Join Megan Antonelli and Janae Sharp as they discuss the latest Five Good Things in healthcare.
Megan Antonelli, Chief Executive Officer, HealthIMPACT
Janae Sharp, Founder, The Sharp Index
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Janae Sharp: It's right on the first page.
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Megan Antonelli: Recording.
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Megan Antonelli: Where's my auto assistant
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Megan Antonelli: otter
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Megan Antonelli: number here?
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Janae Sharp: Ours.
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Megan Antonelli: Daughter start knocking at the door.
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Janae Sharp: No, I don't think Otter did.
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Megan Antonelli: Hmm!
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Megan Antonelli: Meeting with Megan autopilot.
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Megan Antonelli: are we? Here? Are we on? Oh, maybe because we're late.
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Megan Antonelli: There she is.
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Megan Antonelli: So I'm meeting. Who am I meeting with at 3.
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Janae Sharp: 3 year, time or 3. My time.
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Megan Antonelli: My time, Steven Kaylor. So he's a possible sponsor. So we gotta we gotta stop at 3 hard. No. 2, 30. What time? 2 30. So 30 min. But we'll.
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Janae Sharp: Right.
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Megan Antonelli: There's not that many good things.
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Janae Sharp: There's lots of good things.
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Janae Sharp: Thank you for tuning in with us today. We are gonna talk about 5 good things.
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Megan Antonelli: You didn't start yet.
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Janae Sharp: I did start. I started.
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Megan Antonelli: You did start, but we haven't said like welcome to the show, or who we are.
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Janae Sharp: I never say welcome to the show!
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Megan Antonelli: I know.
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Janae Sharp: Welcome, her.
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Megan Antonelli: Okay, I will say, welcome to the show.
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Megan Antonelli: Hi, everybody! Welcome to health impact. I'm here with Janae Sharp, and we're here for our monthly segment of 5 good things as part of digital health talks. Hi, Janet.
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Janae Sharp: Hi! How are you?
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Megan Antonelli: I'm good.
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Janae Sharp: I.
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Megan Antonelli: Things.
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Janae Sharp: Well.
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Janae Sharp: I think some of them are really good. I also think some of them are full of controversy. So hopefully people will be able to weigh in. And as always, if you have good things, send them to us so we can share. That can be like great success. Great outcomes in your health system today, we're gonna talk about some things in government, some things in reimbursement and some things in health systems. So
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Janae Sharp: stay tuned.
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Megan Antonelli: Yes, and I will reiterate that if you have good things, send them to us, tag us, drop them in our Linkedin cause. That will save us time, cause. It took us a long time to find these 5 good things.
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Janae Sharp: Right? Yeah. This week was interesting. One of the main good things. The first one that I thought of was the Ftc. Banning non-competes
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Janae Sharp: and the American Medical Association has come out in support of this for physicians and for some healthcare workers having a non-compete might mean that they have to switch jobs. They have to move areas because they can't work. They can't do their job anymore where they live.
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Janae Sharp: And so that was one of our good things. I will say.
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Megan Antonelli: It. And it's controversial, because.
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Janae Sharp: Yeah, times.
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Megan Antonelli: Non competes have been around for a long time. I don't think I under really understood how they impacted doctors. I probably don't still understand them completely.
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Megan Antonelli: but I do.
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Megan Antonelli: Know that a lot of doctors and it sounds like the the limits, for who will be impacted is something like 160 to $170,000 for executives. So that feels like it's probably a lot of doctors, even those that are working in administration. And then I think it's also there's a bit of nonprofit hospital versus for Profit hospital, and that they will. It seems, within this
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Megan Antonelli: rule that they would be making exceptions for some of the nonprofit hospitals, even though they don't have jurisdiction there. So.
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Megan Antonelli: I.
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Janae Sharp: So there's that question.
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Megan Antonelli: Head.
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Janae Sharp: There's that question of if they're trying to expand their jurisdiction like, is that what the move is? We've already seen a lawsuit replying.
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Janae Sharp: So you have on the one side.
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Janae Sharp: you have artificial
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Janae Sharp: wage suppression
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Janae Sharp: because people can't go work anywhere else, so they'll work for less, or they'll work in worse areas. And then, on the other hand, you have. You have what you just mentioned like. Is this a way to change the nonprofit status for health systems or to expand the jurisdiction.
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Janae Sharp: That the Ftc. Has
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Janae Sharp: for
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Janae Sharp: for employment.
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Megan Antonelli: So the Federal Hospital Association came out against it, saying, You know to some extent that it would, you know, make it harder to employ doctors for those hospitals, so I think well, it's a good thing for physicians hopefully a good thing for patients.
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Megan Antonelli: it could make it harder for hospitals, but I think it may also just show, you know, sort of an evolution in how the hiring practices of physicians. But I'd I'd love to have people on the show who who probably know a little bit more about this than I do, but it does. It does appear to be a good thing for for the docs.
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Janae Sharp: Yes, and maybe that's pretty telling that the individual, the organization representing individuals is for it, and the organization representing the employers is against it, even if no matter where it lands. I think this conversation is important, that people are aware of the employment environment. And also, you know, kind of get that swift kick in the butt
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Janae Sharp: that you have to be competitive. You have to actually provide people with a great job.
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Megan Antonelli: Yeah, no, I I think it is. I think it's a really interesting thing that a lot of people certainly aren't aware of in terms of, you know the decisions that physicians have to make when it comes to their jobs and where they work and and where they might be. You know, be able to practice after they've been been in a place for a long time.
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Megan Antonelli: So super interesting
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Megan Antonelli: the other good thing that I think both good for for patients and for for doctors, is around Ama's new codes that they're evaluating for remote, patient monitoring that could come around in 2025. So
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Megan Antonelli: you know, now, when we have these discussions around rpm, there's a lot of question of of what is what is going to be paid for, and who's going to pay for it? Well, you can't pay for it unless there's a code.
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Janae Sharp: Right, right?
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Janae Sharp: You can't. You can't, bill for something unless you know what it's called.
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Janae Sharp: The interesting thing about this
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Janae Sharp: new. These new codes
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Janae Sharp: is that
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Janae Sharp: many of them are related to remote, patient monitoring.
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Janae Sharp: So
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Janae Sharp: in the past, remote, patient monitoring was necessary to provide great care.
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Janae Sharp: But it wasn't necessarily something you were going to get paid for. There are several things in healthcare that people are doing already, because they have to do it, to give good care or to give appropriate care, but they are not being reimbursed for that care.
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Janae Sharp: So some of the new Cpt codes do relate to remote, patient monitoring.
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Janae Sharp: and I know we you know a little bit, you know, about remote, remote, patient, monitoring.
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Megan Antonelli: Yeah, for sure. I had quite a few conversations about it today. In fact, in that we interviewed Jose from Natara and talked to him about that. And you know I've sort of been learning about it a little bit from from them, and obviously just doing the research. But it's interesting.
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Megan Antonelli: you know. It's been on for a long time, right? But it's it's changed, you know. It's gone from what might have been. You know. Sort of archae. You know older devices by, you know, by the side of the bed that would, you know, maybe.
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Megan Antonelli: do around medication, adherence and compliance and things like that, and obviously blood blood pressure monitoring. But you know that the patient would have to to take care of, and then it would tie into a system. And now we're looking at these devices that are, you know, measuring vitals, contact lists with
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Megan Antonelli: you know, with radar, you know, and and the patient has no involvement.
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Megan Antonelli: But I also had interesting conversations around. You know, both the payment model and the value so depending on the type of care that's being provided at home. You know, healthcare at home is part of a continuum, but it depends on what condition you have, you know, to to decide what that continuum is. Right? So but there's so much. It's such a huge world of possibilities. And I think you know, I've been thinking a little bit about kind of like the future state where.
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Janae Sharp: Yeah.
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Megan Antonelli: In fact, we're, you know, measuring our vitals on a on a pretty regular basis at home. And that could be really interesting, and maybe a little bit too much for some of us.
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Janae Sharp: Right.
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Megan Antonelli: Health geeks! Quite.
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Janae Sharp: Which is.
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Megan Antonelli: So very.
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Janae Sharp: I mean, yeah, it's starting to happen now. We see people have people have devices that they love to bring with them. People love looking at their own data. Some people.
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Janae Sharp: you know, the people who are athletes and the people who just really love, you know.
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Janae Sharp: a bad looking watch.
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Megan Antonelli: Like.
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Janae Sharp: I will say. A few years ago I was on a special interest group for the American Telemedicine Association, looking at reimbursement for telemedicine.
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Janae Sharp: and
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Janae Sharp: it was very interesting talking to leaders
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Janae Sharp: about what could be a reimburse and what couldn't, and how the care that, like asynchronous care didn't really have codes like things that that physicians and health systems are liable for, and that take a lot of time, weren't things that they could actually bill for.
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Janae Sharp: and I think it's great like to me. This is great news like
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Janae Sharp: you should be paid for the work you're doing, and we'll have a more accurate picture of what's necessary to take care of patients.
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Janae Sharp: So
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Janae Sharp: great job.
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Megan Antonelli: Yeah, no. It's important. And it's good to see. And I think, there has been there have been strides with telemedicine, you know it's still not 100% there, and I think it's the different by state and all of that but I think you know, the the dialogue is certainly happening, and we're getting there, which is great. I think the other thing speaking of pairs is a recent study shows that
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Megan Antonelli: The rates of uninsured are lower than they have been in a very long time. And so I think maybe the lowest rate ever. And maybe there's a certain amount of variation between. I think Texas is something like 16%, and Massachusetts is 2.4
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Megan Antonelli: the rate of Americans with insurance is at an all time low. So maybe that
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Megan Antonelli: whole aca thing worked a little bit to get us coverage, you know.
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Janae Sharp: Yeah, I think that's that's a great question. Again, we will be able to share some of this. You know the research supporting that.
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Janae Sharp: Some of it also looks at the disparities between who the haves and the have nots like? Why, why are some people insured? Why are some people struggling, and how those rates compare to life expectancy people with lower access to
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Janae Sharp: insurance or to care.
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Janae Sharp: They don't live as long.
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Janae Sharp: And it's also interesting that
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Janae Sharp: some of the Southern States.
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Janae Sharp: with the highest levels of poverty, also have the highest levels of
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Janae Sharp: uninsured people. So there's a real question there for for equity to see if we're doing the work to ensure that everyone can live their healthiest life possible.
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Janae Sharp: you know, being able to go to a physician. What is the percentage of people who don't go to doctors because they can't afford it like like, I think that's high.
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Megan Antonelli: Right? Yeah, no, for sure. And and and for what reason do you go? And then how do you go? And how do you engage. And are you in an emergency room? Are you going to preventative medicine and all that? So I think a lot of that, and the social determinants of health around it are
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Megan Antonelli: super important.
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Megan Antonelli: and the reasons why people aren't insured.
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Megan Antonelli: you know, vary across those those demographics as well.
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Janae Sharp: Yeah.
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Janae Sharp: I think it's, you know, more and more people are deciding to delay care or making decisions about their basic needs or
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Janae Sharp: for their insurance with inflation, so.
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Megan Antonelli: Umhm it.
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Janae Sharp: It was surprising to me that it was so high, and I don't think the health insurance system's perfect, you know, if anyone's ever called their insurance. I think they would agree with me, or tried to find a physician in their area that actually takes their insurance. You know, there are basic things that.
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Megan Antonelli: It is a. It is an imperfect system that.
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Janae Sharp: Yeah.
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Megan Antonelli: Grown to accept, but with without it the healthcare system is a lot harder to navigate. Unfortunately.
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Janae Sharp: Right.
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Megan Antonelli: Yes, and.
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Janae Sharp: That one with the good things I was kind of iffy, I was like, oh, wow! Like, it's still really rough here.
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Megan Antonelli: It is, as with everything in healthcare there is. There are 2 sides. Well, hopefully, with this one there isn't. And we, you know we bumped this one up to a good thing, cause it kind of ties into some of the things we've talked about with the bidens the Administrations initiative around women's health. But recently.
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Megan Antonelli: the women's health access matters and Kpmg have invited initiated a partnership around at 1.1 million dollars to advance women's health. So that's just a continuing kind of cherry on top of good news, where there's been some money and attention flowing to women's health and and the in it needs there. So in speaking about the various needs across populations,
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Megan Antonelli: you know, that's another good thing
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Megan Antonelli: right like that.
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Janae Sharp: That's a huge thing.
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Megan Antonelli: 2.
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Janae Sharp: Like. If we look at it, we have some of the lowest life expectancies for mothers of a developed country, and this funding
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Janae Sharp: is going to be helpful. It's also looking at research and investment and also ensuring that we have accurate representation of women in clinical trials.
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Janae Sharp: Which is critical, being able to recruit
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Janae Sharp: the populations that drugs are designed for is gonna be.
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Janae Sharp: I think I think it's great news.
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Megan Antonelli: For sure.
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Megan Antonelli: absolutely.
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Janae Sharp: Absolutely we didn't have to fight about that. There's no real controversy. And thinking.
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Megan Antonelli: No, although I bet, depending somewhere, somehow, there is, you know. Maybe.
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Janae Sharp: Yeah.
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Megan Antonelli: The folks that didn't get the grant. The man. No, I don't know
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Janae Sharp: I feel like it's kind of a problem with it. Just check in with yourself, cause.
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Megan Antonelli: Yeah, really and then our last good thing was the Ata conferences coming up which I had the pleasure of going to last year. Where was it? Last year? San Diego? Maybe
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Megan Antonelli: I forget. But I actually that's where I connected with Legia. We're from. Ada Rose. That was super fun.
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Megan Antonelli: and this year it is in Phoenix, is it? May fourth through seventh. Am I wrong? Right? Close.
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Janae Sharp: It is.
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Janae Sharp: Oh, let me look!
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Janae Sharp: I clicked on the wrong page. I was just there.
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Megan Antonelli: They have some great speakers. They'll be talking a lot, I bet, about that reimbursement. Around repo. Remote, patient monitoring. They've been doing some great content for nursing and home health.
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Megan Antonelli: And so I'm excited to to go there again this year and and see everybody.
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Janae Sharp: Yup, May fifth, through seventh in Phoenix, Arizona. And we do have a discount code that we can share with everyone.
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Megan Antonelli: We do? Is it like nexus? 400.
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Janae Sharp: I think so.
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Janae Sharp: So, yeah, so.
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Megan Antonelli: You have to subscribe and get the comments to get the code. It is in our monthly email. So you can subscribe to our newsletter and get that code. And then I will see you there.
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Megan Antonelli: Yeah. And then, of course, in other good news, we have our health impact forum coming together really well for June twelfth and thirteenth at Microsoft again in New York we've confirmed a great lineup of speakers, and we have
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Megan Antonelli: Natara. Health is is a partner as well as Sale Point and elite groups, and Microsoft and Nuance
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Megan Antonelli: and
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Megan Antonelli: Dr. Satchin Jane is speaking from scan health plan, and Dr. Komal Burj, who we heard from today.
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Megan Antonelli: Also speaking. So we are excited and getting ready for that.
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Janae Sharp: We're looking forward to seeing everyone in New York and expanding our knowledge and also expanding the amount of people who are making an impact. So if you like getting things done.
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Janae Sharp: come.
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Megan Antonelli: I wanted to share a little bit, because the the sharp index awards are gonna be there this year again, share a little bit about how that's coming along in terms of the nominees.
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Janae Sharp: We have some really great nominees this year.
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Janae Sharp: I'll share some of them.
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Janae Sharp: See if I can remember their names. I will say Microsoft nuance nuance has been a nominee and a supporter of the awards, and this year we're talking to to advocates like Chase Anderson, and also to to leaders who are like Joe de Piero from Mount Sinai, who has
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Janae Sharp: supported over.
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Janae Sharp: I think it's over 20,000 support visits for healthcare workers in New York. And some of the innovative projects and entire. You know, entire programs that have been stood up to support mental health for healthcare workers. They're huge. So the awards are our way of making it more popular to do the right thing for
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Janae Sharp: for healthcare workers. And you know, when you have a healthy workplace, patients are going to get better care. That's there's a direct correlation between between that so we get to talk to leaders. And I'm really looking forward to just recognizing and celebrating the people who are doing great work.
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Janae Sharp: Yeah? And.
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Megan Antonelli: It was such a great awards ceremony last year, and the people who did get win those awards last year were amazing, and the programs are amazing. So it's always it's a wonderful and exciting thing for health impact to be a part of. And I encourage our listeners to nominate any programs that you know. When? When do nominations close today? Do you have us.
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Janae Sharp: They will close at the end of May.
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Janae Sharp: So people have a while and online, you can access like rubrics, like what we're really looking for. Also, if you know someone who's doing great work.
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Janae Sharp: let us know there are a lot of people in this audience and in our network who are probably doing something to support mental health. That could be a technologist, you know, a technology company that's really stepping up and reducing the workload
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Janae Sharp: wouldn't it be awesome if someday one of the EHRS. One.
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Janae Sharp: because they earned it, you know. Like, if we could make technology better, it'd be fantastic. So we do. We would like to see some more nominations. So you can go to sharp index.org and awards
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Janae Sharp: and nominee.
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Megan Antonelli: Great, nominate all the.
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Janae Sharp: Leaders, you know. We want to celebrate them.
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Megan Antonelli: Perfect, and you can subscribe to our Newsletter and it we have the link in there every month. So for sure it's such an important part of recognizing the community.
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Megan Antonelli: And the work that you guys do with the sharp index as well as the work that our you know, leaders out there are doing and encouraging that. So thank you and thank you for joining me today, Janae, and thank you. The listeners for joining us at
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Megan Antonelli: health impact live and digital health talks we are excited to talk to you again soon. Take care.
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Janae Sharp: I thought we did a good job.
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Megan Antonelli: Yeah, not bad for much less prep, and not much good news.
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Janae Sharp: I thought we we had good news. We had good news.
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Janae Sharp: The Ata was good news. I didn't. I should have gone through the sessions and looked up. Isn't Gita gonna be there?
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Janae Sharp: I should have gone through and looked at it.
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Megan Antonelli: The.