• The industry impact of the American Medical Association’s Digital Medicine Payment Advisory Group (DMPAG)
    Medicine

    The industry impact of the American Medical Association’s Digital Medicine Payment Advisory Group (DMPAG)

    Digital medicine interventions (e.g., telehealth, digital therapeutics, and artificial intelligence) have opened new channels for health care delivery and created new efficiencies in the health care delivery process1. This contrasts with other innovations such as novel therapeutics, diagnostics, and devices that also enhance the care delivery process. Digital medicine interventions have faced more adoption challenges than those less disruptive to the care delivery process2,3. A critical driver of the adoption of innovations in care delivery is the business model4. The majority of healthcare decisions involve physicians, and accordingly, physician payment models are an essential lever for adoption of digital medicine interventions5. In the U.S., virtually all physician payment is codified…

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  • The Titans of Plastic: plastics industry in Pennsylvania
    environmental Health

    The Titans of Plastic: plastics industry in Pennsylvania

    During the summer of 2018, two of the largest cranes in the world towered over the Ohio River. The bright-red monoliths were brought in by the multi-national oil and gas company Shell to build an approximately 800-acre petrochemical complex in Potter Township, Pennsylvania—a community of about 500 people. In the months that followed, the construction project would require remediating a brownfield, rerouting a highway, and constructing an office building, a laboratory, a fracked-gas power plant, and a rail system for more than 3,000 freight cars. The purpose of Shell’s massive complex wasn’t simply to refine gas. It was to make plastic. Five years after construction began at the site, Shell’s…

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