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Category: THCB Spotlights

My shoulder — The Inciteful Med, Claude & HealthX update

I had shoulder surgery on Monday and today I’m getting information about what happened delivered into the big LLMs. Follow along with me as I figure out how to get the information in there and what it tells me. — Matthew Holt

THCB Gang Special — The Odyssey of Women’s Health: Journeying into the Midterms

Audrey Mann Cronin takes over THCB today and has a THCB Gang special called “The Odyssey of Women’s Health: Journeying into the Midterms – Obstacles, Opportunities and What We Can Expect”

The panel is Liz Powell, an attorney and Founder of both G2G Consulting and Women’s Health Advocates, and former Capitol Hill staffer; Dr. Elizabeth Garner, CEO of Sena Therapeutics, former CSO for Ferring, and past President of the American Medical Women’s Association; and, Dr. Mitzi Krockover who founded both Women Centered and Femtech AZ, and is an investor serving as Managing Director of Golden Seeds

What’s going to be the impact of politics, policy and the mid-terms on Women’s Health? Hear from these advocates, as they reference this summer’s blockbuster!

The transcript (made by Youtube and Claude so blame AI for any mistakes!)

Audrey Mann Cronin, Communications Advisor, Healthcare and Technology

Hello to everyone, and welcome to a special episode of Matthew Holt’s THCB Gang. My name is Audrey Mann Cronin. I’m a communications advisor in healthcare and technology and a passionate women’s health advocate. I’m so pleased to be joined today by a powerhouse of women healthcare leaders. But before we start, a big thank you to Matthew Holt, who, in a rare tender moment, offered to have me be the Rosie O’Donnell to his Jimmy Kimmel.

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HealthEx — The Demo with Claude & the CEO Speaks!

I spent some time figuring out and getting a little help in uploading my health records to Claude, using HealthEx. I did the demo with Ruheed Mohamed, the head of technical services, and then I interviewed CEO Priyanka Agarwal, MD. This shows how Healthex gets data and incorporates it into Claude, and where Priyanka thinks the business is going, and why she wants to change the way consumers get health care data.–Matthew Holt

Transcript of Interview with Priayanka Aggarwall MD (2nd half of video. First half you need to watch!)

Matthew Holt: Hey, Matthew Holt, quick THCB, spotlight. And this is a bit of an adjunct to the, work I’ve been doing trying to figure out how the new, big LLMs like, Anthropic’s Claude and OpenAI’s ChatGPT are now working their health angle and getting health records. And I’m very lucky to have with me Priyanka Agarwal. Priyanka is a, UCSF trained MD who is the CEO of HealthEx, which does what exactly, Priyanka?

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Owen Tripp, Included Health–How to Fix AI

It’s been a while since I talked with Owen Tripp, CEO of Included Health. They’ve now introduced Dot their AI companion which had a big upgrade last week. We talked a little about that and I snuck in their video comparing the Dot Experience with a standard LLM. But the conversation really got into how do we make AI safe and trustworthy–which is definitely the hot topic these days. Owen is putting together a coalition of the willing to work on that exact topic. I’ll be watching closely–Matthew Holt

This was such a great discussion I wanted to publish the transcript. The way I do that is to copy the YouTube-generated transcript and drop it into Claude to smooth it over. I then read it, and if I think it’s made an error, I dip back into the video and listen to what actually happened and make a correction. This is all to say: I think this transcript is pretty accurate, but it might have a bunch of AI- and human-generated mistakes.

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Gozio – Patient Navigation & Directions!

I had a great conversation and demo with Katie Logan and Christine Smith from Gozio a while back. Finally got it up on THCB. Gozio provides two types of patient navigation for health systems. One as a digital front door helping patients navigate to doctors, services and tools like virtual care and appointments from the hospitals, and actual navigation from the parking lot to the clinic/bedside. Why should hospitals hire Gozio (and spent a few $100k+) when some of this stuff is buried in MyChart in a typical health system? Calls go down, visits go up and Google ratings go up. They are in 25-35 systems now and aiming for many more.–Matthew Holt

This was such a great discussion I wanted to publish the transcript. The way I do that is to copy the YouTube-generated transcript and drop it into Claude to smooth it over. I then read it, and if I think it’s made an error, I dip back into the video and listen to what actually happened and make a correction. This is all to say: I think this transcript is pretty accurate, but it might have a bunch of AI- and human-generated mistakes.

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Ran Shaul, K Health

K Health started life as symptom checker and spent a lot of time working with Elevance/Anthem. But in recent years has become a sophisticated LLM tuned to patients and now is working exclusively with major health systems as a front door including Mayo, Cedars Sinai and now Atlantic Health providing PatientGPT and Virtual Primary Care. I had Ran Shaul, Chief Product Officer come on THCB Spotlight to show how K Health is being used in various ways across health systems. He showed me various demos and I also asked him about the relationship with Epic, and what the future of care delivery with LLMs is going to be. Ran thinks we might need more doctors not less!–Matthew Holt

This was such a great discussion I wanted to publish the transcript. The way I do that is to copy the YouTube-generated transcript and drop it into Claude to smooth it over. I then read it, and if I think it’s made an error, I dip back into the video and listen to what actually happened and make a correction. This is all to say: I think this transcript is pretty accurate, but it might have a bunch of AI- and human-generated mistakes.

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THCB Spotlight: Warris Bokhari, Claimable

One of the most interesting follows on Linkedin is Warris Bokhari from Claimable. He’s a British MD, who has had stints not only as a doc in the UK, but also as a health tech and health insurance exec in the US. But now he’s at war with the system, in particular working for patients to overturn denials from insurers using AI. But what exactly is the big picture aim, and how does Warris think that he’s going to fix American health care? We had quite the discussion and we sort of agree, but also don’t. Great discussion and transcript is below the video–Matthew Holt

This was such a great discussion I wanted to publish the transcript. The way I do that is to copy the Youtube generated transcript and drop it into Claude to smooth it over. I then read it and if I think it’s made an error, dip back into the video and listen to what actually happened and make a correction. This is all code therefore for me saying I think this transcript is pretty accurate but it might have a bunch of AI and human generated mistakes.

THCB Spotlight: Warris Bokhari, CEO of Claimable

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Dor Skuler, Intuition Robotics: Meet ElliQ

Dor Skuler is CEO of Intuition Robotics the maker of ElliQ — a remarkable AI robot that is a companion for seniors. I had a lot of fun meeting ElliQ and asking Dor about how she works. This is a wide-ranging interview with Dor and with ElliQ. She tells us about Florence Nightingale, what Dor should do with his kids and really gives you the idea of how she relates to seniors. There’s a ton of capabilities–you really have to watch the whole thing–but the end result is that Medicaid plans including NY and Washington State have determined that ElliQ allows people to stay at home longer and saves $$ on nursing home care. A fascinating view into the present and the future of how AI and robotics is changing the world–Matthew Holt

Ben Salter, SafeRide Health

Ben Salter is the Chief Product Officer of SafeRide Health. They are one of the biggest players in non-emergency medical transport (NEMT) working predominantly for health plans that have Medicaid or Medicare Advantage members. Getting people to their appointments is a big deal–think disabled or sick people who will miss clinical appointments if they can’t get there. Ben showed a demo of how their system works, what it looks like for call center staff or members using it directly, and how that then actually gets someone a ride to where they need to go–Matthew Holt

Bevey Miner, Consensus Cloud Solutions

This is a transcript of my HIMSS interview with Bevey Miner, EVP Healthcare Strategy & Policy at Consensus Cloud Solutions. Usually I’d show the video but in this case my fancy new microphone didn’t work so you’d only hear a one sided conversation. Luckily Youtube’s transcript somewhat came to the rescue–Matthew Holt

Matthew: Another THCB Spotlight, I am here with Bevey Minor who a year ago I interviewed as Consensus Cloud Solutions and now your sign says eFax. So, what the hell happened?

Bevey: Interesting question, Matthew. The company is Consensus Cloud Solutions. And the company’s always been Consensus Cloud Solutions since we spun off and went public ourselves. You’ll notice at our booth we’ve got the eFax brand — it’s eFax by Consensus Cloud Solutions. The reason we are showing up as eFax is because this year at HIMSS we really wanted to set the record straight: digital cloud faxing is not the problem with interoperability. Paper faxes are, but digital cloud faxing is not the problem.

The problem is all this unstructured data — all the unstructured data that happens with faxes, with scanned images, with TIFF images. All that unstructured data can’t be queried. It can’t be part of TEFCA. You can’t query what you can’t find.

Cloud faxing is send and receive all day long, and we do that very well and have been doing it for 27 years. About three years ago, we introduced an intelligent extraction solution. That solution doesn’t even have to start with the fax, but it allows the “find” piece to actually become the critical thing that we need to do. CMS defines interoperability as send, receive, find, and integrate. Fax technology handles send and receive all day long, but can’t find. So once we introduced a “find and intelligent extraction” solution, we can fire up TEFCA.

I’ve talked to a lot of regulators, including Dr. Thomas Keane and Amy Gleason with the CMS Align networks. You can’t ignore this pile of unstructured data and just assume the industry is going to go magically everything’s on FHIR. We’re all using FHIR because all of this stuff has really important patient information in it.

What we want to solve in the industry is: don’t say we have to axe the digital cloud fax. Let’s axe the paper fax machine. Digital cloud faxing isn’t going away — in fact, it’s growing, especially as we get rural health off of paper fax machines. The next level of maturity is digital cloud faxing. From there, once it’s digital, now you can do all sorts of things with it.

When we introduced electronic health records during meaningful use — I was at Allscripts at the time — our dream was that we would take this paper record and transform it into an electronic health record, so we could just get rid of the paper. Once we did that and there were discrete data elements in that EHR, we could do population health, clinical decision support, efficacy, all sorts of things — because there are discrete data elements now inside that electronic health record. That’s what a digital fax will do with the capability to do intelligence on top of it.

So we want to make the industry understand that the fax is not the problem. Extracting it and getting rid of all that unstructured data is the solution.

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