American Doctor Substack - Ebrahim Barkoudah MD
This podcast, hosted by Dr. Ebrahim Barkoudah, focuses on quality in healthcare and value-based care delivery. It explores topics related to improving healthcare systems and patient outcomes through efficient and effective care models. The show is based on the author's Substack newsletter, which provides in-depth analysis and commentary on healthcare economics and quality.
Episodes
Medicare on Obesity Drugs. The Prior Auth Part Is Still Yours.
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Fifteen Minutes with Becker's Health, and the Tuesday I Couldn't Stop Thinking About
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Cognitive Shortcuts Kill. AI Might Be the Fix We’ve Been Ignoring.
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Throughput Is Not a Lean Problem. Here's What It Actually Is.
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How to Read ACO REACH’s Record 2024
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The Joint Commission Just Simplified Patient Safety Reporting. Hospitals Aren’t Ready.
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Engineering Systemic Flow to Solve ED Boarding
I asked Notebook to go through my papers library and generate an audio-visual synthesis on one of the most critical operational bottlenecks we face in modern healthcare: Emergency Department boarding.The crowding at the front door is rarely just an intake problem; it is a systemic throughput failure. When admitted patients are stranded in the ED awaiting an upstairs bed, our functional capacity pl
Ambient AI Saved Thirteen Minutes. Now What?
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The $3 Trillion Question: When High-Value Care Teaching Fails to Change Practice
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3.2 Million and Counting
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AI-Powered Clinical Decision Support and the Death of the ‘Cookbook Medicine’ Critique
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The 85 Percent Threshold Is Closer Than You Think. And No One Has a Plan.
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Financial Engineering Drove 40% of Hospital PE Returns. Operational Efficiency Drove 1%. We Need to Talk About That.
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A 10x Multiple Spread Within One Healthcare Subsector - That’s Not a Market - That’s an Arbitrage
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Healthcare PE Outperforms by 520 Basis Points. The Real Question Is Why.
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Automating the Bottleneck Isn’t Fixing It. The Real Capacity Problem Is Upstream
Agentic AI can sequence discharges, assign beds, and predict surges. It cannot create a bed that doesn’t exist or discharge a patient who has nowhere to go.Full article at This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit ebrahimbarkoudahmdmph.substack.com
Nobody Is Watching the National Curve
Thirty percent of all U.S. hospital revenue runs through ten ownership entities. That’s roughly $420 billion — Kaiser, HCA, CommonSpirit, Ascension, and six others — out of approximately $1.4 trillion across nearly 2,000 ownership entities in the country. The math is available in public data. What’s not available, anywhere in federal surveillance infrastructure, is a single instrument that watches
The Trillion Dollar Global Market for Obesity Medications
The full article: This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit ebrahimbarkoudahmdmph.substack.com
The U.S. Healthcare Claims Landscape in 2025: Challenges and Strategies
The U.S. Revenue Cycle Management market is undergoing a rapid revolution driven by advancements in technology, regulatory changes, and evolving care delivery models. RCM plays a critical role in managing the financial processes of healthcare organizations, ensuring efficiency in billing, claims processing, and revenue collection. Emerging technologies such as artificial intelligence, machine lear
Senate Committee 'Profits Over Patients' Report
Executive SummaryThe increasing involvement of private equity in the U.S. healthcare sector has raised widespread concerns regarding its impact on patients, providers, and the overall healthcare system. This report examines the dual outcomes of private equity investment in healthcare, focusing on the significant financial returns for investors juxtaposed with the potential risks for patients and c
The Evolution and Impact of AI in Hospital Coding Systems in the US: A Comprehensive Analysis
Full article:https://substack.com/home/post/p-153756785?source=queue&autoPlay=falseExecutive SummaryThe healthcare industry is witnessing a revolutionary transformation through the integration of Artificial Intelligence in hospital coding systems. This transformation represents a pivotal shift in how healthcare organizations manage their revenue cycles, ensure compliance, and maintain accurate pat
Exploring the Intersection of Artificial Intelligence and Quantum Computing in Healthcare: An In-Depth Analysis
The healthcare industry stands at the cusp of a technological revolution driven by two transformative forces: Artificial Intelligence and quantum computing. While at different stages of development and implementation, these technologies are poised to fundamentally reshape how healthcare is delivered, managed, and advanced in the coming years. This comprehensive analysis explores the current landsc
Nonprofit Hospitals and Tax-Exempt Status: A Critical Examination of Charitable Care Delivery in Modern Healthcare
Are Nonprofit Hospitals Earning Their Tax Breaks? Data Reveals Concerning GapsNonprofit hospitals receive billions in tax breaks each year in exchange for providing care to their communities. But new research suggests many aren't holding up their end of the bargain.These hospitals received about $24.6 billion in tax exemptions in 2020, according to Kaiser Family Foundation data. Yet many struggle
Healthcare & Aerospace: Divergent Paths, Parallel Challenges
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Investment and Return in the Pharmaceutical Sector Navigating Challenges and Opportunities
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Unraveling the Effects of Private Equity in Healthcare An Insight from Physician's Lens
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