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    How NADAC, WAC, and ASP Shape Drug Costs

    How NADAC, WAC, and ASP Shape Drug Costs

    April 20, 2026
    The Hidden Costs Employers Don’t See in Traditional Health Plans

    The Hidden Costs Employers Don’t See in Traditional Health Plans

    March 22, 2026
    The Impact of COVID-19 on Patient Trust

    The Impact of COVID-19 on Patient Trust

    March 3, 2026
    Debunking Myths About GLP-1 Medications

    Debunking Myths About GLP-1 Medications

    February 16, 2026
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    The Future of LLMs in Healthcare

    January 26, 2026
    The Future of Healthcare Consumerism

    The Future of Healthcare Consumerism

    January 22, 2026
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    Public Perception of Peptide Regulation and Compounding Practices

    Public Perception of Peptide Regulation and Compounding Practices

    April 19, 2026
    Understanding of Clinical Evidence in Peptide and Hormone Use

    Understanding of Clinical Evidence in Peptide and Hormone Use

    March 30, 2026

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    Can you tell when your provider does not trust you?

    Can you tell when your provider does not trust you?

    January 18, 2026
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    May 8, 2024
    Which health policy issues matter the most to Republican voters in the primaries?

    Which health policy issues matter the most to Republican voters in the primaries?

    May 14, 2024
    How strongly do you believe that you can tell when your provider does not trust you?

    How strongly do you believe that you can tell when your provider does not trust you?

    May 7, 2024
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    How NADAC, WAC, and ASP Shape Drug Costs

    How NADAC, WAC, and ASP Shape Drug Costs

    April 20, 2026
    The Hidden Costs Employers Don’t See in Traditional Health Plans

    The Hidden Costs Employers Don’t See in Traditional Health Plans

    March 22, 2026
    The Impact of COVID-19 on Patient Trust

    The Impact of COVID-19 on Patient Trust

    March 3, 2026
    Debunking Myths About GLP-1 Medications

    Debunking Myths About GLP-1 Medications

    February 16, 2026
    The Future of LLMs in Healthcare

    The Future of LLMs in Healthcare

    January 26, 2026
    The Future of Healthcare Consumerism

    The Future of Healthcare Consumerism

    January 22, 2026
  • Surveys

    Surveys

    Public Perception of Peptide Regulation and Compounding Practices

    Public Perception of Peptide Regulation and Compounding Practices

    April 19, 2026
    Understanding of Clinical Evidence in Peptide and Hormone Use

    Understanding of Clinical Evidence in Peptide and Hormone Use

    March 30, 2026

    Survey Results

    Can you tell when your provider does not trust you?

    Can you tell when your provider does not trust you?

    January 18, 2026
    Do you believe national polls on health issues are accurate

    National health polls: trust in healthcare system accuracy?

    May 8, 2024
    Which health policy issues matter the most to Republican voters in the primaries?

    Which health policy issues matter the most to Republican voters in the primaries?

    May 14, 2024
    How strongly do you believe that you can tell when your provider does not trust you?

    How strongly do you believe that you can tell when your provider does not trust you?

    May 7, 2024
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Home Innovations & Investing

Healthcare Startup Rotations

Should entrepreneurship be taught in medical schools?

Arlen Meyers by Arlen Meyers
March 30, 2024
in Innovations & Investing
0
Healthcare Startup Rotations

Adhy Savala

Medical students and residents rotate on different specialty services during their education and training. They might spend 6 weeks in general internal medicine, 12 weeks on surgery and surgical specialties or a month on the psychiatric service. These rotations are the core of medical education under the oversight of attending physicians who are supposed to provide graduated levels of responsibility, supervision and accountability. In times past, before the present era of private beds only, there used to be wards where similarly diagnosed patients would be located during their hospital stay…a cancer ward, a TB ward or a gyn ward.

If you’re among the applicants who matched to a residency program this year, you’ve likely enjoyed some celebratory relief after going through the rigors of the residency-application process.

Arlen’s Substack is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.

As a medical student transitioning to residency, your life is going to change significantly in the coming months. What are the best steps to prepare for those changes in both a clinical and personal capacity?

How about using the time between after you have matched and the start of your residency doing a rotation on the startup service?

Given the innovation and entrepreneurship imperative in healthcare, some are now creating the startup ward. The Texas Medical Center, for example, has partnered with Village Capital to create a campus-based accelerator space designed to create and launch new TMC based ventures. Likewise, New York-based Mount Sinai Health System is expanding its internal innovation and collaboration group by partnering with Edison Nation Medical, a Charlotte, North Carolina-based “healthcare innovation marketplace”. Other hospital systems are joining hands with local accelerators and incubators as well.

Here are 40 hospitals with care innovation centers. But do they really add value? Becker’s reported on 24 hospitals and health systems that opened or announced plans to establish new centers focused on healthcare innovation in 2021.

Eventually, interested medical students and residents and, whowouddathunkit, faculty, will be assigned rotations on these startup wards. Like their clinical experiences, they will be offered the education, resources, networks, mentors, and experiential learning they get during their 6-week rotation on neurosurgery. In addition, under the oversight of physician entrepreneurs-in-residence, business development experts and investors, they will be able to get “clinical experience” and be able fail in a safe place without inflicting too much morbidity on the patient.

It will take a while to adjust to this new reality and overcome the short sighted, myopic vested interests who don’t want it to happen. But it will happen. Who knows? The “innovation attendings” might even get promotion and tenure credit for doing it.

Source: Arlen Meyers MD MBA Substack
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Arlen Meyers

Arlen Meyers

Arlen Meyers, MD, MBA is the President and CEO of the Society of Physician Entrepreneurs on Substack and Editor of Digital Health Entrepreneurship

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Videos

summary

An in-depth exploration of drug pricing, including key databases like NADAC, WAC, and ASP, and how they influence the pharmaceutical supply chain, policy, and patient advocacy. The episode also introduces MedPricer's innovative pricing intelligence platform, offering valuable insights for healthcare professionals, policymakers, and patients.

Chapters

00:00 Understanding Drug Pricing Dynamics
03:52 Exploring the Drug Pricing Database
10:07 Patient Advocacy and Drug Pricing
13:56 Market Intelligence in Drug Pricing
How NADAC, WAC, and ASP Shape Drug CostsDaily Remedy
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Policy Shift in Peptide Regulation

Clinical Reads

FDA Evaluation of Certain Bulk Drug Substances in Compounding: Clinical Interpretation

FDA Evaluation of Certain Bulk Drug Substances in Compounding: Clinical Interpretation

by Daily Remedy
April 19, 2026
0

Clinicians increasingly encounter patients using or requesting peptide-based therapies sourced through compounding pharmacies. The U.S. Food and Drug Administration has identified a subset of bulk drug substances, including certain peptides, that may present significant safety risks when used in compounded formulations. The clinical question is whether these regulatory signals reflect meaningful patient-level risk and how they should influence prescribing behavior. This matters because compounded peptides often sit outside traditional approval pathways, creating uncertainty around quality, dosing consistency, and safety. Understanding...

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