Hospital market competitiveness, CVD, NPs, microbiome... Read on!

Healthcare through a Kentucky lens. It's niche. But neat!

Author

Andrew Steen
March 31, 2026

🌳 đź¤§ 

Market for inpatient hospital care

If my math skills serve me well, Norton and UofL Health control 77% of the market for inpatient hospital care in the Louisville MSA, according to KFF.

Hercules! Hercules!

“AMCP Foundation’s Steven G. Avey Award is the highest honor in managed care pharmacy, recognizing visionary leaders for distinguished service and lasting contributions to the field.”

Shout out to William Fleming!

Steven G. Avey Award | amcpfoundation.org

AMCP Foundation’s Steven G. Avey Award is the highest honor in managed care pharmacy, recognizing visionary leaders for distinguished service and lasting contributions to the field. Nominate a colleague, peer, or mentor.

amcpfoundation.org/steven-avey-award?utm_content=374194458&utm_medium=social&utm_source=linkedin&hss_channel=lcp-10101423

Cardiovascular disease

Interesting perspective from 7wire Ventures. Here’s one of their four inflection points:

Value-based care and reimbursement models are shifting, with rising Medicare Advantage penetration placing providers at increasing financial risk and making admission avoidance and medication optimization economically material.

Also, I like a good market map.

Right, so read this…

Remote digital intervention targeting heart failure medical therapy: a randomized controlled trial

Heart failure (HF) causes substantial morbidity and mortality, in part because evidence-based pharmacotherapies remain underused. Remote, asynchronous…

www.sciencedirect.com/science/article/pii/S2667193X26000876

…and call our friends at Revitalized Solutions + All Hearts Cardiology.

Nurse practitioners

Prax Health is a platform that helps nurse practitioners start, run, and grow independent practices.

Special Announcement: Prax Health announces nearly $10 million in financing to help NPs open up independent practices

NPs seems like our best chance at meeting the provider shortage challenges, and Prax Health is building out infrastructure to help them meet this demand.

www.healthtechnerds.com/p/special-announcement-prax-health-announces-nearly-10-million-in-financing-to-help-nps-open-up-indepe

“Cool, but what does that have to do with Louisville,” you ask?

Our last meetup

If you missed our March 24 Louisville Health Innovation Meetup, you missed hearing Ram Bastola share One Care Portal.

What you also might not know is that Ram previously worked at Louisville-based 360care.

That’s cool.

Diet–microbiome associations

Neat paper.

“Our findings demonstrate that diet is strongly associated with microbiome composition, diversity and function, and highlight its potential for guiding personalized interventions.”

Diet–microbiome associations in 10,068 individuals from the Human Phenotype Project to guide personalized nutrition - Nature Medicine

Analyses of more than 10,000 participants from the Human Phenotype Project revealed distinct, persistent food–microbiome associations that can be used to simulate personalized dietary interventions to improve cardiometabolic health.

www.nature.com/articles/s41591-026-04312-x

Reminded me of this some 🤡 wrote in 2014. Another Nature publication from 2012 quoted in it; “A nursing-home diet has a marked effect on an individual’s gut microbiome.”

Nutrition and aging; a sub-niche for Louisville?

This tweet caught my attention in April 2014. Louisville is home to the largest concentration of nursing-home and extended-care companies in the nation. Aging Care Atria Senior Living, Inc., in par…

louisvillelifescience.wordpress.com/2014/04/25/nutrition-and-aging-a-sub-niche-for-louisville

Yeah.

Healthcare innovation runs on relationships.

We’ve built relationships.

Let’s build more.