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Category: Health Tech

THCB Gang Episode 59 – Thurs June 24, 1pm PT – 4pm ET

#THCBGang will feature special guest venture capitalist & massive over-achiever Justin Norden  (@JustinNordenMD) from GSR Ventures. Also joining Matthew Holt (@boltyboy) will be regulars, patient safety expert and all around wit Michael Millenson (@MLMillenson); WTF Health host & Health IT girl Jessica DaMassa (@jessdamassa);  futurist Ian Morrison (@seccurve); & THCB regular writer Kim Bellard (@kimbbellard

Then video will be below at 1pm PT- 4pm ET. If you’d rather listen, the audio is preserved as a weekly podcast available on our iTunes  & Spotify channels.

Connection Is Healthcare

By TOMER BEN-KIKI

The American people can’t afford partisan politics that increase long-term healthcare costs.

When the GOP came to the table with a $1 trillion infrastructure proposal last week, I was pleased to see that they had increased funding for broadband access to $68 billion.

The President wants $100 billion for broadband expansion, but a meaningful increase before the soft deadline of June 7 was a positive step.

Politics aside, the pandemic made it clear how dependent we are on the issue of broadband internet access.after all, broadband underpinned nearly everything that was done to keep the economy on life-support during the lock-downs.

Without broadband access our ability to deliver education, run most businesses, and (most importantly) deliver healthcare, would have slowed to a glacial pace or – in some cases – ground to a halt.

The fact that the healthcare industry was able to make a lighting-speed pivot to telehealth during the COVID epidemic shows how quickly the government, insurers and providers can respond to deliver needed care. But, that pivot also exposed how social determinants of health, like economic stability and the built environment, still present serious challenges to care delivery for our most vulnerable populations.

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THCB Gang Episode 58 – Thurs June 17, 1pm PT – 4pm ET

Episode 58 of “The THCB Gang” will be live-streamed on Thursday, June 17th at 1pm PT -4PM ET. Matthew Holt (@boltyboy) will be joined by regulars futurist Jeff Goldsmith; policy expert consultant/author Rosemarie Day (@Rosemarie_Day1); Consumer advocate & CTO of Carium Health, Lygeia Ricciardi (@Lygeia); and–after way too long an absence–economist & consumer expert Jane Sarasohn-Kahn (@healthythinker)

If you’d rather listen, the “audio only” version it is preserved as a weekly podcast available on our iTunes & Spotify channels a day or so after the episode — Matthew Holt

Matthew’s health care tidbits

Each week I’ve been adding a brief tidbits section to the THCB Reader, our weekly newsletter that summarizes the best of THCB that week (Sign up here!). Then I had the brainwave to add them to the blog. They’re short and usually not too sweet! (And yes, this week’s is a tad late!) –Matthew Holt

In this week’s health care tidbits, you may be wondering what happened to health policy under Joe Biden. He said no to Medicare for All because instead he was going to create a public option and lower the Medicare age to 60. Yet both those two policies seem to have vanished into the night. Presumably that’s because they think they’re a hard political sell and maybe that’s right. But why? This past week a massive study of American consumers shows that Medicare recipients are much happier with their experience than people with employer-based coverage. And employer based coverage is no better than Medicaid! To wit, the study showed:

Compared with those covered by Medicare, individuals with employer-sponsored insurance were less likely to report having a personal physician and were more likely to report instability in insurance coverage, difficulty seeing a physician because of costs, not taking medication because of costs, and having medical debt. Compared with those covered by Medicare, individuals with employer-sponsored insurance were less satisfied with their care.

Compared with individuals covered by Medicaid, those with employer-sponsored insurance were more likely to report having medical debt and were less likely to report difficulty seeing a physician because of costs and not taking medications because of costs. No difference in satisfaction with care was found between individuals with employer-sponsored private health insurance and those with Medicaid coverage.

I guess the new AHIP slogan is, “we’re just as good as Medicaid!” But you have to wonder, why are the rest of us being forced to consume an inferior product?

Twins For Everyone!

By KIM BELLARD

I have lived my entire life as a twin, and, while it isn’t an unalloyed blessing, on balance I’d recommend it.  Most of you, though, probably aren’t twins and have missed the experience.  Don’t worry: you may still get a chance – with a digital twin. 

It could have profound implications for your health and for healthcare generally.

A digital twin, in case you are not familiar with the concept, is a virtual representation of a physical object.  It is created from data about that physical object, and is fed ongoing data (e.g., via IoT) about it to keep the model accurate. 

The concept is not new, often attributed to Michael Grieves at the Florida Institute of Technology in 2002.  Dr. Grieves saw the value of the concept for manufacturing; for example, GE’s Aircraft Engines has been using them to make their engines safer and more efficient.  Other applications include building maintenance, data centers, and even creating a digital twin of the whole planet.

People have seen the potential of digital twins for healthcare for years.  Back in 2016, GE’s Digital CEO Bill Ruh predicted:

I believe we will have a digital twin at birth, and it will take data off of the sensors everybody is running, and that digital twin will predict things for us about disease and cancer and other things. I believe we will end up with health care being the ultimate digital twin. Without it, I believe we will have data but with no outcome, or value.

We’re not there yet, not nearly, but it’s coming.

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THCB Gang Episode 57 – Thurs June 10

Episode 57 of “The THCB Gang” will be live on Thursday, June 10, 1pm PT 4pm ET. Matthew Holt (@boltyboy) will joined by regulars: medical historian Mike Magee (@drmikemagee), THCB regular writer Kim Bellard (@kimbbellard) and futurist Ian Morrison (@seccurve). And we have a special guest, health care equity analyst at Hedgeye, Emily Evans (@HedgeyeEEvans)

You might guess that the latest meme stock Clover Health (CLOV) might make an appearance! But that won’t be all!

The video is below. If you’d rather listen, the audio is preserved as a weekly podcast available on Fridays on our iTunes  & Spotify channels

Hey, How About Starship Earth?

By KIM BELLARD

I missed the job announcement on the company website.  I missed it again when the company posted the job on Linkedin.  I missed it when Eric Ralph tweeted that the posting was “probably the coolest job posting I’ve read in years.”  Fortunately, though, I follow Isaac Kohne (MD, PhD), and I did see his tweet:

Yes, I’m talking about SpaceX.  Yes, the job is for a “Starship Medical Engineer.”  Yes, it’s to help SpaceX’s mission to Mars, whenever that might be.  Who knows, the job might even entail going to Mars, although that’s not spelled out. 

I am not, of course, remotely qualified for such a job.  In fact, I don’t even know anyone who might be.  But I agree with Mr. Ralph that it’s probably the coolest job posting I’ve seen in years, maybe ever.  And I even more agree with Dr. Kohne: it could be an “opportunity to rethink a bigger broken system.”

Hint: I don’t think he’s talking about just the SpaceX mission. 

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THCB Gang Episode 55, Thursday May 20 – Ian Morrison is the gang!

Episode 55 of “The THCB Gang” was live-streamed on Thursday, May 20 at 1pm PT — 4PM ET.

This ended up being a special chat. Matthew Holt (@boltyboy) got to talk just with futurist Ian Morrison (@seccurve). A really wide ranging conversation between old friends and a whole lot of fun!

The video will be below. If you’d rather listen, the audio is preserved as a weekly podcast available on our iTunes  & Spotify channels.

Death, Taxes — and Paperwork

By KIM BELLARD

Tuesday, in case you missed it, was the deadline for filing your 2020 federal taxes (it was postponed  from its usual April 15 date due to “the unusual circumstances related to the pandemic”).  Nothing, Benjamin Franklin famously said, is certain but death and taxes, but if you live in the United States, you might add the inevitability of paperwork involved with both (and with healthcare in general). 

The question is, does it have to be as bad as it is? 

A Washington Post op-ed by Helaine Olen argues that tax filing could, and should, be much simpler.  A March article in The Conversation by Beverly Moran, a tax expert at Vanderbilt, agrees.  Both make the point that, for most of us, the IRS could do the work for us. 

Ms. Olen asserts:

The thing is, filing taxes just doesn’t have to be this hard. In 36 countries, the nation’s tax agency sends eligible residents a pre-filled return, and asks them to sign if they agree with the amount that’s indicated is owed or should be credited to them. Japan does this. So do Sweden, the Netherlands, Spain and others.

Professor Moran has slightly different numbers, but makes the same point.  She adds that our tax system is 10 times more expensive than in other major economies.  This should not be a surprise; collectively, we spend close to $200b annually on IRS paperwork, taking some 6 billion hours of our time along the way. 

You’d think that all this time and money spent on tax filing would at least give us an efficient tax system, but the opposite is true.  The last time the IRS took a look, for tax years 2011-2013, the “tax gap” – the estimate between taxes owed and taxes paid – was $441b annually, some 16% of tax liability.  IRS Commissioner Charles Rettig told Congress last month that the number might actually be over $1 trillion annually now, due to new kinds of wealth creation and more sophisticated tax avoidance. 

Continue reading…

THCB Gang Episode 54, Thursday May 13

Episode 54 of “The THCB Gang” was held on Thursday, May 13. Matthew Holt (@boltyboy) was joined by regulars: policy expert consultant/author Rosemarie Day (@Rosemarie_Day1); medical historian Mike Magee (@drmikemagee), THCB regular writer Kim Bellard (@kimbbellard) employer health expert Jennifer Benz (@jenbenz); and WTF Health host & Health IT girl Jessica DaMassa (@jessdamassa).

The topic ended up looking at the role of employers in dealing with inequality in health care, and whether the digitally enabled primary care navigation organizations could help. A great discussion!

Then video is below. If you’d rather listen, the audio is preserved as a weekly podcast available on our iTunes  & Spotify channels.

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