Sharing a hotel room, however, does not a marriage make. In order to get better digital health interventions to market faster, we need what I’m calling a Partnership for Innovators, Policymakers and Evidence-generators (PIPE). As someone who functions variously in the policy, tech and academic worlds, I believe PIPE needn’t be a dream.
4 of 5 digital health solutions won’t make it to the doctor’s office, and Bram Van Leeuwen, Sanofi’s Lead for Digital Innovation BeNeLux, thinks he knows why. Health tech startups (and their health system advocates) should tune in to find out how they can up their odds of getting their tech integrated into existing points of care. Are there any health systems in the world that have excelled at implementing health tech solutions? Bram’s picked some winners and is sharing best practices.
Filmed at HIMSS/Health 2.0 Europe in Helsinki, Finland in June 2019.
There I was, my 10th-grade science fair. My mother made
sure I had a tie that fit properly and a shirt that was perfectly pressed. I stood among my peers
with our cardboard presentation displays highlighting what we did to make it to
this point. I was a little nervous but also extremely proud of myself and
excited to see the looks on the judge’s faces when they saw what my project was
of Enzymes on DNA”
Boom. Oh, I wasn’t doing something that many people had seen
already — I was working inside an NIH facility with a brilliant scientist
mentor/coach, to get this done. The memories of taking multiple modes of
transportation after school throughout the week for what seemed like forever
wore me down enough to make sure that I knew this was going to be worth it. And
then after the judges were introduced to all of our concepts and families
poured throughout the gymnasium to see what we all came up with — now was the
moment of truth.
Sweaty palms and teenage anxiety wouldn’t deter me. First place goes to….oh ok, yeah of
course, they deserved that. They worked really hard I’m sure. Second place goes to….oh wow, I didn’t make
second place? At least, I’ll get something. After a third place winner was
announced and the applause faded. I looked, stunned, over at my mother in the
audience whose face was covered in tears. I was ready for the night to be over.
Did I not wear the right tie? Did I seem
too confident? Not confident enough? The questions would consume me until
later that evening when my science teacher told me that the judges thought I cheated or didn’t actually do any
of the work.
Today on Health in 2 Point 00, Jess and I are in Helsinki for Health 2.0 HIMSS Europe. In Episode 83, Jess asks me about Roche cheating on mySugr—Roche announced a new partnership with digital diabetes provider GlucoMe, about the new $100 million hospital venture fund in Iowa coming from UnityPoint Health, and about Infermedica’s recent $3.65 million raise for their cool symptom checker complete with an AI chatbot. Stay tuned for more updates from the conference. —Matthew Holt
Accenture’s Brian Kalis, catches us up to speed on some of the survey work and analysis the consulting giant has been working on. In particular, Accenture is seeing a generational divide amongst Baby Boomers & the Millennials/Generation Z’s, the latter of which want to consume health care in both traditional & non-traditional ways – a hybrid of technology and older models of care.
For more watch Matthew’s interview with Brian above.
Health coaches are playing an ever-more important role in healthcare,
but there’s no one single authority when it comes to finding one — or vetting
them for that matter — until now.
Marina Borukhovich, CEO of startup YourCoach, talks about how she hopes to disrupt health coaching after she learned the value of having a ‘squad’ of experts help her through her breast cancer journey.
In fact, ‘Squads’ are the value-add that YourCoach is hoping will set
them apart. The app’s signature feature is that it lets you build-your-own team
of experts who can work together to tackle any aspect of health and wellness.
“We’re connecting coaches from around the world
who are going to lead the client holistically,” explains Marina. “So, it could be
diabetes support, it could be pull[ing] somebody in who does meditation, they
could bring in a business coach. It just really depends on the person…and what you
need as a person.”
“We’re building ‘Team YOU.”
Joining in on the fun in this interview is Eugene Borukhovich, who some
of you will recognize as the face of Bayer’s G4A program.
Eugene serves as an advisor to YourCoach and is also Marina’s husband —
possibly making them the “Beyonce & Jay-Z” power couple of
digital health. Is this a blessing or a curse? Apparently, there are 3am pitch
practices that sound like the solid foundation of any marriage.
Listen in to meet them both.
Filmed at JP Morgan Healthcare Conference, January 2019.
On Episode 62 of Health in 2 Point 00, Jess and I are reporting from Nashville—while enjoying some delicious barbecue. We’re in town for AHIP’s Consumer Experience & Digital Health Forum, where Jess did an amazing job as a moderator and I was on a panel. In this episode, Jess asks me about my key takeaways from the forum, what the deal is with Tivity Health acquiring Nutrisystem, and how I managed to get into a fight on Twitter while at AHIP. —Matthew Holt
Today, we are featuring Dr. Jesse Ehrenfeld from the American Medical Association (AMA) on THCB Spotlight. Matthew Holt interviews Dr. Ehrenfeld, Chair-elect of the AMA Board of Trustees and an anesthesiologist with the Vanderbilt University School of Medicine. The AMA has recently released their Digital Health Implementation Playbook, which is a guide to adopting digital health solutions. They also launched a new online platform called the Physician Innovation Network to help connect physicians with entrepreneurs and developers. Watch the interview to find out more about how the AMA is supporting health innovation, as well as why the AMA thinks the CVS-Aetna merger is not a good idea and how the AMA views the role of AI in the future of health care.
Zoya Khan is the Editor-in-Chief of THCB as well as an Associate at SMACK.health, a health-tech advisory services for early-stage startups.
How are teens and young adults engaging with digital health? Results of a national survey asking just that were released today by Susannah Fox (Former CTO at US Dept of HHS) and her research partner, Victoria Rideout.
You can check out the full report of the findings here, but I spoke with Susannah in April, just as she and Victoria were starting to draw some insights from their work.
Hearing her talk about the survey at this stage of synthesis is not only unique (most researchers won’t talk until the findings are published) but more so because it adds a layer of understanding to the final results now that they’re here.
We get her candor about how teens and young adults are a wildly viable – yet very overlooked – market for digital health…
We see how she’s trying to formulate a much larger hypothesis about what healthcare can learn about social media from a generation that has never lived without it and, more importantly, view it as having a positive impact on their well-being…
And, probably most inspiring to me, we see an approach to health data that stands out for its warmth. For it’s love, really. In a world of big data and clinical trials, it’s endearing to hear from someone who is taking a more anthropological approach and who has fallen absolutely, head-over-heels in LOVE with the personal side of her dataset.
As we all clamor for a patient-centered end, we’d be remiss to underestimate the value of a human-centered starting point. Watch Susannah Fox for a strong model of how this can be done in health research.
Filmed at Health DataPalooza, Washington DC, April 2018. Find more interviews with the people pushing healthcare to better tomorrow at www.wtf.health.
As healthcare gradually tilts from volume to value, physicians and hospitals fear the instability of straddling “two canoes.” Value-based contracts demand very different business practices and clinical habits from those which maximize fee-for-service revenue, but with most income still anchored on volume, providers often cannot afford a wholesale pivot towards cost-conscious care. That financial pressure shapes investment and procurement budgets, creating a downstream version of the two-canoe problem for digital health products geared toward outcomes or efficiency. Value-based care is still the much smaller canoe, so buyers de-prioritize these tools, or expect slim returns on such investment. That, in turn, creates an odd disconnect. Frustrated clinicians struggle to implement new care models while wrestling with outdated technology and processes built to capture codes and boost fee-for-service revenue. Meanwhile, products focused on cost-effectiveness and quality face unexpectedly weak demand and protracted sales cycles. That can short-circuit further investment and ultimately slow the transition to value.
To skirt these shoals, most successful innovators have clustered around three primary strategies. Each aims to establish a foothold in a predominantly fee-for-service ecosystem, while building technology and services suited for value-based care, as the latter expands. A better understanding of these models – and how they address different payment incentives – could help clinicians shape implementation priorities within their organizations, and guide new ventures trying to craft a viable commercial strategy.