My best build got no feedback. A BAA post hit 9,400 impressions | Ep 330
A HIPAA BAA post hit 9,400 impressions. Three ways to keep patient data safe with AI, the catches in each, and what the comment thread taught me.
How Do You Tell Whether an AI Pilot Actually Saved Money?
Compare what the work cost before the pilot with what it costs now, measured the same way, and count everything the new version costs: the model bill, the subscriptions, and the hours people still put into checking its output. If the before number was never written down, you can’t tell yet, and rebuilding that baseline […]
Why Claude Is Probably Running an Old Copy of Your Skill
What I’m thinking about: Google Drive swore my Claude skills were synced while Claude quietly ran old copies of a dozen of them…and one line pasted into Claude Code now sets up the fix for anyone who wants it. Claude is probably running an old copy of your skill (on September 30, almost 20% of […]
What Should a Medical Practice Check First With AI Heading Into 2027?
Check five things on your own data before you plan any new AI for 2027: whether payers are paying visits at a lower level than you billed, whether you are paid what your contracts say, whether the AI tools you already pay for were vetted, whether anyone measures what those tools produce, and how many […]
Claude is probably running an old copy of your skill | Ep 329
Claude may be running an old copy of your skill. How I moved 69 skills and 21 routines into one GitHub repo that Claude Code, chat and Cowork update from.
How Should a Medical Practice Evaluate an AI Vendor Before It Buys?
Start with your own number before you take the first demo: name the one result the tool has to move and measure it on your practice’s own data, then judge every vendor against it. Then get in writing what MGMA tells practices to require of any AI vendor, including evidence of performance and known failure […]
What Should a Fractional Head of AI Cost in 2026?
A fractional Head of AI should cost well under what the constraint it fixes is costing your business, and the number should be set after someone has diagnosed that constraint, never read off a rate card. Our view is that in 2026 most of the fee should pay for judgment and verification, meaning the call […]
My AI Fed Me Questions Every 10 Minutes
What I’m thinking about: Claude Code sat through 18 sessions of a healthcare conference with me, feeding me questions as the speakers talked…and by day two, I wasn’t entirely sure which of us was the agent. Every 10 minutes at MGMA, my MacBook told me what to ask, though I never once raised my hand […]
Where Does a Medical Practice Actually Lose Revenue, and Where Can AI Help?
In MGMA Stat’s January 6, 2026 poll, 48% of respondents named denials and appeals as the biggest revenue cycle leak and 23% named the front end, and their comments described the denial losses as overwhelmingly payer-driven, from medical necessity and non-covered services to bundling edits, prior authorization friction, eligibility problems and timely filing. In our […]
Every 10 minutes, my AI fed me questions to ask the room | Ep 328
Context At MGMA 2026 in San Antonio, the annual conference of the Medical Group Management Association, I ran Claude Code against my live Notion meeting transcripts so it could suggest what to ask every 10 minutes. This episode is a screen-share of that setup: what I prepared before the trip, what Claude logged across 18 […]