we've discovered teleportation and we're using it to get to the bus station on time. healthcare especially is full of assumptions we've stopped questioning. it's about time we picked some apart.
a billion years since i last wrote something, so might as well have an upbeat title.
combining local real-time de-id w/ re-id is pretty powerful
you can utilize a 3rd-party app to improve your own service (currently, commonly a closed-source LLM)
or covered entity end-users can use your service w/ clinical context
below: diagram of potential workflow unlocks
going one step further - @NablaTech released an interesting post regarding their approach to privacy and security. other orgs seem to be doing this (@athelas)
the data flow below articulates how one might re-identify to restore clinical context, post de-id
luckily, everybody's favorite hype cycle, the LLM, is great at de-identification in real-time
some models are small enough to be installed locally
Cash Pay Transactions
HIPAA strictly applies to specific electronic transactions. this means that strictly cash pay / direct primary care practices don't need BAAs.
this is a pretty low TAM, and as soon as any electronic transaction occurs you're back at square 1
product-led growth is hard to come by in healthcare, with the divine hammer of privacy regulation waiting to smite you at almost every step.
i thought through the question: where is it possible, if at all, to do bottoms-up distribution?







