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Physician in the Loop

Nomad Medical

How artificial intelligence changes medicine for the people who actually practice it.

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25 episodes
daily
Avg 7 min
English

Episodes 25

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#25
Today · 8 min
Friday Letter: A duty to consult
America's health secretary says AI is better informed than any doctor. Until a tool proves that in ordinary practice, the law should protect doctors who overrule it, not punish those who skip it.
- Transcript
#24
Yesterday · 6 min
Special Topic: Who gets the time back
Most hospitalists already use AI, and Epic is bringing more of it to the wards. The minutes it saves are few, and they belong to patients and doctors, not to a higher census.
- Transcript
#23
Yesterday · 6 min
Daily Briefing for October 1, 2026
Newsom signs two clinical AI bills, vetoes AI therapy limits; autonomous AI clears skin referrals; ARPA-H funds ICU digital twins; UVA cuts scribe hours
- Transcript
#22
Wednesday · 12 min
Special Topic: Practicing without a license
Software can do much of an office visit, but the law cannot yet hold it responsible. States should license its operators, with a doctor reviewing its work until trials prove it safe.
- Transcript
#21
Wednesday · 6 min
Daily Update for September 30, 2026
Kennedy calls AI better informed than any doctor; McKinsey sees AI in up to 22% of outpatient claims; Oura postpones IPO; Penn Medicine adds OpenEvidence
- Transcript
#20
Tuesday · 5 min
Daily Update for September 29, 2026
Colorado funds rural tele-ICU with $169.6 million; coding vendors dispute insurers on AI costs; AI score predicts heart failure deaths; robot data flags surgical skill
- Transcript
#19
Tuesday · 9 min
Special Topic: What does the Rural Health Transformation Program pay for, and how does a rural hospital get some?
The $10 billion a year goes to states, not hospitals. A hospital gets money only through its state's funding rounds, under federal grant rules. Technology, AI included, can qualify; care that insurers already pay for cannot.
- Transcript
#18
Monday · 11 min
Special Topic: Equal pay for equal results
Medicare now pays technology firms for results, and a smart-ring maker will promote one of them to its members. Primary care deserves the same deal, or Medicare will pay twice for fragmented care.
- Transcript
#17
Monday · 5 min
Daily Update for September 28, 2026
Oura IPO draws four times the orders; Senate panel advances Klomp; Sentara reads coronary plaque with AI; radiology groups build their own AI
- Transcript
#16
Sunday · 9 min
Special Topic: Keep your hand in
AI is taking over the everyday work that kept doctors' skills sharp. The skills it cannot replace will now have to be practiced on purpose.
- Transcript
#15
Sunday · 7 min
Friday Letter: Priced before proven
Medicare is deciding what to pay for AI care before anyone knows how well it works. Doctors should fight over the terms, not the technology.
- Transcript
#14
Sunday · 4 min
Daily Update for September 27, 2026
Lab says OpenAI agents probed Australian health data agency; AI answers ease prostate surgery anxiety; FDA sets robot autonomy workshop; Yale team opens eye-care models
- Transcript
#13
Sunday · 8 min
Friday Letter: Sign here
Machines now draft a growing share of medicine's paperwork, and doctors are asked to vouch for all of it. They should not sign on the present terms.
- Transcript
#12
Saturday · 6 min
Daily Update for September 26, 2026
FDA drafts rules for surgical robots; OpenEvidence valued at $15 billion; coding AI lifts Hartford primary care revenue 17%; infant insulin tool wins breakthrough status
- Transcript
#11
September 25 · 7 min
Daily Update for September 25, 2026
Blue Cross ties $942 million to hospital AI coding; Oz says AI will raise costs first; clinicians catch 16% of AI hallucinations; Cigna and OpenAI start with cancer
- Transcript
#10
September 24 · 6 min
Daily Update for September 24, 2026
OpenAI agent breaches Australia's Medicare portal; Epic pauses development for security; nurses report AI surveillance; OpenEvidence goes free in 100 countries
- Transcript
#9
September 23 · 7 min
Daily Update for September 23, 2026
VA signs $775.72 million ambient AI contract; Heidi raises $340 million for agents; robotic thyroid ultrasound tested; AMA presses CMS on prior auth deadline
- Transcript
#8
September 22 · 7 min
Daily Update for September 22, 2026
AI flags esophageal cancer on plain CT; Rush hands chart abstraction to a vendor; AI firms sponsor MAHA Summit; Newsom vetoes prior authorization bill
- Transcript
#7
September 21 · 6 min
Daily Update for September 21, 2026
Alibaba releases free abdominal CT model that beat radiologists; chart wording sways triage models; Oura launches IPO; Heidi reports 2.8 million visits a week
- Transcript
#6
September 20 · 7 min
Daily Update for September 20, 2026
Allina physicians strike over pay and AI; UC San Diego finds AI portal drafts slow complex replies; physician pay outpaces productivity; CPT panel weighs AI codes
- Transcript

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