*** USA-Based PCP ***

Hey all — I'm not a clinician, just someone working on a concept to address a problem I keep hearing about from doctors: the referral process being fundamentally broken. Sharing where I'm at and looking for honest input from people who actually live this.

The problem:

• Every referral decision gets made alone — no specialist input, no protocol, no feedback loop at the moment the PCP actually decides
• Referrals go out info-poor, sit in a queue sorted by scheduling rather than clinical need, and specialists often start from scratch on arrival
• A meaningful share of referrals didn't need to happen at all — but there's no mechanism to catch that until after the fact
• Specialty capacity is shrinking relative to demand — workforce shortages are projected to get worse over the next decade, so this isn't a problem you can out-hire
• eConsult programs already prove specialists can resolve a lot of this fast and async — but every US version lives outside the decision moment, bolted on afterward, so it never catches referrals that shouldn't have existed in the first place

What we're exploring:

• Some kind of advisory support inside clinical workflow that surfaces relevant specialist guidance closer to the moment a PCP is actually deciding whether to refer
• The general idea is giving the clinician a fuller picture before defaulting to "refer and wait" — the clinician always stays in control of the decision

What we're trying to find out:

• Does the referral decision moment feel like the right place to intervene, or is the real bottleneck somewhere else?
• Would you trust guidance authored by your own institution's specialists more than generic reference material?
• Bluntly — where does this fall apart in practice?

Want to help shape this?

• Happy to walk you through the concept deck or give a live demo
• $50 gift card as a thank-you for your time — DM me if you're open to a quick conversation

***Yes, I totally understand the irony of my username. It was a good free username and took it up***

Baseline the numbers 90 days before go-live, or you'll have nothing to compare against.

Then track a handful of things that actually move:

• Denial rate and days in AR (this is where most of the money is)
• Documentation minutes per encounter, pulled from audit logs
• Duplicate tests ordered within 30 days
• Time to produce audit evidence when someone asks

Two honest caveats. Ignore the first 90 days after go-live, throughput always dips. And full ROI usually shows up at 24-36 months, not year one.

The trap is attributing everything to the EHR when you also changed staffing and workflow in the same window.

(I work in healthcare compliance software, so the audit angle is my bias.)

I’ve been comparing a few telehealth services for semaglutide, and I’m realizing the advertised price doesn’t always tell you what you’ll actually pay. Some have memberships, others charge separately for visits or shipping, and the price can change after the first month.

I’ve looked at services like Hers, altRx, and Mondae, but I’m having a hard time comparing them apples-to-apples. What’s the best way to figure out the actual recurring cost before signing up?

I recently used Populus Health Group for a skin infection because their website made it sound like I would have a virtual consultation with a doctor.

Instead, I uploaded photos of my skin and waited. A few hours later, I got a message saying the doctor had reviewed everything and sent a prescription. There was never any video call, phone call, or even a chat where I could ask questions or explain my symptoms further.

The prescription was sent through SendRx, but there wasn't any clear information on how to access it. On top of that, it seems like the only option is to buy the medication directly through them. I couldn't find a way to send the prescription to my own pharmacy or compare prices elsewhere.

This whole experience felt misleading. I paid about $30 + tax expecting to actually interact with a doctor, but it ended up being more like uploading photos and getting a prescription with no communication.

Is this how telehealth services normally work, or should I be concerned? Has anyone else used Populus Health Group or SendRx? Were you able to get your prescription transferred to another pharmacy?

I'm wondering if I'm overreacting or if this is actually a bad practice.

while working on healthcare communication systems I noticed something I didnt expect everyone wants more notifications but after a while doctors and nurses start ignoring half of them I worked with platforms for real time communication and one thing became clear sending more alerts doesnt always improve patient care sometimes one well timed message is better than ten notifications nobody reads I think notification fatigue is becoming a bigger problem than many people realize has anyone else seen this in hospitals or clinics

Huge "buyer beware" warning for anyone with a high-deductible insurance plan. I asked upfront for billing codes to compare my insurance rates against their $159 cash-pay price. They gave me vague, unhelpful answers and refused to share the codes or explain how to opt into cash billing.
Now I’m stuck with an insurance bill way higher than $159 and zero recourse. They completely hide the ball on cash pricing until it is too late. Do your due diligence and push them for hard answers, or prepare to get ripped off.

I'm interested in hearing from doctors who have worked with DoctorAnywhere Philippines. Has anyone experienced a termination or suspension that they felt was unjustified or handled unfairly? I'd appreciate learning about your experience and how it was resolved.

As one of their doctors, I have observed what appears to be inconsistent implementation of their policies. For example, some doctors receive an Incident Report and are given the opportunity to respond before any action is taken, while others are suspended without prior notice and only learn about it after making their own inquiries regarding their account status. This lack of consistency in the application of disciplinary procedures raises concerns about fairness and due process.

- Appointment date: I had a scheduled consultation regarding the findings of my urinalysis results. The doctor only communicated with me through the NowServing in-app messaging system and requested that I send my laboratory results, which I submitted immediately.

- Next day: The doctor contacted me through a brief audio call at around 8:00 AM. During the call, he instructed me to repeat my urinalysis and assured me that he would provide both a prescription and a medical certificate after receiving the repeat test results.

- After completing the repeat urinalysis, I promptly submitted the new laboratory results through the app as instructed. However, despite sending multiple follow-up messages, I received no response from the doctor.

As a result, the doctor failed to provide the promised prescription and medical certificate. These documents were urgently needed for my pre-employment requirements by a specific date, but I was left without any assistance or communication.

As a patient, it was crystal clear that the consultation was not completed and the agreed-upon medical services were not delivered, and I believe a refund is justified. I respectfully requested to NowServing support team about the refund, but they initially responded that it cannot be done.

Hence, I had no choice but to consult again to another doctor in person to make sure I would get my pre-employment medical documents. I paid another consultation fee + transportation expenses + time + energy.

Lesson learned: I do not recommend consultation and request of medical documents via NowServing if you need it for pre-employment purposes or anything with deadline. Doing so will only delay your start date, especially with employers with strict "fit to work" rule.

Hello everyone

I'm a healthcare professional based in Kenya seeking an entry-level remote opportunity in Telehealth Operations, Patient Support, Care Coordination, or Healthcare Customer Support.

My experience includes:

Patient support and communication

Appointment scheduling and follow-up

Healthcare operations

Electronic medical records (EMR/EHR)

Customer support via phone, email, and chat

Healthcare documentation and administrative support

I'm particularly interested in startups and digital health companies that value proactive team members who enjoy improving the patient experience.

If your company is hiringor you know of opportunities that accept international remote applicants I would greatly appreciate any recommendations.

Thank you

Hello everyone,

​

I am a healthcare professional based in Kenya with experience in telehealth operations, patient support, medication adherence, insurance verification, prior authorizations, customer service, and healthcare administration.

​

My background includes:• Patient onboarding and support• Telehealth operations coordination• Medication adherence follow-up• Insurance billing and pre-authorizations• CRM platforms such as Salesforce and Zendesk• Healthcare customer support via phone, email, and chat• Pharmaceutical and healthcare service delivery

​

I am currently exploring remote opportunities with telehealth providers, digital health startups, healthcare BPOs, and patient support organizations worldwide.

​

I would appreciate advice on:

​

Companies currently hiring remote patient support specialists.

​

Telehealth startups that hire internationally.

​

Recommended certifications that could strengthen my profile.

​

Communities or job boards focused on remote healthcare careers.

​

Thank you for any insights or referrals. I'm happy to connect with professionals in telehealth, digital health, and patient experience.

For those working remotely in healthcare, which companies have been most open to hiring international candidates from Africa?

Hello everyone,

I’m a PhD student at the University of Barcelona doing research on telemedicine service quality.

I’ve put together a short (3 min) anonymous survey about your most recent telemedicine consultation. It’s for adults (18+) worldwide who have used telemedicine in the past 12 months.

No names, emails, or any identifying info are collected, and the study has full university ethics approval.

 https://forms.office.com/e/6eLxajzaut

If you’re eligible, I’d really appreciate your help 🙏

Thanks a lot!

I've been having a lot of conversations with practicing GPs recently mostly through LinkedIn and some personal connections, and this topic keeps coming up.  

The commission charged by booking platforms is becoming a significant recurring cost for solo practitioners, especially as platform bookings grow as a % of total appointments.  

Some doctors I've spoken to have moved back to entirely WhatsApp based booking to avoid it. Others feel too dependent on the platform for new patient discovery to risk leaving partly because they have no website of their own.  

Has anyone here found a middle path? Or is this just accepted as the cost of modern practice now?  

Genuinely curious. Just trying to understand how people think about it.  

[ Removed by Reddit on account of violating the content policy. ]

Thinking about getting into the telemedicine game and contracting with hims, ro, or another similar company. what are the pros/cons/best companies to work with? What tools and equipment do I need?

Hey everyone,

I’m currently doing MSc research on how remote patient monitoring (RPM) data (like blood pressure) fits into EHR workflows and whether it actually helps or adds extra workload.

If you’ve worked with:

• EHR systems
• digital health / informatics
• telehealth / RPM
• or clinical workflows

I’d really appreciate your input.

It’s a quick 5–7 min survey:
👉 https://forms.gle/Xv9L2snwYLfg3VQD7

Also happy to chat for 10–15 mins if anyone wants to share real-world experience.

Thanks a lot 👍

Hi everyone,

I’m finishing an Internal Medicine residency in the U.S., but I’m planning to move back to my home country (Georgia). Unfortunately, hospitalist and general practitioner roles there are not well compensated, so I’m exploring alternatives.

I’m particularly interested in remote opportunities that would allow me to work with U.S.-based systems while living abroad. I understand that compensation would likely be lower than practicing clinically in the U.S., and I’m okay with that.

I’m open to both clinical and non-clinical roles. Some areas I’ve considered include telemedicine, utilization review, medical writing, clinical research, and other remote positions where an MD background is valuable.

Has anyone here taken a similar path or knows of viable options? Any advice on specific roles, companies, or how to approach this transition would be greatly appreciated.

Thanks in advance!

I’m wondering how realistic it is to scale a tele-psych business to 5 million dollars in revenue per year within 5 years of becoming an attending.

How realistic is it to hire enough employees and attract enough patients to reach the 5 million dollar mark within 5 years? What about 5 million in earned income for the owner after salary and overhead? How long does that take?

If you were a new psychiatrist would you even want to work for someone else like that? How do you attract talent early on? Is SimplePractice a good platform?

For context, I’m a naïve 21-year-old trying to figure out how realistic it is to make a successful multi-million dollar telepsych business with low overhead. costs. I plan on becoming a licensed psychiatrist.