Category: Editorial

Health IT Startup: MedPilot

Image result for medpilot logoMedPilot uses patient demographic data and payment history information from the practice management system to categorize accounts in order to tailor content, frequency and message medium, boosting engagement rates and patient satisfaction.

Elevator pitch

MedPilot transforms patient financial care through technology-enabled services.

Founders’ story

Jacob Myers
Jacob Myers

When Jacob Myers, our CEO, worked as a revenue cycle management consultant he noticed numerous solutions to help providers work with insurance companies, but saw a huge void on the patient side of the equation. MedPilot was founded to help providers more efficiently and effectively work with patients to help them understand and resolve their medical expenses.

Marketing/promotion strategy

MedPilot partners with practice management softwares and revenue cycle companies to help them add value to their provider clients who are interested in better patient solutions.

Market opportunity

Because of changes in the health insurance landscape, patients now account for more than 30 percent of healthcare payments. Providers used to overlook patients and only focus on collecting from insurance companies, however now patients can no longer be ignored.

Who are your competitors?

Most healthcare providers engage revenue cycle companies who specialize in insurance billing to also manage patient balances. The old school manual methods of working with patients is time-intensive and laborious, so these vendors don’t put a lot of effort into helping patients.

How your company differentiates itself from the competition and what differentiates MedPilot?

Typically, revenue cycle teams only utilize costly patient statements and occasional phone calls. Now close your eyes and picture the exact opposite …

MedPilot pulls in patient demographic information and billing data from the practice management system into our platform. Our software then uses data science and behavioral targeting to inform our specialized Patient Services team on the best times and frequencies for phone calls, texts, emails and statements to drive patients to our proprietary online bill pay.

For example, if a patient drops off on our help center, we would pause statements and prioritize their account to receive a call from our smart dialer, saving money, resolving the account quicker and increasing patient satisfaction.

Business model

MedPilot’s business model is a percent of successful transactions on our platform when working with healthcare providers directly. We utilize a licensing fee-model when engaging with RCM and practice management companies.

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Health IT Startup: GlucoMe

Image result for glucome logoGlucoMe enhances the way diabetes patients and medical teams work together by changing the traditional face-to-face diabetes care paradigm with an AI-enabled digital diabetes clinic.

Elevator pitch

The number of diabetes professionals has remained flat over the last decade. Conversely, the population of those with diabetes is growing. GlucoMe makes it possible for diabetes professionals to successfully manage this growing population by treating the right patients, at the right time, at the right cost, no matter their location and provide effective and continuous care to up to 10X more diabetes patients than with the current standard of care. The solution encourages a combination of face-to-face in-clinic and digital (virtual) visits enabling ongoing communication, treatment changes as necessary and immediate intervention as required.

Founder’s story

GlucoMe was established by Dov Moran and Yiftah Ben-Aharon.

Dov Moran
Dov Moran

Dov Moran is one of Israel’s most prominent hi-tech leaders, entrepreneurs and investors. He is known as the inventor of the USB memory drive (sold his company M-systems to SanDisk for $1.6B). In addition, Dov was the Founder and CEO of Modu, which developed a revolutionary modular phone (acquired by Google in 2011.  Modu’s assets are the basis for Google’s modular phone Project Ara).

Yiftah Ben Aharon is a technology executive. He was head of R&D for the machine learning investment fund and led software development at Modu after serving in the IDF’s elite 8200 intelligence unit.

Moran is diabetes T2 patient and faces the challenges of diabetes management daily.  Ben-Aharon has a parent with diabetes. He is a primary caregiver and is deeply involved in the diabetes monitoring loop.  One day they were discussing how it was possible that in the era of smart technologies, diabetes patients were still facing the challenge of clinical data availability. Some of the smart monitors that were available in the market were expensive and practically available to only around 25% of diabetes patients globally. That was the starting point for solving the connectivity issue to ensure the continuum of clinical data for professional analysis and for all patients.

Yiftah Ben Aharon
Yiftah Ben-Aharon

Moran and Ben Aharon started with developing smart monitors for their own use. They shared their invention with others. The feedback was so encouraging and enthusiastic that they started a company.  GlucoMe began with providing clinical data, thereafter analysis functions and later  developed its AI platform. Today GlucoMe is an end-to-end solution that includes diabetes monitors, a mobile app and a digital diabetes clinic with software for healthcare professionals.

Marketing/Promotion strategy

GlucoMe provides healthcare providers and insurance companies with new digital capabilities to easily review and assess massive quantities of data – real-time information, trends, analysis, treatment recommendations – and treat for up to 10 times more patients than they could with only face-to-face office visits.

Market opportunity

In 2017, diabetes expenditure came to some $727 billion, and is expected to increase to around $776 billion during the coming two decades. In 2017, an estimated 8.8 percent of the adult population worldwide had diabetes. However, the number of healthcare providers worldwide has either not increased at all in certain areas or not increased nearly enough to provide adequate attention to the growing number of patients who have diabetes. Until now, it’s been an uphill battle. GlucoMe’s technological advances have made it possible to make this ratio work.

Who are your competitors?

GlucoMe has several competitors on different aspects of the solution whether is it software or hardware. Companies like Glooko, Livongo, One Drop and alike can be considered GlucoMe’s competitors. All are US companies, which are for the most part not currently active outside of the US.

How your company differentiates itself from the competition and what differentiates GlucoMe?

Some of the competitors are mostly the device companies and some are coming from the software direction. There are several parameters that can differentiate GlucoMe from competition: affordability of the GlucoMe’s monitors, their universality, simplicity of operation and connectivity (GlucoMe’s BGM is the only one to transfer data to both iOS and Android through its microphone. It does this using audio connectivity), in addition to several software features where GlucoMe is leading the way.

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7 Ways to Enhance Patient Experience at Your Practice

By Gary Anderson, a Los Angeles-based freelance writer.

When you “Google” your practice’s name, are you satisfied with the reviews that pop up? If not, chances are that your main issue has nothing to do with the patient care you give and everything to do with the patient service you provide.

You know the saying, “The customer is always right?” Patients especially feel that way. So, if you fail to give them the top-level treatment they seek when they’re feeling the most vulnerable, your reputation will suffer. And let’s face it: In the healthcare industry, your reputation is everything.

Here’s a list of seven great ways to enhance patient experience at your practice.

Focus More on Purpose

Make sure that your staff thinks more about why they are there, not just what they are doing. This is where proper training and management come into play. If each employee understands his or her unique purpose at your practice and sees it as important, this will have a positive impact on the patient service you provide.

See Your Practice through the Patient’s Lens

Take the necessary steps to experience what your patient does at your practice. For instance, park exactly where the patient does. Is it easy to reach your building’s front door, even for someone on crutches? And when you enter the reception area, do you automatically receive a warm greeting or a cold shoulder? Patients have already made up their minds about your practice before they even get to the exam rooms. So, be sure that what patients experience in the front of the office is just as favorable as what they’ll experience in the back.

Teach Employees How to Address Patient Complaints

Every one of your employees should know how to handle patients’ concerns or complaints effectively. For instance, your employee shouldn’t be quick to tell a patient “I don’t know how to help you.” Instead, he or she should eagerly say “I will find you somebody who can help you ASAP.” Then, the employee should follow through on what he or she has promised. This will make a huge difference in how the patient perceives your practice.

Get Comfortable with Saying “Sorry”

“Sorry” can be one of the hardest words to say. Nonetheless, it is a word that every employee in your office should learn. Your employees need to become comfortable with apologizing for any service lapses that a patient points out, rather than being apathetic or defensive. Using training devices such as role-playing can help to make “sorry” a more natural part of your patient’s language when appropriate.

Focus on Being Blame Free

Realize that if an issue crops up in your practice, your employee is not necessarily always to blame. Sure, if it occurs once, the employee might be at fault. But if the mistake happens twice, your system might be at fault. So, investigate the system, and fix any glitches you see. Your employee will be happier, and this translates to happier patients and ultimately a happier you.

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Health IT Startup: Vyasa Analytics

VYASAVyasa Analytics provides a highly scalable deep learning platform for organizational data, enabling conceptual querying and collaborative analytics to help inform key decisions derived from your most valuable information assets.

Elevator pitch:

Vyasa Analytics provides deep learning software and analytics for life sciences and healthcare organizations

Founder’s story:

Christopher Bouton, Ph.D.
Christopher Bouton, Ph.D.

Dr. Christopher Bouton earned his Ph.D. in molecular neurobiology from Johns Hopkins University and sold his first big data software company, Entagen, to Thompson Reuters in 2013. Living in India for four years as a boy, he developed a great respect for Vyasa – an important Hindu figure, storyteller and compiler of information – and believes that AI approaches will help us better compile and gain insights from our data systems. In 2016, he founded Vyasa Analytics to apply AI in life sciences and healthcare.

Marketing/promotion strategy:

Vyasa engages with life sciences and healthcare organizations to educate the industry about deep learning technologies, including speaking alongside executives at conferences and events. Dr. Bouton is also a frequent contributor and commentator to industry publications.

Market opportunity:

In 2016, the pharmaceutical industry spent some $157 billion on research and development. This figure is set to increase to more than $180 billion by 2022. The healthcare analytics market was $8.69 billion by 2016 and is estimated to reach $33.38 billion by 2022.

Vyasa is positioned to capture hundreds of millions of dollars in these markets by allowing organizations to conduct analytics on data relevant to their research. Other analytics companies in the space experiencing rapid growth include Lattice.io (acquired by Apple for $200 million), BenevolentAI (valued at $1.7 billion) and Exscientia (recent deals with GSK for $43 million and Sanofi for $273 million).

Who are your competitors?

While there are many deep learning companies, Vyasa is the only one applying deep learning to life sciences and healthcare specifically.

How your company differentiates itself from the competition?

Focusing in the life sciences and healthcare verticals is a key differentiator for Vyasa. In partnership with life sciences and healthcare organizations, we build software to help design better therapeutics, free up researchers for higher-level thinking and solve problems that matter for humanity.

Business model:
Vyasa has a B2B business model. Every project is a blend of software licensing and services, provided to the life sciences or healthcare organization to advance their research goals. We are projecting upwards of $3 million in revenue in 2018.

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Health IT Startup: Vaica

VaicaVaica is helping to solve the hundreds of billion dollar, global medication nonadherence problem with digital, medication management and adherence solutions.

Elevator pitch

Vaica helps get people to take their medications as prescribed — pills, liquids, inhalations, injections, etc — with precise patient support that optimizes medication adherence.

Founders’ story

Tomer Gofer
Tomer Gofer

All of Vaica’s founders, including Tomer Gofer, its current CEO, started off in a different company that developed smart cabinets for medication dispensing in hospitals and addressed the medication adherence problem, as well as medication errors in the hospital environment. After a few years they realized that the true and more complex problem is actually at home, when the patient is suddenly left alone and is expected to cope with multiple medications, confusing prescriptions and absolutely no support. From that point they decided to address the bigger problem and find a solution that focuses on making it possible for even the most complex patient to take their medications as prescribed and lead independent lives at home.

Marketing/promotion strategy

Vaica’s distinctive solution includes a software/hardware combination that ensures accessibility to both patient and caregiver, the possibility to customize a product to the requirements of any therapeutic area as well as a particular patient’s needs and real-time notifications sent to select caregivers if a dose is missed in order to empower a relevant, proactive intervention. Vaica’s solutions have been tested at 15-world class medical centers, reporting a 92 percent to 98 percent success rate. Vaica’s solutions are commercially available worldwide.

Market opportunity

Vaica market opportunity focuses on three main segments: pharmaceutical companies, specialty pharmacies and Payers.

Pharma revenue loss in the US from medication non adherence is estimated at ~ $637 billion. Specialty drugs are expected to account for 50 percent of all medication spending by 2020, even though specialty drugs make up less than five percent of total script volume.

Specialty pharmacies are a rapidly growing segment. Medication adherence and patient education is right at the core of the specialty pharmacy operation. This new care standard drives specialty pharmacies to provide services beyond the ones that are typically provided at the retail level. In 2014, it was estimated that retail, mail, and specialty pharmacies dispensed about $78 billion in specialty pharmaceuticals in the US.

Different payers such as health plans and self-insured employers, are a main focus for medication adherence technologies due to their will to prevent complications that result from medication non-adherence and come with great cost.

Who are your competitors?

We have competitors, such as different adherence apps or dispensing devices that are available in the market. We compete over similar segments, but none offer a complete end to end solution that includes software, physical devices and customization.

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Dividing E-Health, Telehealth and Telemedicine

By James Smith, blogger and researcher of latest technological trends in the fields of health and lifestyle. He has his work published on various authoritative blogs and is currently working on a telemedicine project at Mend Family. For all the updates follow him on Twitter @JamesSmith1609.

E-Heath, telehealth, telemedicine are different approaches towards accessible healthcare in remote areas or over a long distance. Technology has come a long way, opening new gateways for communication and transmission of information. To a certain extent, it has helped healthcare become more accessible, especially in remote areas.

Because of a lack of infrastructure, facilities, equipment and other factors, it is not always possible to offer quality healthcare in specific remote regions. Opening a healthcare facility requires time and resources, which would be challenging to amass in the remote areas due to lack of infrastructural development, lack of talent, lack of investors and so forth. However, due to efforts to make healthcare accessible to all, which is also a major Sustainable Development Program (SDG) objective, technology is used.

Healthcare service delivery has improved over the last few decades by adapting to new technologies. Terminologies such as e-health, telemedicine, and telehealth are all formulations of healthcare delivery, combined with communications technology. The initiatives taken towards developing the health service delivery is phenomenal. However, it is essential to establish an understanding of the differences in e-health, telehealth, and telemedicine. Most people would confuse them to be the same; however, they are quite different.

Telemedicine

In simpler terms, telemedicine refers to the use of electronic communications channel/mediums, as well as information technology to deliver clinical services to remote patients. While telemedicine is a part of telehealth, it is more concentrated towards the use of technology for clinical service delivery. The service delivery is the same as medical practice. However, the critical difference is that it is used towards reaching out to patients in remote destinations via electronic platforms. This usually works when a patient and medical practitioner interact using video/voice conferencing to offer professional advice on medication and clinical services.

Many medical practitioners are now incorporating telemedicine into their practice. This means patients can now contact them using their smartphone or laptop from the comfort of their homes.

Telehealth

Telehealth is a broader spectrum of delivering quality health care via online mediums. The primary aim of telehealth is to provide healthcare services in remote areas with lack of healthcare services. Telehealth operates on the same principals of traditional healthcare practice with the use of technology. Because of the practitioners’ inability to be physically present in the area, they rely on telecommunications, internet and other communication platforms to interact with the patient and offer professional guidance.

According to the Health Resources and Services Administration (HRSA), United States, telehealth is used to promote and support long-distance clinical health care. The use of telehealth helps with delivering professionalized clinical healthcare remotely. Furthermore, it also helps with developing and improving health-related education, health administration, and improving general public health.

Telemedicine can be delivered using various technologies, including the internet, still imaging, video conferencing, streaming media, wireless communications, etc. This means that it can be used in more than one way. For example, a patient can acquire professional consulting and diagnosis remotely.

Similarly, it can be used for educational purposes, for delivering quality healthcare education on recent discoveries, prognosis, diagnosis, and other evaluations. Telehealth is the primary method of providing quality clinical health care in underdeveloped regions. It is widely present in the African region and helps in offering quality clinical care to long-distance patients. In most cases, the practitioner would conduct examination using imaging devices, live video conferences, and by obtaining patient’s medical history. Moreover, doctors use telehealth to seek second-opinion or expert advice on complex medical cases.

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The ABC of Physician Engagement and Why Point-of-Care Support Is Needed for Physicians

Guest post by Abhinav Shashank, CEO, Innovaccer.

Abhinav Shashank
Abhinav Shashank

In January 2015, the Department of Health and Human Services set a goal to tie 50 percent of the Medicare payments to value or quality by 2018. This transition has put physicians on the frontlines of healthcare, as they play a major role in the value-based roadmap of an organization.

However, on the downside, this shift is causing substantial physician burnout — PCPs are spending more than 50 percent of their workday in the EHR doing documentation, order entry, billing, and coding, instead of spending time with their patients. There is a need to reduce physician’s IT usage by giving them easy and quick access to actionable information such as care-, and coding- gaps, thereby allowing physicians to focus on things that matter most – delivery and improvement of care.

Regardless of how many patients physicians see per day, they have to put in an equal, if not more number of hours in front of the EHRs for logging in every single detail. Physicians are likely very interested in quality care and making the care processes efficient; it is important to understand the implications that would be created on their reimbursements with a solution that mitigates IT usage burnout. Physicians should automatically be updated instead of having to inquire about information they need at any given moment as it might be disengaging. It is possible to engage physicians so that they can take forward the quality improvement efforts.

Alternative Physician engagement methodologies and their adoption

Making improvements to the healthcare system are the top of the agenda but how does the current scenario of physician engagement compare to this? Addressing the problem of physician burnout, several methods for engaging physicians have surfaced over the past few years:

  Adaptability Cost Outcome
Print / Fax PVP High Low Medium
Push data back in EMR High High High
Mobile App Medium in young physicians
Low in older physicians
Medium Medium
Another Web Portal Very Low Medium Low

All of these methods are sub-optimal – either they are labor-intensive, or costly to implement, or require physicians to leave the EHR and go to another portal, thus decreasing the physician adoption rates. It is critical to engage physicians in a timely and effective manner to bring information transparency across the network and allow for prompt identification of low-quality care outcomes and unnecessarily high-cost events.

The solution: Engaging physicians with point of support for smarter and holistic care

Addressing above limitations, there is a dire need for a smart point-of-care support for physicians that is automated, easy to implement, and user-friendly. A support system that operates right besides EHR, pinpoints and surfaces only relevant insights, including care gaps and risk factors, which will help physicians right at the point of care without being overloaded with too much information.

Providing precise insights

Physicians require a solution that pops up just the precise insights like care gaps and risk factors to assist them in working with the patient within the EHR at the point of care. Moreover, creating a holistic picture of patients remains highly essential for physicians, however, it is still a challenge because of siloed data storage platforms in healthcare. This lack of a 360-degree view for every patient is a major barrier to collaborative and coordinated care efforts. These challenges can be addressed by integrating various patient-specific datasets, including clinical and claims and surfacing key insights on the physician’s screen in nearly real-time.

Personalizing patient interactions

Almost 80 percent of healthcare data is unstructured, and thus, to create impact at scale, physicians need pioneering analytic capabilities. For example, if a patient has visited the ED three times in the past two months, he needs to be tagged as a ‘frequent ED visitor.’ Giving physicians access to this information will guide them to revisit and optimize their care-programs for this patient such that the patient’s ED visits go down, which would further translate into decreased overall spend for the network.

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Theranos, CEO Holmes, and Former President Balwani Charged with Massive Fraud

Elizabeth Holmes
Elizabeth Holmes

The Securities and Exchange Commission today charged Silicon Valley-based private company Theranos Inc., its founder and CEO Elizabeth Holmes, and its former president Ramesh “Sunny” Balwani with raising more than $700 million from investors through an elaborate, years-long fraud in which they exaggerated or made false statements about the company’s technology, business and financial performance. Theranos and Holmes have agreed to resolve the charges against them. Importantly, in addition to a penalty, Holmes has agreed to give up majority voting control over the company, as well as to a reduction of her equity which, combined with shares she previously returned, materially reduces her equity stake.

The complaints allege that Theranos, Holmes, and Balwani made numerous false and misleading statements in investor presentations, product demonstrations, and media articles by which they deceived investors into believing that its key product – a portable blood analyzer – could conduct comprehensive blood tests from finger drops of blood, revolutionizing the blood testing industry. In truth, according to the SEC’s complaint, Theranos’ proprietary analyzer could complete only a small number of tests, and the company conducted the vast majority of patient tests on modified and industry-standard commercial analyzers manufactured by others.

The complaints further charge that Theranos, Holmes and Balwani claimed that Theranos’ products were deployed by the U.S. Department of Defense on the battlefield in Afghanistan and on medevac helicopters and that the company would generate more than $100 million in revenue in 2014. In truth, Theranos’ technology was never deployed by the U.S. Department of Defense and generated a little more than $100,000 in revenue from operations in 2014.

“Investors are entitled to nothing less than complete truth and candor from companies and their executives,” said Steven Peikin, co-director of the SEC’s Enforcement Division. “The charges against Theranos, Holmes and Balwani make clear that there is no exemption from the anti-fraud provisions of the federal securities laws simply because a company is non-public, development-stage or the subject of exuberant media attention.”

“As a result of Holmes’ alleged fraudulent conduct, she is being stripped of control of the company she founded, is returning millions of shares to Theranos, and is barred from serving as an officer or director of a public company for 10 years,” said Stephanie Avakian, co-director of the SEC’s Enforcement Division. “This package of remedies exemplifies our efforts to impose tailored and meaningful sanctions that directly address the unlawful behavior charged and best remedies the harm done to shareholders.”

“The Theranos story is an important lesson for Silicon Valley,” said Jina Choi, director of the SEC’s San Francisco Regional Office. “Innovators who seek to revolutionize and disrupt an industry must tell investors the truth about what their technology can do today, not just what they hope it might do someday.”

Theranos and Holmes have agreed to settle the fraud charges levied against them. Holmes agreed to pay a $500,000 penalty, be barred from serving as an officer or director of a public company for 10 years, return the remaining 18.9 million shares that she obtained during the fraud, and relinquish her voting control of Theranos by converting her super-majority Theranos Class B Common shares to Class A Common shares.  Due to the company’s liquidation preference, if Theranos is acquired or is otherwise liquidated, Holmes would not profit from her ownership until – assuming redemption of certain warrants – over $750 million is returned to defrauded investors and other preferred shareholders. The settlements with Theranos and Holmes are subject to court approval. Theranos and Holmes neither admitted nor denied the allegations in the SEC’s complaint.  The SEC will litigate its claims against Balwani in federal district court in the Northern District of California.

The SEC’s investigation was conducted by Jessica Chan, Rahul Kolhatkar and Michael Foley and supervised by Monique Winkler and Erin Schneider in the San Francisco Regional Office. The SEC’s litigation will be led by Jason Habermeyer and Marc Katz of the San Francisco office.