinaiNYC

Queens, NY
Rishi Khakhkhar retweeted
“Half the patients I see in the ER could have been treated a week earlier for a fraction of the cost.” Dr. @khakrish is building @CounselHealth around a different vision for AI: not replacing physicians, but supporting them. Rishi joins Offcall co-founder Dr. @grahamwalker to unpack “semi-autonomous care,” and what it means for physicians. 🔥 Full episode: offcall.com/learn/podcast/se… #HowIDoctor #HealthcareAI #Offcall
1
2
34
Rooting for this, nicely done @CMSGov
Some great healthcare news going into the weekend: @CMSGov is proposing new site-neutral payments, cutting imaging payments at off-campus hospitals to match physician-office rates! They expect $70M⬇️in beneficiary premiums, $190M⬇️in part B savings - $260M total in 1st year.
6
1,021
Good take on the recent uproar around full body ultrasound tomography
After spending all weekend crashing out online, I think I've finally organized my thoughts on full-body scanning into something (borderline) coherent joejanizek.substack.com/p/th…
1
78
This is a good idea, being able to run a hospital at Medicare rates should be a major goal for the industry. Annual double-digit percentage increases in employer health costs are unsustainable and they are driven by hospitals
I have an idea for you. Get a bunch of Dem donors to buy or lease or take over a small hospital. Plenty are close to going out of business. Have it charge ONLY MEDICARE RATES. For everything. Be completely transparent with every penny you spend so everyone can see what it truly costs to run a small hospital. See if you can make it work. See what services you can offer. Do not ask for any government subsidies. It has to operate at least to break even. There are some hospitals that already do this. It wouldn’t be unique. If it works out, you can buy another one. Then another one. Till you have a network. I’ll help where I can. And for those asking the inevitable, I have tried. As I posted earlier, they all ghosted me after learning how transparent I wanted to be.
170
Incredible chart. My MIL got a lung transplant for ILD in 2023, and now I can thank Trikafta! This is a great example of "care abundance" -- the red line is some proxy for physically bounded care delivery, which we can allocate to more patients by substituting some demand.
Despite all the talk about AI making radiologists obsolete, the most striking example of a medical specialty being disrupted in the last decade may be adult CF care, and it wasn’t AI. It was Trikafta.
224
Rishi Khakhkhar retweeted
Counsel's medical AI available soon in your Oura ring app
We’re incredibly excited to announce that @ouraring is partnering with Counsel to bring AI-enabled primary care directly into the Oura App 🩺 Starting June 16, Oura members can: - Ask medical AI health questions - Receive personalized medical advice - Connect with Counsel physicians within minutes All without leaving the app.
7
4
30
11,861
Rishi Khakhkhar retweeted
In a recent @latimes op-ed, Dr. @HashemZikry, Medical Director at Counsel Health, explores the revolutionary potential of AI in delivering life-changing care at scale, and calls for serious, enforceable regulations to safely deploy this technology.
1
2
1
162
Vibe shift: over the past few months, basically every computer in the community ER where I work has an @openevidence window up. Younger and older attendings alike. Huge usage everywhere.
3
15
1,531
The house of medicine is at a crossroads, I think the path forward is obvious
Replying to @dvasishtha
We did this before! We villainized “Dr. Google” for 25 years and put our heads in the sand instead of building for the obvious access point of this century. AI care is coming, with or without us. We can help build it safely or accept the acceleration of our fading relevance.
7
790
Rishi Khakhkhar retweeted
@CounselHealth is a full-stack, AI-native medical group that makes medical care abundant - unlimited guidance from real doctors, 24/7, scaled by Counsel’s medical AI, in a now familiar chat interface. This system embodies the qualities that everyone should expect from "AI as a New Site of Care", which go far beyond the simplistic, early models of digital health that simply replicated offline visits on a computer screen - e.g. care that is always on, with pan-specialty intelligence, personalized, and exponentially scalable. Thrilled to have led the Seed and be co-leading the Series A with our friends at @GVteam as Counsel launches to the general public. Counsel has served over 100,000 patients through B2B2C partnerships to date, and now everyone can have a doctor in their pocket. Congrats to @malagappan and the whole Counsel team on the launch!
Today we’re launching @CounselHealth to the general public. We believe Counsel is the most advanced combination of medical AI and human doctors in a single interface, and the easiest way to go from “I need advice” to “I’m getting care,” all from your phone. Learn more about Counsel ⏬
4
3
15
3,071
Rishi Khakhkhar retweeted
Over 100 million people in the US are without a dedicated doctor. But it shouldn't have to be that way. The technology to scale medical advice exists today. I’m proud that @a16z is doubling down to co-lead @CounselHealth’s Series A alongside our friends at @GVteam. On top of that, Counsel's medical AI is now available to anyone. Our healthcare system is designed to ration access to our scarcest resource – doctor time. And in a world where clinician capacity is scarce, people are forced to turn to Google or ChatGPT for answers. Consumers ultimately need clinical resolution: the prescription, the lab test, the specialist appointment, the follow-up, the ongoing guidance and encouragement to change their lifestyle. Counsel is building healthcare abundance for the AI era. We led Counsel’s seed financing last year because of our conviction in this bold idea: that we can build a world in which everyone has their own doctor for life. They’ve seen immense progress under the leadership of @malagappan, who was previously a Stanford-trained physician, AI researcher, and healthtech executive. I’m delighted to expand our support as Counsel redefines how we access healthcare. @julesyoo @a16zBioHealth
Today we’re launching @CounselHealth to the general public. We believe Counsel is the most advanced combination of medical AI and human doctors in a single interface, and the easiest way to go from “I need advice” to “I’m getting care,” all from your phone. Learn more about Counsel ⏬
7
8
74
16,845
Rishi Khakhkhar retweeted
Today we’re launching @CounselHealth to the general public. We believe Counsel is the most advanced combination of medical AI and human doctors in a single interface, and the easiest way to go from “I need advice” to “I’m getting care,” all from your phone. Learn more about Counsel ⏬
14
23
95
80,422
Rishi Khakhkhar retweeted
AI will be amazing for our health
2
3
24
1,952
Rishi Khakhkhar retweeted
NEW: Industry Deep Dive — Counsel Health We spoke with CMO Dr. Rishi Khakhkhar on scaling physician-led, messaging-based care with AI woven into the workflow. They’re rethinking access, continuity, and what AI-powered care actually looks like. Link below! 👇
3
4
29
3,346
Rishi Khakhkhar retweeted
This will happen in healthcare - rather than having to use your judgment about which digital health app to use for what, there will be an AI doctor superapp that knows your full personal context and auto triages across a network of subcontracted providers in the backend based on your expressions of clinical need...
Replying to @DavidGeorge83
We discuss how AI disrupts the current app paradigm, why now for AI-assisted glasses, emerging competitive dynamics and startup biz models, and what the world could look like in a post-mobile phone era: piped.video/watch?v=qEjTz2Zm…
13
13
113
30,430
Rishi Khakhkhar retweeted
obligated by marriage to a bulls fan to share this insane giddey buzzer beater
BULLS WIN ON AN ELECTRIFYING SEQUENCE ⚡️ Patrick Williams triple with 10.3 seconds left. Coby White for the lead with 6.1 seconds left. Austin Reaves takes the lead back with 3.3 to go. Josh Giddey hits the #TissotBuzzerBeater. CLUTCH BASKETBALL AT ITS FINEST!
1
1
6
900
This is a huge accomplishment! When people ask me about my favorite applications of AI in clinical medicine, I often point to the Queen of Hearts ECG model - and now it’s approved. Big congrats to the team @RobertHermanMD @smithECGBlog @PendellM
We're proud to share that the #PMcardio STEMI AI ECG model has received the @US_FDA Breakthrough Device Designation, recognizing its potential to fill a critical gap in the early detection of acute heart attacks—among the most urgent and deadly conditions in medicine. #FDA #BDD
1
2
13
8,374
Every time I re-enroll as a provider who treats Medicaid patients in NY, I have to print 40 forms, sign them all in blue pen, and physically mail them in. This is in a blue state that ostensibly wants to maximize the number of Medicaid-accepting providers! We have to do better.
Two contractors spent 9 years and $200M working on a modern provider enrollment system at @CMSGov. After 14 missed deadlines, zero usable output was produced.
2
233
Rishi Khakhkhar retweeted
This may be true, but the current provider enrollment system at @CMSGov is much more efficient for provider users than the systems used by most private insurers. For users, the efficiency win would be to take over provider enrollment for state Medicaid programs, which are awful.
Two contractors spent 9 years and $200M working on a modern provider enrollment system at @CMSGov. After 14 missed deadlines, zero usable output was produced.
2
2
12
2,463