Health 2.0

Livongo Health is creating a tech-based service that aims to supersede the glucometer. Headed by former Allscripts CEO (and THCB interview regular) Glen Tullman, it raised another $20m from Kleiner Perkins, DFG & General Catalyst today. I grabbed 10 minutes to talk to Glen Tullman this morning. he had very interesting things to say not only about his business but Cerner, Epic & open systems too.
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The use of the term ‘innovation’ is getting pretty worked up lately. In fact, almost every healthcare entity whether health plan, health system, IDN or even ‘mature ACO’ (morphed from an IPA or risk bearing PHO “chassis” or “carcass” as the case may be) seem to have anointed a ‘CIO’ as in ‘chief innovation officer’ to steward the critical transformation from volume-to-value during a yet to be determined period of conflicting if not schizophrenic incentives coupled with its legacy cultural inertia.

In fact some institutions via branded ‘Centers for Innovation or Transformation‘ have made substantial investments in people and infrastructure (“bricks, sticks and platforms”) as well as the promise of the essential ‘firewall inoculation’ and separation from the ‘mother-house’ to catalyze the required re-engineering during a likely period of cannibalization of traditional revenue streams.

So the ancient Chinese curse (paraphrased below) most likely applies here:

..we live in ‘interesting times’ with both ‘danger and opportunity’ before us.

For those tasked with this challenge and fortunate enough to participate in conferences (Health 2.0Exponential MedicineHealth DatapaloozaTEDMED to name a few of the trophy organizers) at the disruptive and transformational tip of the spear, the nature of the challenge including opportunities to meet and leverage connections of like minded and focus colleagues is a distinct strategic advantage. Continue reading “Rooting and Leveraging the Innovation Economy”

Matthew Holt, Co-Chairman of Health 2.0 recently interviewed David Chao, Director of Industry Solutions at Mulesoft. Mulesoft is a “connectivity company” with a vision to connect the world’s data, devices, and applications. During this interview, David shares the challenges within health care and gives an insight into how Mulesoft is re-framing health care delivery and ensuring health data moves freely between multiple systems as well as within organizations to be delivered at the point of care when and where it’s needed the most.

You can see David during the Care Delivery Innovation: Reinventing Access and Expectations session at HxRefactored on April 1-2 in Boston, MA.

alex christmas

Today we’re starting a series of more personal stories, looking at what makes interesting people in health care tick. Alex Carmichael is a rare multiple time CEO in health technology, and she has a very interesting tale to tell–Matthew Holt

Don’t worry, this isn’t your typical, syrupy founder story. Matthew asked me to share my experience selling my startup CureTogether to 23andMe, what ensued after that, and how I ended up at uBiome today.

So I thought, if I’m going to share, I might as well *really* share. Let you in behind the scenes to see what it was actually like.

(Bonus: at the end I’ve listed my top 11 life lessons, so make sure you read all the way through for that!)

The story starts…

October 1, 1976: I came into the world in Toronto, Canada, with striking violet eyes. My lawyer/politician mother and management consultant father gave me the name Alexandra, which means “leader of all mankind,” as they often reminded me. Talk about a family having high expectations!

Childhood: I remember loving to read and walk my dogs, who were probably my best friends. I went to a progressive Montessori school with an amazing teacher who believed in me and taught me the power of patience.

Teenage years: The “best” school in Toronto was a repressive and aggressive all-girls private school. My insane work ethic was drilled into me there, as well as at my mom’s political campaign offices, where I would work after school until late into the night.

College years: I met my first love, Danny, in a biochemistry lab at the University of Toronto. I chose the most difficult major (Molecular Genetics and Molecular Biology), because it would drive me hardest. Masochist much?

First startup, 1999: I dropped out of grad school, much to the horror of my extremely educated parents, to join a bioinformatics software company Danny had started in his bedroom in 1997. I taught myself how to code, design, sell, and run a company. We worked so much that we hardly left our apartment, except to get married, have a baby, and occasionally go to Tai Chi class. We lost most of our money in the dot com bust, and scraped by on rice and beans for a few years. It was so isolating and intense that I got really depressed and even suicidal once.

First exit, and move to California, 2005: We were seriously running out of money, so one day I made a big wall chart of all the possible companies that could acquire us, and we started going after each one relentlessly. After a few months, we got a meeting with Hitachi. They were interested, but didn’t seal the deal until we decided to put our stuff in storage and just show up in California, baby daughter Samantha in tow. One way or another, we were determined to make it work. They did end up acquiring us, for a few hundred thousand dollars. Not much for 8 years of invested time and energy, but really we just wanted to get to California, where the sun shines and the opportunity abounds. We finally made it!
Continue reading “The Real Story Of How I Sold Two Startups, The Chaos Afterwards, And What’s Next”

thcbAs the digital economy transforms health the most transformative ideas and consumer engagement solutions can sometimes challenge the industry’s ability to adopt and implement them. Reimbursement reforms, risk sharing, migration towards high deductible plans and the expansion of public and private coverage are converging to unleash an increasingly sophisticated consumer into the marketplace. Health systems and physician practices are consolidating and marketing their services direct to consumers in an attempt to underscore the critical differentiators valued by consumers – access, quality and affordability.  In today’s consumer economy, access remains a critical criterion for choosing and patronizing a provider or a practice. To assist the move toward consumerism, employers are introducing tools to facilitate comparison-shopping for services seen as “consumer-driven.”  The cost of elective and non-emergency services are highly variable and employers want employees to become consumers making decisions based not only on access but also cost. Continue reading “Patient Self-Scheduling 2.0″

Matthew Holt, Co-Chairman of Health 2.0 interviewed Amy Cueva, Chief Experience Officer of Mad*Pow to discuss some of exciting themes behind HxRefactored and what it means to change the experience of health care through design and technology. Amy will be speaking during the HxRefactored conference coming up on April 1-2.

Health 2.0 Co-Founder, Matthew Holt recently interviewed Alan Joseph Williams, Product Designer and User Researcher at Code for America’s Health Lab, which develops digital services for Californians eligible for or enrolled in social services like SNAP and Medicaid. Alan will be presenting at the HxRefactored Conference April 1-2 in Boston, MA.

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Validic is one of the more interesting companies in what we define as the “data utility layer.” They’ve had a bit of a meteoric rise in the past 2 years, and now have over 45 employees, over 90 customers and are now one of the main names that come up when the conversation turns to “how do we get all that device data into the EHR?” Today they announced a new deal with Cerner (release here). This is the quick interview with CTO Drew Schiller.

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I spent a day in Chicago last week and caught up with Stephanie Kowalski from Livongo. This is the company that has a very cool new blood glucose meter, with cloud communication, and a careteam and coaching function built in. The CEO is ex- Allscripts boss Glen Tullman (no stranger to building big companies) and the product launched at Health 2.0 last Fall. Take a look at the video to get a sense of the user experience and hear more about the company’s rapid evolution (and to hear me almost choke to death!)

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Lathan_HeadshotSo you have a great idea for an app. Not so fast: it took two years and over half a million dollars to get ours cleared for marketing by the US Food and Drug Administration (FDA).

Our app, DANA uses a mobile phone to records peoples’ reaction time during game-like tests. It also provides questionnaires that help clinicians evaluate brain health. Commissioned from AnthroTronix by the Department of Defense, the app will help diagnose concussion, depression and Post-Traumatic Stress Disorder (PTSD).

For something so important, a serious investment of time and money for clearance may not sound extravagant, but few small companies can afford a two-year go-to-market delay, not to mention the significant investment and heartache that goes with it. And although the FDA has tried to facilitate regulation by providing guides like the Mobile Medical Applications Guidance Document and the Mobile Medical Applications website, the regulatory process remains confusing.

Here are five simple lessons from our own experience that will help other entrepreneurs to do the right thing and engage with the FDA: Continue reading “The FDA & Me (or How to Explain Your Test Isn’t a Game)”

MASTHEAD STUFF

MATTHEW HOLT
Founder & Publisher

JOHN IRVINE
Executive Editor

MUNIA MITRA, MD
Editor, Business of Healthcare

JOE FLOWER
Contributing Editor

MICHAEL MILLENSON
Contributing Editor

MICHELLE NOTEBOOM
Business Development

VIKRAM KHANNA
Editor-At-Large, Wellness

ALINE NOIZET
Editor-At-Large, Europe
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