Healthcare Economics & Quality
American Doctor Substack - Ebrahim Barkoudah MD
My Substack will address quality in healthcare and value-based care delivery. ebrahimbarkoudahmdmph.substack.com
Author
Healthcare Economics & Quality
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Podcast website
Latest episode
Jun 17, 2026
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Episodes
Engineering Systemic Flow to Solve ED Boarding 17.06.2026 4:36
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 p...
Ambient AI Saved Thirteen Minutes. Now What? 31.05.2026 0:26
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 $3 Trillion Question: When High-Value Care Teaching Fails to Change Practice 06.05.2026 0:33
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
3.2 Million and Counting 05.05.2026 0:39
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
AI-Powered Clinical Decision Support and the Death of the ‘Cookbook Medicine’ Critique 05.05.2026 0:36
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 85 Percent Threshold Is Closer Than You Think. And No One Has a Plan. 04.05.2026 0:41
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
Financial Engineering Drove 40% of Hospital PE Returns. Operational Efficiency Drove 1%. We Need to Talk About That. 29.03.2026 0:21
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
A 10x Multiple Spread Within One Healthcare Subsector - That’s Not a Market - That’s an Arbitrage 28.03.2026 0:27
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
Healthcare PE Outperforms by 520 Basis Points. The Real Question Is Why. 26.03.2026 0:41
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
Automating the Bottleneck Isn’t Fixing It. The Real Capacity Problem Is Upstream 25.03.2026 1:15
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 21.03.2026 0:41
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 08.02.2025 0:54
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 02.02.2025 0:35
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 01.02.2025 1:26
Executive Summary The 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...
The Evolution and Impact of AI in Hospital Coding Systems in the US: A Comprehensive Analysis 29.12.2024 0:43
Full article: https://substack.com/home/post/p-153756785?source=queue&autoPlay=false Executive Summary The 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...
Exploring the Intersection of Artificial Intelligence and Quantum Computing in Healthcare: An In-Depth Analysis 21.12.2024 1:36
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 12.12.2024 1:00
Are Nonprofit Hospitals Earning Their Tax Breaks? Data Reveals Concerning Gaps Nonprofit 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 struggl...
Healthcare & Aerospace: Divergent Paths, Parallel Challenges 30.11.2024 0:36
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
Investment and Return in the Pharmaceutical Sector Navigating Challenges and Opportunities 25.11.2024 0:34
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
Unraveling the Effects of Private Equity in Healthcare An Insight from Physician's Lens 25.11.2024 1:11
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
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