Joining Matthew Holt (@boltyboy) on #THCBGang on April 21 for an hour of topical and sometime combative conversation on what’s happening in health care are: patient safety expert and all around wit Michael Millenson (@MLMillenson); digital health guru Fard Johnmar (@fardj); delivery & platform expert Vince Kuraitis (@VinceKuraitis); and a special guest – Alexandra Drane (@adrane) the queen of caregivers everywhere.
Joining Matthew Holt (@boltyboy) on #THCBGang at 1pm PT 4pm ET Thursday for an hour of topical and sometime combative conversation on what’s happening in health care and beyond will be: double trouble futurists Ian Morrison (@seccurve) & Jeff Goldsmith; consultant focusing on platform business models and strategy Vince Kuraitis (@VinceKuraitis), & back after a long while analyst and Principal of Worksite Health Advisors Brian Klepper (@bklepper1).
Today there will be more discussion than usual about platforms and whether health care is ready for them!
Joining Matthew Holt (@boltyboy) on #THCBGang for an hour of conversation on the happenings in health care and beyond were writer Kim Bellard (@kimbbellard), delivery & tech expert Vince Kuraitis (@VinceKuraitis); and policy consultant/author Rosemarie Day (@Rosemarie_Day1).
Rosemarie very recently had some personal experiences with end of life care. We talked a lot about hospice and palliative care (and dementia) and, as Rosemarie says, about how little people seem to know about these incredibly important topics.
This is the last THCB Gang of what has been a long, grueling, but enthralling year. And every week (well almost every week) we have had a group from across the health care luminescence to discuss it.
Joining Matthew Holt (@boltyboy) on #THCBGang at 1pm PT 4pm ET Thursday for an hour of topical and sometime combative conversation on what’s happening in health care and beyond will be THCB regular writer Kim Bellard (@kimbbellard); delivery & tech expert Vince Kuraitis (@VinceKuraitis); privacy expert and entrepreneur Deven McGraw (@HealthPrivacy); WTF Health host & Health IT girl Jessica DaMassa (@jessdamassa); and three occasional gang members making very welcome appearances–venture investor & soccer mogul Marcus Whitney (@marcuswhitney); surgeon & startup guy Raj Aggarwal (@docaggarwal); and health economist Jane Sarasohn-Kahn (@healthythinker).
And towards the end of the show we should have our now traditional (or 2nd time) visit from as many other gang members who can make it!
Following last week’s sojourn in Europe where I couldn’t quite pull an impromptu European-based THCB Gang together, we are back on home turf. Join me at 1pm PT – 4pm ET Thursday 18th November when I’ll host delivery & tech expert Vince Kuraitis (@VinceKuraitis), the double trouble of vaunted futurists Ian Morrison (@seccurve) & Jeff Goldsmith, and Consumer advocate & CEO of AdaRose, Lygeia Ricciardi (@Lygeia).
Joining Matthew Holt (@boltyboy)on THCBGang were policy consultant/author Rosemarie Day (@Rosemarie_Day1) ; delivery & tech expert Vince Kuraitis (@VinceKuraitis); and Queen of all employer benefits related issues Jennifer Benz (@Jenbenz)
We dive into the latest machinations in Congress, talked a lit about the practicalities and impacts of vaccination mandates, and had a long discussion about the tech platforms being built out of incumbent health systems.
By VINCE KURAITIS, EDWARD G. ANDERSON, and GEOFFREY PARKER
The COVID-19 pandemic has accelerated calls for the development of EHR 2.0 (electronic health record 2.0) – the next generation of EHRs with extended platform features and capabilities.
Who will answer this call? While existing EHR vendors have made modest efforts, the door is open for big tech companies and start-ups to develop functionality to envelop and disintermediate current EHRs. We highlight early efforts by Google Health Care Studio, an initiative that has been underway for several years but was only formally named in February 2021. We view Care Studio as having the potential to bring platform functionality to a sector of the healthcare industry known for resistance to change and innovation.
We coin a new term – “EHR Envelopment” to describe novel EHR platform capabilities under development by third parties. By “envelopment,” we mean the entry by one platform provider into another provider’s market by adding functionality and exploiting overlapping user bases. New EHR capabilities threaten to dislodge existing EHRs, e.g. through 1) new user interfaces (UIs) that sit above the current EHR, and/or 2) a focus on new value created by integrating, analyzing, and presenting disparate sources of data.
Through the lens of platform strategy, we focus on the impact that EHR Envelopment initiatives could have on the market for electronic health records for large integrated delivery systems. This market has been dominated by a few vendors for decades, but EHR Envelopment projects have the potential to disrupt EHR market dynamics.
The remaining sections of this essay will address:
- The Current EHR Market for Health Systems: Ossified
- Google’s “Care Studio” — What is It?
- Disrupting and Platformizing the EHR Market
- Challenges for Google Health
Episode 55 of “The THCB Gang” was live-streamed on Thursday, May 20 at 1pm PT — 4PM ET.
By VINCE KURAITIS and SETH JOSEPH
Let’s start with a pop quiz. Take 15 seconds to look at the list below, asking yourself the question “What do all these have in common?”
- address books
- video cameras
- home telephones
- cash registers
- MP3 players
- Day timers
- alarm clocks
- answering machines
- The Yellow Pages
- transistor radios
- personal digital assistants
- dashboard navigation systems
- newspapers and magazines
- directory assistance
- travel and insurance agents
- restaurant guides
- pocket calculators
The commonality is that all of these were disrupted by smartphones and their operating system (OS) platforms — Google Android and Apple iOS.
Let’s consider a healthcare comparison. Ask yourself, “What do all these have in common?”
- Primary care
- Urgent care
- Office visits
- Specialist access
- Behavioral health
- Patient portals
- Home health services
- Medication administration\
- Preventive care
- mHealth apps
- EHR functionality/apps, e.g.,
- Scheduling & check in
- Medication management
- Referral management
- Care planning
- Care coordination
- Social care
- Patient education
- Patient communications
The commonality is that all of these are potentially disruptable by Virtual Care Platforms (VCPs).
In this essay we ask the question “Will virtual care platforms become healthcare’s mega-platforms?” We believe the potential for such a scenario is strong. We describe and assess parallels between the evolution of the duopoly smartphone operating system (OS) market and the emerging virtual care platform market. Our intent is to describe a plausible scenario for the future – not to make a prediction.Continue reading…
Well the half-century is up for #THCBGang and it’s been a lot of fun bantering with some of the cognoscenti of health tech, business & policy over most of the last year.
For #50 we had a special guest. Robert Pearl, (@RobertPearlMD) former CEO of The Permanente Medical Group, noted commentator, and author. He joined me, along with regular gang members policy expert consultant/author Rosemarie Day (@Rosemarie_Day1), policy & tech expert Vince Kuraitis (@VinceKuraitis), and Suntra Modern Recovery CEO JL Neptune (@JeanLucNeptune).
There was a little discussion of Robert’s new book Uncaring (although there’ll be more about that on THCB later) and a lot of discussion about his experience at Kaiser Permanente, what went right, what went wrong and why it never traveled nationwide–and what that all means for a new generation of medical groups. And we didn’t forget the vaccine rollout, and even whether it was safe to be on a plane!