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A myriad of AI, science, and technology experts explore the real challenges and enormous opportunities facing entrepreneurs who are building the future of health. Raising Health, a podcast by a16z Bio + Health and hosted by Kris Tatiossian and Olivia Webb, dives deep into the heart of biotechnology and healthcare innovation. Join veteran company builders, operators, and investors Vijay Pande, Julie Yoo, Vineeta Agarwala, and Jorge Conde, along with distinguished guests like Mark Cuban, Greg ...
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In this video, Darshan discusses recent enforcement trends show three weak spots to watch:
- Encounter Quality – If prescribers are just checking boxes without real patient relationships, it’s not care—it’s exposure. Demand documented standards, ID proofing, intake, decision support, and supervision. Don’t take claims at face value—audit them.
- Cash Flow Logic – Murky subscription fees, misuse of facility fees, or volume-driven compensation are red flags. Require transparent fee schedules, fair market value memos, and ongoing monitoring.
- Referral Data Architecture – Patient steering crosses compliance lines. Keep education, navigation, and clinical decisions separate from marketing. Document clear pathways.
Due Diligence Toolkit: credentialing, exclusion checks, state coverage policies, encounter blueprints, billing guardrails, HIPAA/data-sharing mapping, anti-kickback controls, escalation and audit playbooks.
Takeaway Question: Where is your telemedicine workflow weakest—encounter quality, cash flow, or referral steering?
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