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Tag: Matthew Holt

Flacks peddle false “reality”

Such a pity that the NY Times has been so beaten up by the commies amongst us that it actually now feels that it has to point out where Peter Pitts and Janet Trautwein get their money. Although, as per the last time it let Pitts write an op-ed, it didn’t mention his day job as a PR man for pharmaceutical companies. After all, who could be opposed to “Medicine in the Public Interest” — after all it is in the interest of the public to pay for all and any medicine at any price that PhRMA chooses, right?

And let’s not get started on underwriters (for whom Trautwein is the main flack). After all Grace-Marie Turner thinks that they’re the health care heroes! Perhaps they’re heroes because they drive sick people into the uninsured population so that the under-paid clinical staff working in America’s public and community health system get to show their worth by caring for them —even if they’re less heroic than underwriters.

But that’s OK, Pitts & Trautwein can be printed in the NY Times cherry-picking problems with other countries health care systems. Because as we all know there’s absolutely nothing wrong with ours, eh?

And why should Pitts quote the peer-reviewed 2007 Commonwealth Fund study that showed that waiting times for surgery were longer in the US than in the communist hell-hole of Germany, when instead he was able to cite an 11 year old study about longer waiting lists for one specific type of surgery in the Netherlands, which has completely revamped its health care system since then. Something he and Trautwein have helped stop us doing — preserving a dismal status quo they obviously want to maintain.

Those two wouldn’t last 92 seconds in a debate with Uwe Reinhardt or Hillary Clinton.

On the other hand, there’s no letter from Karen Ignagni to make up the trifecta. Did she negotiate some summer vacation time along with her $1.3m salary?

Omnimedix still fighting Dossia owners

KleinkeJD Kleinke and Omnimedix are still in business and still fighting a pretty serious lawsuit
about the Dossia breakup. I talked with JD yesterday. The team is working on several super secret client projects, but it’s tough to run a small consulting shop and keep a protracted lawsuit open, so they’re passing the hat! Why keep the lawsuit going?

Well, there’s obviously stuff that JD couldn’t tell me, so this is speculation but it’s clear that this is much more than an a “vendor didn’t deliver/client didn’t pay” dispute. JD was always very vocal about an open nonprofit being the protector of the Dossia members’ employees’ data, so I surmise that contractual disputes about who got access to what data are at the root of this. It would be interesting (if practicably impossible) to compare Dossia’s contact with Omnimedix in their contract with Indivo.

More generally, JD and I talked about whether there’s a need for a Dossia-type entity when there’s Google Health and HealthVault. Here’s what JD said about Microsoft and Google’s privacy stance.

“In both cases they’ve violated their own operating principles as businesses to do the right thing.”

Continue reading…

The result of the primary care crisis

Over at Spot-on I’m writing about the primary care crisis in partial response to the great stuff from Bob Wachter last week on THCB and also from Maggie Mahar and Brian Klepper. Hopefully, it’s a primer for the politico types over there about the primary care crisis and also what the likely results of it are. Hint, no pay equality, but more retail clinics and online visits.

Meanwhile, my piece at Spot-on two weeks back about the Two Ted Kennedy’s appears rather smarter than it probably was given the long piece in the NY Times today about exactly how risky his surgery was and exactly the level of agreement (i.e. not much) that existed among the wide medical team he convened. Evidence based medicine? Well let’s just say that the oft heard rumors of Medicare’s impending bankruptcy may be truer than I tend to believe if every patient wants that level of service.

At any rate, please take a look at the new piece and the older piece and as ever come back here to comment.

Ask any health care wonk and they’ll tell you that within the larger
health care crisis is a primary care crisis. There is more and more
demand for primary care physicians – the person you probably call your
"family doctor" – but America’s medical schools are producing fewer of
them.


Why? Well in a word, money.

It’s not actually medical school that’s the problem. It’s what happens next. A newly graduated physician, looking a big chunk of debt used to pay for medical school tuition gets to chose their residency and, as such, decides what type of doctor to become.In the U.S. we let medical students choose what to do. Not being dummies, most of them notice that diagnostic radiologists and orthopedic surgeons make three times what primary care doctors make, and choose their career path accordingly. Why the vast difference in compensation? Doing something to a patient – fixing a broken hip, reading an x-ray – has always been better rewarded more than talking to them about their high blood pressure or their son’s excema.

Read the rest.

Interview with Sandeep Agate, REACH Call

We don’t talk much about traditional telemedicine at THCB, but remote care is not just for consumers. There’s also huge possibilities for clinicians to use these technologies to tap into expertise that can make specialty care more available and improve care in dramatic ways.

REACH call, which is a 2-year-old company from Georgia has an interesting and relatively cheap technology that gets vital expert specialty opinion to emergency rooms and enables stroke care to be significantly improved. I spoke to Sandeep Agate, REACH’s CEO last week and it’s a pretty interesting interview.

Matthew’s top podcasts this year

By THCB STAFFIpod

The Health Care Blog is working hard to bring readers more excellent content, but
the downside of that is great posts and podcasts quickly get buried. Here’s a quick list of Matthew’s top podcasts this year.

Adam Bosworth speaks about Google Health, Keas and everything By Matthew Holt

Adam_bosworth

After a long period of time I’ve finally wrestled Adam Bosworth to
the floor and forced the microphone to his mouth. Adam of course is the
software guru (he’s one of the originators of XML) who went to Google
to start Google Health,
and spent much of 2007 talking about how he hoped Google Health would
change health care. He then left Google Health (several months before
it launched in March 2008) and at the very end of 2007 founded Keas. Adam has very strong views on health technology, data, PHRs.
HealthVault & Google Health, and much much more. Listen to the podcast.

Cisco’s Frances Dare talks about Congressional action on health IT By Matthew Holt

Frances_dare_2Frances Dare has seen the painfully
slow developments in many aspects of health IT since the 1990s, and has
an experienced view of what’s coming along at what pace. These days
Frances is a Director at Cisco focusing on health care, and more
recently she’s taken an active role in Cisco’s health care lobbying
efforts on Capitol Hill. Here’s the podcast.

Interview with Trizetto & Eliza By Matthew Holt

I spoke this morning with Gene Drabinksi, who runs the CareAdvance unit of Trizetto, and Alexandra Drane, President of Eliza. They recently announced a partnership that integrates the care
management aspects of Trizetto’s services with the automated phone
outreach provided by Eliza. It’s another step in the evolution of
phone-based contact and personalization in health care — which, the
careful THCB reader will have noted, I think is an important channel
for delivering and capturing health information. Of particular importance, is making useful that vast glob of data
stored within a health plan by communicating about it with the members.
It’s also always good to hear from some experienced and passionate
players, and Alex and Gene certainly fit that bill. Here’s the podcast.

Interview with Kerry Hicks, HealthGrades CEO By Matthew Holt

HealthGrades has been busy. The publicly traded, pure-play provider
ratings company is changing the way it offers ratings, it’s publishing
a book, and it’s starting to rate drugs. It’s not alone. Last week,
Consumer Reports announced it also is getting into the business of
rating hospitals and using a model developed in conjunction with the
Dartmouth crowd. Plus, there’s the CMS effort. Given the way that
ratings are evolving and HealthGrades’ partnership with Google, (more
to come on Google from me separately soon) last week was a great time
to talk with HealthGrades Chairman & CEO Kerry Hicks. (Sadly it was before the Consumer Reports announcement but fascinating nonetheless). Listen to the podcast.

Kaiser tiptoes into HealthVault & tells THCB about it By Matthew Holt

Kaiser Permanente signed an extensive pilot with Microsoft, allowing
its 159,000 employees to copy their online health records into
HealthVault. This is a big coup for Microsoft and a fairly ambitious
move for KP which to this point hasn’t said much publicly about the
data transferability it was going to provide for its members. This is a
clear signal. Assuming that the pilot is a success, presumably all
Kaiser members using My Health Manager (over 2 million now and heading
to 3 million at years end) will soon be able to move their data to
HealthVault. We are potentially seeing the first real example of mass
scale data interoperability onto a platform not connected to a health
care organization. And obviously, Google is playing in this same space
too. Kaiser gave me a pre-release interview with with Peter Neupert, Corporate VP of Microsoft Health Solutions Group and Anne-Lisa Silvestre, VP of Online Services at KP. Listen to the Podcast.

The Long Baby Boom By Matthew Holt

I had a great chat with health care futurist Jeff Goldsmith
about his new book, the Long Baby Boom. We discussed the policy and
cultural issues of retirement, Medicare, Social Security, immigration,
end-of-life care and meaning… Listen to the podcast.

Caring.com & Trusera — two Health 2.0 newbies talk By Matthew Holt

Two of the more interesting newcomers in the Health 2.0 scene
gathered around the electronic water cooler, which is THCB’s podcast
series, to talk about what they’re up to and why they are worth looking
at. Andy Cohen is CEO of Caring.com and Keith Schorsch
is CEO of Trusera. Some of you may have seen Keith at the March 2008
Health 2.0 Conference. Andy is providing content checklists and much
more for those who have sick or frail parents, which will be most of
us. Keith is providing a sophisticated place for story telling and
information exchange for those facing serious health conditions. Both
have serious ambitions. Interesting stuff — listen to the podcast.

Continue reading…

State regulators challenge the rights to your DNA

It is something of a surprise that it popped up this way, but the establishment
challenge to Health 2.0 was going to start somewhere. And it appears to have started with two big states, New York & California ordering 13 companies to stop Gene Testing.

Karen Nickel, from the California Department of Public Health, argues that these companies are operating without a clinical laboratory license in California. The genetic tests have not been validated for clinical utility and accuracy.”

But as those companies are outsourcing the testing anyway, that argument barely holds water. Here’s what Navigenics CEO Mari Baker said Navigenics uses a doctor to transit orders and review results, and it relies on a state-certified lab testing company to do the gene tests.”

So what this really is about, of course, is who has the right to order a test? Is it you or do you have to go through a doctor? Or put another way, is it your DNA or is it the state’s?

Continue reading…

Kaiser tiptoes into HealthVault & tells THCB about it, with UPDATE

Kaiser Permanente signed on this morning for a pretty extensive pilot with Microsoft,
allowing its 159,000 employees to copy their online health records into HealthVault. This is a big coup for Microsoft and a fairly ambitious move for KP which to this point hasn’t said much publicly about the data transferability it was going to provide for its members. This is a clear signal.Kp

Assuming that the pilot is a success, presumably all Kaiser members using My Health Manager (over 2 million now and heading to 3 million at years end) will soon be able to move their data to HealthVault. We are potentially seeing the first real example of mass scale data interoperability onto a platform not connected to a health care organization. And obviously, Google is playing in this same space too.

Once the data is collected in HealthVault, there are lots of possibilities for what can be done with that data, and what services can be offered.

Back in the days when Justen Deal was causing havoc with HealthConnect, I had a somewhat unorthodox interview with Permanente’s Andy Wiesenthal — in which (without KP’s PR folks knowing) I called him in a taxi on a cell phone late on a Friday night. Perhaps it’s a mark of how far THCB has come (you decide if it’s good or bad) that in regular business hours on Friday, KP’s publicity machine lined me up for a pre-release interview with Peter Neupert, Corporate VP of Microsoft Health Solutions Group and Anne-Lisa Silvestre, VP of Online Services at KP.

Continue reading…

Google Health — A serious test drive

After all the fuss, I thought that I should take Google Health for a real test drive. So I did. Given that it contains a gazillion screenshots, I did it in the form of a slide show and uploaded it to the slideshare.net website. To view it, you’re best off using the full screen mode (which you can get to by opening “view” (the middle of the three links below the slides, and then clicking the “full button” on the bottom right in the slide on slideshare).

I’d of course love your comments about my conclusions.

 

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