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Will Virtual Care Platforms (VCPs) Become Healthcare’s Mega-Platforms?

Seth Joseph
Vince Kuraitis

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
  • pagers
  • wristwatches
  • maps
  • books
  • travel
  • games
  • flashlights
  • home telephones
  • cash registers
  • MP3 players
  • Day timers
  • alarm clocks
  • answering machines
  • The Yellow Pages
  • wallets
  • keys
  • 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
  • Hospitals
    • Inpatient
    • Outpatient
    • ER
  • Specialist access
  • Behavioral health
  • Diagnostics
  • Patient portals
  • Home health services
  • Medication administration\
  • Preventive care
  • mHealth apps
  • EHR functionality/apps, e.g.,
    • Scheduling & check in
    • Billing
    • eRX
    • 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…

THCB Gang Episode 50, Thursday April 15

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!

You can see the video below live and the audio will be on our podcast channel (Apple/Spotify) from Friday — Matthew Holt

THCB Gang Episode 49, Thursday April 1, 1pm PT /4pm ET

The April Fools joining me on THCB Gang today will be policy expert consultant/author Rosemarie Day (@Rosemarie_Day1), futurist Jeff Goldsmith, policy & tech expert Vince Kuraitis (@VinceKuraitis),  and patient safety expert & all around wit Michael Millenson (@MLMillenson). There’s vaccines, a 4th wave, Texas reopening, Florida never having closed, and a whole mess of health policy. It’ll be fun — so come join us

You can see the video below live and the audio will be on our podcast channel (Apple/Spotify) from Friday

THCB Gang Episode 45, Thursday March 4, 1pm PT – 4pm ET

Joining me, Matthew Holt (@boltyboy), on this week’s THCB Gang will be THCB regular writer Kim Bellard (@kimbbellard), medical historian Mike Magee (@drmikemagee),  policy & tech expert Vince Kuraitis (@VinceKuraitis),  patient safety expert and all around wit Michael Millenson (@MLMillenson), and consumer expert and current President of the Medical Board of California, Denise Pines.

Vaccines at warp speed, some “Neanderthal” state governors opening up, but also a pandemic bill passes the house with some health policy implications. Plus lots of fun and games in the world of digital health and startup health plans. We should have something to discuss!

You can see the video below live and the audio will be on our podcast channel (Apple/Spotify) from Friday

THCB Gang Live Episode 38

Episode 38 of “The THCB Gang” was live-streamed on Thursday, Jan 14. You can see it below!

Matthew Holt (@boltyboy) was joined by regulars: medical historian Mike Magee @drmikemagee, policy & tech expert Vince Kuraitis (@VinceKuraitis), Consumer advocate & CTO of Carium Health, Lygeia Ricciardi (@Lygeia), Suntra Modern Recovery CEO JL Neptune (@JeanLucNeptune) WTF Health host Jessica DaMassa (@jessdamassa) &  fierce patient activist Casey Quinlan (@MightyCasey).

We did indeed touch on that mob riot in the Capitol. We discussed the impeachment, the inauguration, and virtual JPMorgan AND virtual CES and talked about reparations and reconciliation–and how that might influence the whole world of telehealth and primary care. This conversation was wide ranging and fascinating!

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

THCB Gang Episode 34 Live Dec 3

Episode 34 of “The THCB Gang” was live-streamed on Thursday, Dec 3, 1pm PT/4pm ET. You can watch it below.

Matthew Holt (@boltyboy) was joined by some of the gang regulars: entrepreneur, MD & CEO of Suntra Modern Recovery, JL Neptune (@jeanlucneptune): Patient advocate & public speaker extraordinaire Robin Farmanfarmaian (@Robinff3), Consumer expert and current President of the Medical Board of California, Denise Pines; policy & tech expert Vince Kuraitis (@VinceKuraitis); and Consumer advocate & CTO of Carium Health Lygeia Ricciardi (@Lygeia)

It looks like the election is settled! The first COVID-19 vaccines is out in the wild in the UK. What does it all mean for the future of health care? There’s some optimism and some pessimism — but there were some gems in the conversation too!

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

THCB “SPOOKY” Gang: Episode 30 10/29

Episode 30 of “The THCB Gang” was live-streamed on Thursday, October 29th! Watch it below!

Matthew Holt (@boltyboy) was joined by some regulars and this episode was a spooky be a COSTUME PARTY! On this episode were data privacy expert Deven McGraw (@healthprivacy), writer Kim Bellard (@kimbbellard), health economist Jane Sarasohn-Kahn (@healthythinker), CTO of Carium Health Lygeia Ricciardi (@Lygeia), MD & hospital system exec Rajesh Aggarwal (@docaggarwal), policy & tech expert Vince Kuraitis (@VinceKuraitis), and me, THCB’s Editor-in-Chief (@zoykskhan). The conversation had a more spooked tone to it as many of us are worried about the safe transition of power, the safety of voters, the misinformation about herd-immunity, the rising COVID-19 cases, and everything happening in the Senate. What will the results of November 3rd bring for this country?

If you’d rather listen to the episode, the audio is preserved as a weekly podcast available on our iTunes & Spotify channels — Zoya Khan, producer

THCB Gang Episode 28 10/15

Episode 28 of “The THCB Gang” was live-streamed on Thursday, October 15th! Watch it below!

Matthew Holt (@boltyboy) was joined by some of our regulars: communications leader Jennifer Benz (@jenbenz), data privacy expert Deven McGraw (@healthprivacy), CEO of addiction recovery service Suntra Modern Recovery, Jean-Luc Neptune MD (@jeanlucneptune), CEO of Day Health Strategies Rosemarie Day (@Rosemarie_Day1), medical historian & health economist Mike Magee MD (@drmikemagee), policy & tech expert Vince Kuraitis (@VinceKuraitis). The conversation focused on the looming election, the new COVID-19 Surge, Amy Coney Barrett’s hearing, and health care costs rising in the US costs.

If you’d rather listen to the episode, the audio is preserved as a weekly podcast available on our iTunes & Spotify channels — Zoya Khan, producer

THCB Gang Episode 25 9/17

Joining Zoya Khan (@zoyak1594) on Episode 25 of “The THCB Gang” were regulars patient advocate Grace Cordovano (@GraceCordovano), writer Kim Bellard (@kimbbellard), policy & tech expert Vince Kuraitis (@VinceKuraitis), data privacy expert Deven McGraw (@healthprivacy), and guest Rosemarie Day, Founder & CEO of Day Health Strategies (@Rosemarie_Day1). Rosemary’s book “Marching Towards Coverage” is out now. The conversation revolved around new health technology policies, Medicaid Expansion programs, the 2020 election, and the steps to get to universal health coverage. Oh, and you can take Rosemary’s quiz about what type of a health activist you are!

If you’d rather listen to the episode, the audio is preserved as a weekly podcast available on our iTunes & Spotify channels — Zoya Khan

THCB Gang Episode 24!

Episode 24 of “The THCB Gang” was live-streamed on Thursday, September 10th! Watch it below!

Joining Matthew Holt (@boltyboy) were some of our regulars: WTF Health Host Jessica DaMassa (@jessdamassa), patient & entrepreneur Robin Farmanfarmaian (@Robinff3), writer Kim Bellard (@kimbbellard), policy & tech expert Vince Kuraitis (@VinceKuraitis), and guest Mike Magee, a medical historian & health economist (@drmikemagee). The conversation was incredibly wide-ranging and one of the best we’ve had in a while–not the least because Mike Magee gave us a great base with how our non -health system somehow did actually act as a cohesive force in society before tech, then COVID19 broke it up!

If you’d rather listen to the episode, the audio is preserved as a weekly podcast available on our iTunes & Spotify channels — Zoya Khan

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