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Month: September 2008

Conference to explore innovation in health care

InnovationSecond Annual Innovation in Services Conference: "The Service of Health Care"
explores the innovations in technology, policy, operations and methods that address the deceptively simple question:  How can we improve the service of health care?

Panels of academic, technology, government and policy experts will  discuss the impact of information and digital service on patient care, considering such innovations as telemedicine, mobile services, serious gaming, personal health records, and Web 2.0.

Conference agenda and registration information are available here. A limited number of complimentary spaces are available for students and those with demonstrated need. For more information, please contact CITRIS at (510) 643-2217, or ci****@*******uc.org.

Using social networking to breakdown research silos

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By John Halamka

On September 4, a group of collaborators at Harvard launched a new website called Catalyst that is publicly available. I encourage you to visit it.

This site is remarkable in many ways. It brings together all the people, lifelong learning, and resources for the Life Sciences across Harvard and its affiliates.

In the People area, you’ll find social networking for the research community called Profiles.  It not only shows traditional directory information, but also illustrates how each person is connected to others in the broad research community.

Catalyst

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The never ending stent-bypass debate

• 2

By Charlie Baker

A new study – a big one ($50 MM) – was recently released that compared the short and long term effects of drug eluding stents to bypass surgery for patients with serious heart disease.  The headlines — “Heart Surgery Bests Stents” — pretty much told the story.  In this particular case, 18% of those patients who had stents installed to treat their disease ended up either dying or needing another treatment over the next twelve months.  Only 12% of bypass patients ended up with complications or passing on.  The death rate in both instances was the same – 8%.

Stents — the tool of choice for interventional cardiologists — and bypass surgery — the technique of choice for cardiothoracic surgeons — have been playing this “which is better” game for almost ten years. Needless to say, both sides were represented in the stories that ran covering the results of this study. The bypass surgeons said, “More people should have bypass surgery instead of stents.” The stent docs said this study proved that stenting – which involves a much less aggressive and invasive procedure than bypass surgery — comes in a close second to bypass surgery, even in patients with complex conditions.

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Health2.0: User-Generated Healthcare 2008

October 22 – 23 | The Marriott, San Francisco

Building on the excitement generated by the first two Health 2.0
conferences, Health 2.0 User-Generated Healthcare promises to take the
conversation to a new level across an even more dynamic and panoramic
landscape.You’ll see action-packed demos of new services and
tools. You’ll see how these new technologies are transforming – and in
some cases not transforming — the healthcare industry. You’ll network
with more than a thousand other health care & tech industry leaders.

Wednesday, October 22nd

8:00am

Introduction: The Future of Health 2.0

Indu Subaiya, MD / Matthew Holt
8:20am

Keynote: Health Comes Everybody?

New media pioneer(ing) pundit Clay Shirky gives a new health-related talk
8:45am

Health 2.0 Across America: The Great American Health
2.0 Tour

See the premier of the new documentary starring David
Kibbe & a cast of thousands. Afterwards, David reflects on the new developments
he discovered across the country regarding Health 2.0.
9:30am

Networking Break

See the exhibitors and/or catch a sponsored “Deep Dive”

Sponsored Deep Dive from

ICW
10:10am

Consumer Aggregators — One Year Later

Jane
Sarasohn-Kahn reviews a major year of product introductions and
controversy. Conversations with, and demonstrations from:

  • Wayne Gattinella, CEO, WebMD
  • Peter Neupert, Corporate VP, Health Solutions Group, Microsoft
  • Ronnie Zeiger, Product Manager, Google Health
  • Mark Bertolini, President, Aetna
  • Michael Yang, VP & GM, Yahoo! Health

Plus some surprise guests and announcements of new partnerships.

We’re also really excited that Federal Health IT Czar Robert Kolodner will be a special commentator on this panel.
11:30am

Lunchtime Unconference & Launch!

The return of the popular Health 2.0 Unconference & the introduction of Health 2.0 Launch!
1:00pm

Search in the Long Tail & Intelligence in Communities

Much
of
the promise of Health 2.0 is in searching for and finding exact,
personalized health information content, especially for rare or hard to
categorize conditions. Much of that information is in social networks.
Matthew & Indu will introduce a new framework looking at the
evolution of
search into the long tail. Demonstrations & case studies from:

Search:

  • West Shell, CEO, Healthline Networks
  • Tom Eng, President, Healia/Meredith
  • Venky Harinarayan, Co-Founder, Kosmix/RightHealth
  • Steven Krein, CEO, Organized Wisdom

Social Networks:

  • Daniel Palestrant, CEO, Sermo 
  • John DeSouza, CEO, MedHelp
  • Bill Allman, GM, HealthCentral
  • Ben Heywood, CEO, PatientsLikeMe

Reaction and commentary from Gilles Frydman, founder of ACOR — the listserv engine that revolutionized the cancer community.
2:45pm

Breakout Demo  Panels – Session A

There’s
so much happening in Health 2.0 that we’re taking a deeper look at
specific technology and business segments in a series of demo-based
break-out panels.

  • Patient Social Networks (Part 1)

    Stead Burwell, CEO, Diabetic Connect; Brian Loew, CEO, Inspire; Glen House, CEO, Disaboom; Amir Leitersdorf, CEO, iMedix; Moderator, Amy Tenderich, DiabetesMine

  • Content, Navigation & Advocacy

    Abir Sen, Co-Founder, RedBrick Health ; Andy Cohen, CEO, Caring.com; Michael Keriakos, CEO, WaterFront Media; Kevin Noland, CEO, ADAM; Moderator: Josh Seidman, Center for Ix Therapy; Commentary from Orly Avitzur, Medical Adviser, Consumers Union

  • Managing Money in Health 2.0

    Christopher Park, CEO, Change:Healthcare; Stefanie Fenton, Director of Healthcare, Intuit; Phil Micali, CEO, bWell International; Chini Krishnan, CEO, Vimo; Brandt Cannici, COO, Medicare Saver; Moderator: Scott Shreeve, Crossover Healthcare

  • Clinician Social Networks

    Brijesh Mehta, Co-Founder, MedicalPlexus; Jason Bhan, Co-Founder, Ozmosis;  Moderator: Enoch Choi, PAMF/MedHelp
3:30pm

Networking Break in the Exhibit Hall

See the exhibitors and/or catch a sponsored “Deep Dive”

Sponsored Deep Dive from

Edelman
4:10pm

Breakout Demo Panels – Session B

  • Patient Social Networks (Part 2):

    Jay Drayer, CEO, Careflash; Howard Steinberg, CEO,  DLife; Manny Hernandez, CEO, TuDiabetes; Keith Schorsch, CEO, Trusera; Moderator, Amy Tenderich, DiabetesMine

  • Health 2.0 platforms for patient-provider communication:

    Jay Parkinson, CMO, Myca; Daniel Sands, Senior Director, Cisco; Yael Glassman, SVP, Marketing, American Well; Michael Gorton, CEO, Teladoc; Moderator: David Kibbe

  • Health Plans and Health 2.0:

    Joe Gifford, CMO, The Regence Group; Alexandra Drane, President, Eliza; Albert Prast, CIO, Connextions; Tony Miller, CEO, Carol; Moderator, Brian Klepper

  • Provider search, directories & ratings

    MaryAnn Stump, CEO, Consumer Aware; Daniel Kogan, CEO HealthWorldWeb; Cyrus Massoumi, CEO, ZocDoc; Spencer Punter, CEO, Emphasis Search; Moderator, Michael Millenson
5:00pm

The Business Case for Health 2.0

How
will today’s obvious social value and consumer enthusiasm be turned
into revenue for sustainable businesses? Scott Shreeve will head a
panel talking to payers, employers, pharma, media, and government. He’ll ask
where the opportunities will be and who’ll be writing the checks, and for what? Panelists will include:

  • Anna-Lisa Silvestre, VP Online Services, Kaiser Permanente 
  • Mitzi Reaugh, GM, NBC Digital Health Network
  • Ken Shachmut, SVP, Health Initiatives, Safeway
5:50pm

Day 1 Wrap Up

Indu Subaiya & Matthew Holt will keep you from cocktails for a minute or two.
6:00pm

Cocktail Reception

Network with your new (or old) friends, talk to some of the exhibitors, hang out in the Lounge, play games, and have fun!
8:00pm

Self-Organizing Dinner Groups

Unleash
yourself on one of the best cities in the world for eating — with
people who care about what you want to talk about. We’ll have a sign up
system for groups and book some great places for you to go eat at. If
you’re lucky, the investment banker or pharma company VP will pick up
the check (no guarantees!)

Thursday, October 23rd

7:00am

Breakfast & catch a sponsored “Deep Dive”

 
8:00am

Introduction to Day 2 & Recap

Indu Subaiya, MD / Matthew Holt
8:15am

3 Health 2.0 CEOs

3
CEOs from companies transforming, and being transformed by, Health 2.0,
talk about the future of their businesses. Conversations with Jonathan
Bush, (AthenaHealth), Kerry Hicks, (HealthGrades) & Daniel
Palestrant (Sermo).
9:00am

Health 2.0 Around the World

Outside
of the US, Health 2.0 is taking off. James Matthews–global citizen and
VP of Biz Dev at Sage Software–will take you on a tour of examples from
Europe, Asia and the developing world where Health 2.0 tools and
technologies are making a big difference. Panelists will include:

  • Paul Meyer, CEO, Voxiva 
  • Thomas Liedtke, Head of Emerging Healthcare, ICW AG
  • Marlene Winfield, SVP, Healthspace, NHS Connecting for Health
  • David Webster, IDEO
10:00am

Networking Break in the Exhibit Hall

See the exhibitors and/or catch a sponsored “Deep Dive”
10:45am

Tools for Consumers

Along with search and community, tools are the “third leg” of the Health 2.0
stool. While they have historically been the least developed, they are now much more sophisticated and have great potential to
fundamentally change care. Indu & Matthew will introduce a new model for
understanding tools within the Health 2.0 context, and look at their
ability to offer personalized information and enable decisions and transactions. We’ll be
showing the best tools in clinical decision support, diagnostics and
financial management.

Panelists will include:

  • Roy Schoenberg, CEO, American Well 
  • Michael Cho, CEO, DestinationRx
  • Adam Bosworth, CEO, Keas
  • Marlene Beggelman, CEO, Enhanced Medical Decisions
  • Stefanie Fenton, Director of Healthcare, Intuit

…and many special guests and surprises

Panel Sponsored by

Health Grades
12:00pm

Lunch
1:30pm

Getting Past the Privacy Conundrum

The
Markle Foundation’s Josh Lemieux leads a discussion about how the
issues of privacy, confidentiality and security will impact consumer
confidence in Health 2.0. But more importantly, we’ll be demonstrating
several solutions to get us past the privacy conundrum.
2:30pm

Breakout Demo Panels – Session C

  • Wellness 2.0

      Fred Goldstein, President & COO, US Preventive Medicine; Henry Albrecht, CEO, Limeade; Amir Kishon, CEO, Wellness layers; Moderator, Jeremy Nobel

    Sponsored by

    Physic Ventures

  • Genomics online

      Linda Avey, Co-CEO, 23andMe; Mari Baker, CEO, Navigenics; Moderator, Greg Simons, Faster Cures

  • Pharmacy and medication management

      Peter Ax, CEO, Kwikmed; Eric Zimmerman, Chief Innovation Officer, Mirixa; Rick Noffsinger, CEO, SafeMed; Sean Teare, President, InnovationRx. Moderator, Jane Sarasohn-Kahn, THINK-Health

  • Search (Part 1)

      Alain Rappaport, GM, Health Search, Microsoft Health Solutions; Venky, Harinaryan, Co-Founder, Kosmix/RightHealth; Rishi Sikka, CMO, Praxeon; Steven Krein, CEO, Organized Wisdom;  Moderator, Craig Stoltz
3:15pm

Networking Break in the Exhibit Hall

See the exhibitors and/or catch a sponsored “Deep Dive”
4:00pm

Breakout Demo Panels- Session D

  • Pharma and Health 2.0

    Andrew Levitt, CEO, HealthTalker; Kerry Hicks, CEO, HealthGrades; Jeff Shrager, CTO; CollabRx; Meredith Abreu, VP, Manhattan Research; Moderator, Jane Sarasohn-Kahn, THINK-Health

  • Gaming in Health Care

    Richard Buday, CEO, ArchImage; Paul Puopolo, Humana; Richard Tate, Director, Communications & Marketing, HopeLab; Michael Cole,  Fitbrains; Moderator, Doug Goldstein, Gaming4Health

  • Disease Management 2.0

    Stan Nowak, CEO, Silverlink; Ileana Welte, SVP, Health Hero Network; Neal Kaufman, CEO, Diabetes Prevention Source; Don Kemper, CEO, Healthwise; Moderator, Joseph Kvedar, Center for Connected Health

  • Search (Part 2)

    Tom Eng, President & Founder, Healia/Meredith Corp.; West Shell, CEO, Healthline Networks; Laird Kelly, CEO, RSIFocalSearch; Riza Berkan, Co-Founder & CEO, Hakia;  Moderator, Craig Stoltz
4:50pm

Looking ahead—The Business and Society of Health 2.0

As
is now “traditional” the conference will close with speculation,
commentary and forecasts from a stellar panel, while taking lots of
time for participation from the audience and community. Noted analyst Brian Klepper will marshal proceedings amongst:

  • Rob Kolodner, National Coordinator, ONCHIT 
  • David Kibbe,  Senior Advisor, AAFP
  • David Lansky, CEO, Pacific Business Group on Health
  • Alan Greene, Founder of Drgreene.com & CMO, ADAM
5:45pm

Conference Wrap Up

Indu
Subaiya & Matthew Holt will keep you from cocktails for just more
than a minute or two while we get reactions to two intense days of
scanning the waterfront of Health 2.0
6:00pm

Cocktails

Network
among the exhibitors, hang out in the Lounge, play games, and have fun!
You won’t get this chance again until the next Health 2.0 Conference!

Also at Health 2.0

You’ll also see and/or
take part in the following special features, with more to be announced:

  • The Health 2.0 Unconference (the audience favorite from the last two conferences)
  • Health 2.0 Launch! — special introduction of new companies and new products
  • IDEO will run another great design workshop
  • And you can relax in the Health 2.0 Experiential Lounge, with games and demonstrations.

(Agenda is subject to change)

Person Greg Simons
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Making Medical School More Affordable

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By MAGGIE MAHAR

Always a trailblazer, The Mayo Clinic’s Medical School has had a generous scholarship program for the past 20 years that enables about 60 percent of its students to attend school tuition-free. The 50 students who started at Mayo last summer each received $25,000 to use towards tuition of $29,200. Students also are eligible to receive an additional $2,000 to $5,000 a year based on need, said David Dahlen, director of student financial aid at Mayo, based in Rochester, Minn.

Now, a few other schools are experimenting with much-needed financial relief for medical students. Most notably, the University of Central Florida’s brand new med school is offering four-year scholarships for tuition, fees and living expenses for every member of first-year class.  Students have until December to apply; already, the school has received 2,996 applications for its charter class of 40.

The Wall Street Journal reports that the $7 million needed to fund the charter class came from individuals and private philanthropies. There was no single donor who did most of the work; the two largest gifts were each a bit over $300,000. Perhaps other medical schools could follow this model.

Continue reading…

Around the Web in 60 Seconds (Or Less)

By Sarah Arnquist

Associated Press: Only 2 percent of medical students plan on going into primary care, according to survey published today in JAMA (subscription required). "I didn’t want to fight the insurance companies," said Dr. Jason Shipman, 36, a radiology resident at Vanderbilt University Medical Center in Nashville, Tenn., who is carrying $150,000 in student debt.

Scientific Blogging: Do you go through withdrawal if you haven’t checked your email in more than eight hours? You may be addicted to the Internet. "According to Dr. Louise Nadeau, a professor in the Department of
Psychology at the University of Montreal, mental health professionals
now have a new affliction to face: Internet addiction."

NYT Magazine: For better or for worse, social networking sites and microblogging via Twitter have increased the level of ambient awareness we have about our friends and acquaintances. "The growth of ambient intimacy can seem like modern narcissism taken to
a new, supermetabolic extreme — the ultimate expression of a generation
of celebrity-addled youths who believe their every utterance is
fascinating and ought to be shared with the world," Clive Thompson reports.

Sacramento Bee: California lawmakers still haven’t agreed on a new state budget nearly three months after it was due, making this the longest stalemate in state history. Can you say complete political failure?

Arizona Republic: Arizona’s smoking ban had little to no negative financial impact on the state’s bars and restaurants. The ban went into effect in May 2007.

The Olympian: As Washingon state debates a ballot initiative to allow euthanasia, it’s looking for guidance to the south at Oregon — the only state to allow physician-assisted suicide. "Those who choose to use legal, lethal drugs to end their lives
typically are cancer patients who are white, educated and have private
insurance," the Olympian reports.

BBC: Experts are worried about rising rates of antibiotic resistance among multiple pathogens.

Grim economic outlook

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By Sarah Arnquist

Congressional Budget Office Director Peter Orszag is playing a role he admittedly hates: the grim economist. The CBO released the annual summer update to its Fiscal Outlook for 2008 to 2018.

On the "Director’s Blog," Orszag explains the economic report and gives it context, including what the takeover of mortgage giants Fannie Mae and Freddie Mac means for the federal budget. The blog, in my opinion, is a great resource and worth a regular read.

Here are some bullets from the update — note health care costs nearly top the list of the nation’s fiscal concerns:

CBO estimates that the deficit for 2008 will be $407 billion higher than last year’s $161 billion. As a share of the
economy, the deficit is projected to rise to 2.9 percent of GDP this
year, up from 1.2 percent of GDP in 2007.

Over the longer term, the fiscal outlook continues to depend mostly on
the future course of health care costs as well as on the effects of a
growing elderly population. CBO estimates that federal spending on
Medicare and Medicaid will grow to 6 percent of the GDP in 2018 and 12
percent of the GDP by 2050.

23andMe punk rock partying, price cuts and on vid on D

• 2

By Matthew Holt

23andme is having a gobbing party in NYC tonight—presumably at the Roxie. You didn’t know punk was back, did ya? 

Indu will be there (sadly I had to stay chained to the computer). But there’s a little more 23andme news today in that they’ve dropped their core price to $399 and have inked a deal to get access to Ancestry.com’s database of users. Not quite an impulse purchase yet, but still getting down there.

And if you want to know what 23andme is up to, you can see Linda & Ann’s interview/demo at All things D last May. Of course you can see Linda at Health 2.0 next month, but I’m not sure we’ll be quite the pushovers Mossberg & Swisher are…at least we’ll keep them to 3.5 minutes! 

I’m still trying to figure out whether the DTC genomic market is a gimmick or actually has some value (and I don’t mean value the way a VC does! I mean whether society should be spending health care dollars on genomics when we do such a shitty job treating diseases we do understand). But it’s good to see some real activity in at least postulating the concept.

Health 2.0 Road Trip Vroom! Vroom!

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By David Kibbe

KibbemotorcycleThis country is simply meant to be seen from a motorcycle. It’s big, it’s wide open, and all sorts of Health 2.0 activity is happening.

Unless, of course, you’re in downtown New York City, where you’d have to be crazy to drive anything. I kicked off the Great American Motorcycle Tour for Health 2.0 in Manhattan, in hot pursuit of the real people of Health 2.0, including Tara Parker Pope of the New York Times, and a host of folks who came to the HelloHealth opening party in Williamsburg, Brooklyn. Jay Parkinson was the master of ceremonies, but I also interview Nat Findlay of Myca and Howard Krein, MD of Organized Wisdom. Sans Honda Goldwing. So, I took the subway, did a lot of walking, and shot a lot of film.

I’m asking all the interviewees the same question:  Are YOU Health 2.0? And you will be surprised at some of the answers I’m getting. Who are these people, and why are they blogging, starting medical practices with videoconference capability built in, creating new kinds of health search and knowledge engines, and generally finding new and exciting ways to use Web 2.0 technologies? The stories behind the obvious are what I’m after, in a Zen sort of way, of course.

Next stop: Chattanooga, Tennessee. And, yes, this time I’m going to be traveling by motorcycle all the way. Vroom!

Private Medicare plans face uphill battle to prove efficiency

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By Robert Laszewski

I have been struck by the optimism regarding private Medicare presented by health plan executives during the recent earnings season and the analysts failure to press them on just how their numbers will add-up to sustain the long-term viability of a private Medicare strategy.

The typical private Medicare health plan operates on a medical cost ratio in the mid-80s. Let’s assume 86% for medical costs and the remaining 14% for overhead, profit, and taxes.

Government-run Medicare operates on about 3% overhead. One can argue that many federal Medicare costs are paid for elsewhere but that is the number the private plans have to compete against. So private Medicare plans spend 14% on overhead and Medicare charges
itself 3% — that’s an 11% disadvantage for the private market right
out of the box.

Continue reading…

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