#chronic-disease-management

#chronic-disease-management

Miami Street Medicine is a nonprofit organization providing free mobile health care services to homeless people. It's part of a larger group, Dade County Street Response, which also includes a free clinic called Doctors Within Borders, a disaster relief team and a mental health crisis line. Miami Street Medicine teams of paid staff and medical school student volunteers aren't just bandaging cuts and handing out aspirin. They're performing intake on patients with tablet computers and offer follow-up visits for chronic conditions.

For the last six months, David has been living with a digital twin. He is one of the first participants in a pilot program designed to push beyond the simple video calls of telehealth and into the strange, intimate world of predictive medicine. The Ghost is a virtual model of him, a breathing, learning algorithm that lives in the cloud and, arguably, knows his body better than he does.

"Policymakers should create evidence-based, condition-specific remote monitoring duration limits and require an active redetermination of medical necessity to continue coverage for these services beyond those limits."