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TECH/PHYSICIANS: Sermo starting to kick-butt and take names

Sermo, the physician community site, seems to really be on a roll. I can now tell you what CEO Daniel Palestrand told me a few weeks back.

1) They’ve got 10,000 physicians registered–and there’s a lot of use on the site. Consider that there are only 600K active physicians in the US, and the average physician survey done by market research tends to have fewer than 100 doctors in it.

2) They’re taking aim squarely at Gerson Lehman and the other physician introduction “dating-agencies” which service Wall Street.  Essentially they’re allowing their customers to get a view about what physicians are seeing and discussing, and the physicians seem to like it—and don’t seem to want much if any money for their time.

Part of the reason the physician users like it, is that the UI and web tools they’ve put together are really neat. I would love it if Six Apart could knock those off and then my blog users could see things like where they’d commented, who’d commented on their comments. what the most active posts are, etc, etc. Perhaps Sermo should go into the blog hosting business?

Just kidding—I think they have bigger fish to fry.

What really surprises me is that although there are patient social networking sites popping up daily, I see no one else seriously going after physicians. Given how valuable physicians are, and the huge amounts dropped on researching into what they think by pharma, investors, health plans, et al, I cannot imagine why there aren’t more competitors.

TECH: Things hotting up as Revolution’s official launch coming up

The prospect of Revolution Health’s official launch (it’s actually up already but is relaunching this Thursday) has generated favorable press in the NY Times for Steve Case and crew. Milt Freudenheim’s done his homework, mostly. He essentially says that the pack of contenders includes Revolution, WebMD, Google (although nothing official announced from them yet–stay tuned), Yahoo, About.com (a sop I think to the NYTimes corporate sister) and the big health plans. He talks a bit about the limited use thus far of PHRs (no surprise there other than not mentioning why they might grow). The only surprising thing is that there’s another potential competitor of Google, Revolution et al that has plenty of money, a decent track record in software, a significant online network, and has just bought a health care search engine—But Milt never mentions the boys (and girls) from Redmond. Methinks that there’ll be some shouting from them before the large lady chants.

My only complaint is that Revolution’s board is made up of a bunch of rich people who haven’t exactly covered themselves in glory in their recent business (or political) ventures including it must be said Steve Case himself—(other than the brilliant move of selling AOL at a hugely inflated price to the buffoons at Time Warner). But it doesn’t mention their management team which is pretty steeped in health care and technology and pretty smart. If I was interested in gauging Revolution’s success I’d think that they’re more important than what, say, Carly Fiorina thinks. But she’s got $21m more than most of us…

POLICY: My last word at TPM–competition within social insurance

So the book club at TPM is drawing to a close. Here’s my first piece trying to explain that social insurance whether voucher/competition-based or fee-schedule-based is pretty similar compared to what we have now. In fact it’s a Distinction without a Difference. But that just seemed to confuse everyone, so I tried again with a larger explanation with a longer title called Social insurance is the key–but it can handle competition, just not the type you’re used to!

THCB Sponsorship announcement

I’m pleased to announce that THCB has lined up a number of long term sponsorship deals this week. We’ve signed CDW-Healthcare up as a silver sponsor, in a deal which sees them sponsor the site for the next year. If you want to support the site take a few minutes to go browse their extensive collection of IT products for your healthcare business. We’ve also reached a similar agreement with Orion Health, which brings them on board as our gold sponsor. If you’re not familiar with them, Orion makes some very cool  clinical workflow and integration products, including the Rhapsody integration engine, the Concerto Medical Applications suite and the Soprano Clinical Workflow suite.  They’re based in New Zealand with offices in Los Angeles and the UK. They’ll also be sponsoring our up and coming technology section, which will be going live later this month. If you’re in the healthcare field and you’d like to reach a monthly audience of 35,000+ smart, tech-focused visitors on the cutting edge of the business, you may want to consider becoming a corporate sponsor. Contact john for details.

POLICY: HSAs–The master speaks

Uwe skewers the HSA as a regressive tax shelter that impacts only the poor over at Health Affairs Blog. This time the cracks are at Bloomberg readers rather than certain crank health policy shops in Dallas, TX but it’s still a beautiful read.

PODCAST/PHYSICIANS/QUALITY: Interview with David Seligman, CEO of Best Doctors

Here’s the transcript of the interview earlier this week with David Seligman, CEO of Best Doctors. Pretty interesting especially for those of you thinking about how to improve health care quality on a national and perhaps nationally branded level. (By the way, the transcriptionists at Castingwords are getting really quick! They only got this 36 hours ago). For those of you who prefer listening to reading the audio is here.

Matthew Holt:  This is Matthew Holt. I’m here with The Health Care Blog, and I’m talking with David Seligman. David is the CEO of Best Doctors, based in Boston, Massachusetts, and is also a locational contributor to the Boston Globe, as I noticed the other day‑‑and I’ve just found out, a regular reader of The Health Care Blog, which always is a pleasing thing.

David Seligman:  [laughs]

Matthew:  David, good morning. How are you?

David:  Good morning, absolutely, Matthew. I enjoyed being with you down at the World Health Care Congress, and I understand you’re going to be there again this year.

Matthew:  I’ll be looking forward to it. Anybody that’s listening can come by. I’ll be doing some blogging from there all three days.

David:  Excellent.

Matthew:  Let’s start with the real basics. I know that Best Doctors is a referral service and a second opinion service, and it’s obviously a lot more than that, but that’s, I believe, what it is at its core. For those readers of The Health Care Blog who are a bit more casual, can you just give the basic introduction to what you do, what problem you’re solving, and how you solve it?

David:  Yes, absolutely. Best Doctors is a global organization located with a presence in 30 countries around the world. It was originated by physicians from Harvard Medical School in the late 80s. What these physicians were seeing were many patients coming from around the US, and from other countries, to the Boston area, in search of the best information or the best medical care. They realized, back in the late 80s, that nine out of 10 of these patients could’ve, should’ve, stayed home with their local providers. Again, what they were looking for was what they thought would be access to better a quality of care and treatment. What we pioneered was a database of 50,000 of the world’s leading physicians in over 420 sub‑specialties of medicine. We tap into these physicians to really help us provide a comprehensive clinical review of serious or complex medical cases, and we really identify a correct diagnosis or course of treatment over 60 percent of the times in the cases that we’re doing, particularly here in the US. Once again, Best Doctors, we’re a global resource‑‑a trusted resource‑‑to help people with serious illnesses access the best medical care, without having to leave their local physician or local environment.

Continue reading…

POLICY: And while it’s Jon Cohn week….Health Care Like The Europeans Do It

Here’s his New Republic piece called Health Care Like The Europeans Do It republished on CBS news. Personally I think that he gives the American system too easy a ride, even though Ezra beats up the Cato boys on this too. When I looked at this issue of performance on particular disease categories a while back I found this quote.

Contrary to popular belief, the health care here isn’t always the best. Many other industrialized countries provide health care that is just as good and sometimes better. For instance, 30-day acute myocardial infarction case-fatality rates are below 7% in Denmark, Iceland, and Switzerland, compared with almost 15% in the United States. Incidence of major amputations among diabetic patients in Finland, Australia, and Canada is less than 10 per 10,000 compared with 56 per 10,000 in the United States. And Australia, Canada, England, and New Zealand all have a better 5-year kidney transplantation survival rate than the United States.

You’ll never hear that in a Cato/Manhattan/PRI/AEI press release—and it defies belief that they want to go down that path.

But the overall point is that health and medical services are only distantly related, and talking about outcomes in the context of different health systems is stupid. But there are two outcomes that it is not stupid to talk about, and those are the two on which America leads the world. High costs across the system, and poor (and middle income) people losing all their wealth due to medical care costs.

After spending his whole piece beating back the silliness about individual disease outcomes, Jon does get to the real point:

Not even conservatives dispute the one clear advantage other countries have over us: You don’t see their citizens choosing between prescriptions and groceries, or declaring bankruptcy, because of medical bills.

And that is the point. Universal health care insurance is not about health, it’s about wealth. As in not losing it when your sick because you didn’t have good health insurance. Because as I’ve said before on THCB good insurance is mostly a function of good employment, which is mostly a function of good education, which is mostly a function of how you choose your parents.

As John Edwards put it when he announced his health care plan, "It doesn’t have to be that way."

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