How I Doctor with Dr. Graham Walker ER Doctor Running for Congress Diagnoses How to Fix the U.S. Healthcare System, with Dr. Tim Peck
Jan 15, 2026
Dr. Tim Peck, a Harvard-trained emergency physician and healthcare entrepreneur, shares his unique insights into the U.S. healthcare system. He discusses the critical need for early intervention in emergency medicine and how telemedicine can change outcomes. Tim explores the challenges of rural healthcare deserts, including hospital closures and ambulance shortages. He emphasizes the importance of innovative payment models to prioritize patient care and shares his experiences embedding in nursing homes to uncover care gaps. His passion for reform is evident as he engages local communities and lawmakers.
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Living Inside A Nursing Home
- Tim Peck slept in a nursing home to understand why residents frequently get sent to the ER.
- He used bedside telemedicine to intervene early and prevent many avoidable hospitalizations.
Early Care Dramatically Improves Outcomes
- Early interventions in nursing homes change trajectories because physiology hasn't 'gone haywire' yet.
- Tim reports Medicare savings of roughly $100 million by preventing unnecessary hospital transfers.
Shift To Risk-Based Payment Models
- Change payment models from fee-for-service to risk-based contracts with Medicare to enable in-place care.
- Build mechanisms so providers and nursing homes can share savings from avoided hospitalizations.