KevinMD December 10, 2025
Sarah Matt, MD, MBA

You just saved a patient an emergency room visit with a three-minute portal message. You reviewed their connected blood pressure cuff data, saw a concerning trend, and tweaked their medication. It was efficient, high-quality, proactive care.

Your reward? Zero dollars.

Worse than that, your contribution was invisible. It didn’t count toward your productivity. It didn’t show up on a dashboard. In the eyes of our current health care system, that high-value interaction might as well have never happened. This isn’t a glitch in the system; it is the system. And it’s failing us.

We are clinicians operating in a digital-first world, armed with incredible tools for remote monitoring, asynchronous communication, and data-driven insights. Yet, we are still being measured and...

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