NHS investing £40 million to cut health service login times, £4.5 million on digital assists for independent living. Announced by secretary Matt Hancock, the objective is to move to reduce the time to log in over the 15 systems NHS clinicians and staff may have to use with a patient. The test of a single sign-on system at Alder Hey hospital in Liverpool reduced it from 105 seconds to 10. The Department of Health and Social Care is also providing £4.5m to local authorities to fund digital programs aimed at aiding independent living for recipients of adult social care. Guardian
Germany’s health data network security is ‘swiss cheesy’. Germany’s physicians are in the process of being networked into the national health system through an electronic doctor’s card and practice ID card which identify and sign them in. Similarly, patients will have their own chipped ID card. A special research project by NDR, Der Spiegel, and IT security experts belonging to the Chaos Computer Club (CCC), found that they could send all three to a cheese monger’s shop in Lüneburg. Looks like their security has a few ‘holes’ in it. Tagesschau.de
Livongo’s diabetes/chronic condition management platform and health kiosk Higi are partnering in 500 retail pharmacies in Michigan for a Livongo-branded health screening and tracking program, using Higi’s measurement, tracking, and Livongo’s wellness programs. Mobihealthnews
CareCloud acquired by MTBC for $17 million cash and about $41 million in total consideration such as warrants and perpetual preferred stock. Both companies are in similar businesses related to medical practice management, EHR integration, and patient communications. It reflects the deep falloff of value in the absurdly overcrowded field of EHR and practice management businesses since Meaningful Use wound up: Allscripts’ acquisition of Practice Fusion for $100 million in January 2018 [TTA 14 Aug 19] and reduced prospects for other HIT players such as Athenahealth, Watson Health and Waystar [TTA 25 Apr 19]. Total investment in CareCloud was north of $150 million in ten funding rounds (Crunchbase) which makes the price a knockdown for the investors like Norwest, Intel Capital, First Data and PNC. Seeking Alpha, MTBC release, commentary on HISTalk.
[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2017/12/Kiosk1.jpg” thumb_width=”200″ /][Photo: NYP] The $40 million+ failure of HealthSpot Station
last year [TTA 14 June 16
] might have signaled the demise of the health kiosk (telemedicine + multiple vital measurement devices) concept. Basic stations with consumer engagement/mobile tie-ins such as Higi
have been gaining traction at retail locations [TTA 30 Mar
] such as RiteAid
(which bought the assets and IP of HealthSpot) and Publix
supermarkets. CVS MinuteClinics
in northeast Ohio and Florida have allied over the past two years with Cleveland Clinic
and American Well
to integrate records and telemedicine. But the kiosk model is gaining a second life with these recent iterations.
- NewYork-Presbyterian, Walgreens (Duane Reade) and American Well: Kiosks located in private rooms at select Duane Reade drugstores (left above) connect to NYP OnDemand using American Well telemedicine and Weill Cornell Medicine emergency medicine physicians. In addition to the live consult, the patient can send select vital signs information to the doctor using a forehead thermometer, a blood pressure cuff, a pulse oximeter, and a dermascope for a high-resolution view of skin conditions. Pediatric emergency physicians are available through NYP OnDemand weekdays between 6 – 9pm. Prescriptions are e-prescribed to the patient’s preferred pharmacy. The first kiosk opened this week at 40 Wall Street with additional locations to open in 2018. NYP OnDemand telemedicine consults are also available to NY area residents through the Walgreens website. American Well release, Healthcare IT News, MedCityNews
- H4D (Health for Development): French doctor Franck Baudino wanted to reach those who live in what the French term ‘health deserts’ in their rural areas. Over the past nine years, he developed a booth-type kiosk connecting to a live doctor and with vitals instrumentation. The Consult Station is fully equipped with a wide range of vitals instrumentation, including vision, audio, eye, and blood glucose, functioning almost as a remote doctor’s office. In France, to gain access, all users need do is pop in their carte vitale. Reportedly the kiosks can treat 90 percent of common illnesses. Prescriptions are printed out in the booth. Consult Stations are now in France, Italy, Portugal, Philippines, Canada, Belgium, UAE and were recently cleared by FDA as a Class II device. ZDNet
[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2017/08/Interpreta-Higi.jpg” thumb_width=”150″ /]Higi (also higi), which has placed health monitoring kiosks in over 11,000 US retail locations and a 5.5 million signup base, and data cruncher Interpreta announced that they are partnering to blend Higi’s vital signs data with Interpreta’s claims, clinical and genomics data analytics. Based on Mobihealthnews’ article and the joint release, an individual’s health information taken at higi retail stations will be “prioritized within Interpreta in real time”. They also claim that for the first time, insurance payers and providers will be able to leverage biometrics data, clinical, claims and additional genomic information a person may obtain from genetic testing services into a ‘personalized care roadmap’ that closes gaps in care. This is positioned as a big advance in population health and it all sounds great.
Perhaps not so great are the details. What about consent and data security? Aside from absolutely no mention of patient consent and HIPAA compliance in the above news, this Editor suspects that past, current and future Higi users may not be made aware that their vital signs data recorded with Higi will be 1) sent into a non-Higi database and 2) integrated with other information that appears in Interpreta’s database. How is this being done? Is consent obtained? What then happens? Is it used on an identified or de-identified basis? Where is it going? Who is doing what with it? Can it be sold, as 23andme’s genomic information is (with consent, but still…)? “Interpreta works in the realm of precision medicine, continuously interpreting and synchronizing clinical and genomics data in real time to create a personalized roadmap to enable the orchestration of timely care.” but they do this for providers and health plans who are then responsible for privacy and data integrity. Consent for Higi to keep a record of your blood pressure when you drop into your local RiteAid or ShopRite is not consent for Interpreta to use or manipulate it. These questions should have been addressed in the release or an accompanying fact sheet. We welcome a response from either Higi or Interpreta.
And one last and exceedingly ‘gimlety’ observation by this Editor: kiosks get hacked, and here we have not a price to a McDonald’s meal but a portal to deep PHI. Here’s a two-part article in an industry publication, Kiosk Marketplace, if you are skeptical. Part 1, Part 2
higi, the wellness kiosk + consumer engagement program, received an infusion of ‘vitamin B’–as in Series B–from Blue Cross Blue Shield Venture Partners. The exact amount is undisclosed in reports. This adds to their Jan 2016 $40 million venture round (Crunchbase). BCBS Venture Partners is the investment arm of the BlueCross BlueShield trade association, which licenses the BCBS names to insurers.
They also took the opportunity to announce their acquisition of the EveryMove fitness tracker/wellness incentive app primarily marketed to employers. The tie-in is that higi’s wellness program also integrates data from 80 different devices, wearables, and apps, plus the kiosk locations. higi claims 11,000 locations at places like RiteAid, Publix and Stop&Shop; 36 million users, 4.5 million who’ve signed up for a higi account and 200 million screenings. Where they need improvement is the number of sticky users who stay with them over time, which is where an employer-based program like EveryMove fits. Built in Chicago, PRNewswire release
On the lighter side, as you’re doing your food shopping this weekend, think about the lucky souls of the Tampa Bay area who soon will be able to fit in a virtual doctor visit between picking up a dozen eggs and the laundry detergent! The BayCare Health System will be installing private rooms at select Publix supermarkets with video conference capability plus some medical diagnostic equipment, including stethoscopes and blood pressure cuffs. BayCare currently provides telemedicine and consults using the BayCareAnywhere app. The telemedicine system they are using is not disclosed.)
Publix is no stranger to telehealth/telemedicine, having earlier piloted with The Little Clinic (now owned by Kroger supermarkets) in a dozen locations, exiting in 2011. BayCare will also partner with the higi wellness stations already in some Publix markets to send patient results to BayCare physicians (their app system is not mentioned). Based on the BayCare Anywhere pictures, their target market are busy families, young singles and couples, and older children where the supermarket is convenient and often 24/7. (But where are the older people, quite populous in FL year round, who don’t have to be online or download an app?) WLRN (radio and TV)
City Winery, 155 Varick Street, New York, NY
9am – 3:30pm (cocktail reception after) Monday 28 Nov; 9am – 3pm Tuesday 29 Nov
Information. Registration. TTA Readers use code Telecare25 for a 25% discount.
[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2015/11/MedStartr_red_grey_sm.jpg” thumb_width=”150″ /]MedStartr and Health 2.0 NYC present Momentum, a full two-day conference focused on finding, partnering, piloting, and investing in the best new ideas in healthcare. Here are some updates on this event the Monday and Tuesday after Thanksgiving Weekend:
- The MedMo16 Mega Challenge is awarding to participating startups in up to three pitch contests showcasing some of the coolest new early stage companies. 20 will be competing for over $750,000 (up from $500,000) in funding. Review the finalists here.
- 70 speakers, five panels and nine talks from healthcare leaders like Rich Park of City MD (urgent care), Khan Siddiqui of Higi (gamified health kiosks), Regina Holliday of the patient activist Walking Gallery and more, featuring:
– The Unicorn Panel with leaders from some of the hottest companies like Pager (on-demand doctors) and Change Healthcare (revenue cycle management)
– Healthcare Innovation in the Trump Era, moderated by Fard Johnmar
– Ask the VC where we will let the crowd pose questions to leading investors in healthcare
Tickets are regularly priced as below–but our Readers get 25% off the full rates below. Use code Telecare25 when registering:
- $75 for early stage startup founders, students and patient advocates ($56.25)
- $155 general – expires 21 Nov–$395 thereafter ($116.25/$296.25)
- $250 healthcare ecosystem stakeholders, investors and care providers ($187.50)
- $450 non-healthcare ecosystem stakeholders ($337.50)
Tables and sponsorships available from $750.
MedMo16 is also the kickoff for the MedStartr Venture Fund which adds to the crowdfunding impact of MedStartr–now up to 94 health projects. TTA is a supporter of MedStartr and Health 2.0 NYC and Editor Donna is a MedMo16 event host. Hat tip to Alex Fair of #MedMo16 and MedStartr. Tag #MedMo16 and follow @MedStartr.
[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2012/12/crystal-ball.jpg” thumb_width=”150″ /]And we were having such a good time! UPDATED Having ridden a few hype curves (in health tech and out–remember airline deregulation?) and with the bruises to prove it, this Editor believes that she can spot a Cracking Market at forty paces. The hands on the clock appear to be near closing time, even as we party on. After all, DTC telehealth is forecast to be $25 bn in the US by 2025 (GrandView Research), if we make it that far!
Where are the sharp noises coming from?
- The continuing fail of unicorns like Theranos [TTA 4 May and prior], now resorting to bullying the Wall Street Journal and negotiating with the alphabet (SEC, DOJ, FDA, CMS…), and the troubles of Zenefits.
- Another notable unicorn, the doctor booking site ZocDoc, being called out at last on their customer churn, low margins, and high customer acquisition costs. (As well as an irritant to doctors and office managers) New York Business Journal
- Extremely high and perhaps insane rounds of funding to young companies with a lot of competition or a questionable niche. Higi is an odd little kiosk + consumer engagement program located in primarily Rite Aid drugstores–odd enough to score $40 million in its first venture round. (Ed. note: I shop at Rite Aid–and have never seen one.)This is after the failure of HealthSpot Station, which burned through approximately $43 million through its entire short but showy life. The low-cost, largely exchange plan insurer Oscar Health raised $400 million this February ($727 million total) while UnitedHealth and others are dropping money-losing plans in most states. Over 50 percent of exchange co-ops went out of business in 2015, leaving doctors, health systems and patients holding their baggage. Again, low margins, high cost and high customer acquisition costs.
- We’ve previously noted that funders are seeking ‘validation in similarity’–that a few targeted niches are piling up funding, such as doctor appointment setting, sleep trackers and wellness engagement [TTA 30 Dec 15]
- Tunstall’s continuing difficulty in a sale or additional financing, which influence the UK and EU markets.
- NEW More patent fights with the aim of draining or knocking out competition. We’re presently seeing it with American Well litigating Teladoc over patent infringement starting last year, which is only now (March) reaching court. It didn’t stop Teladoc’s IPO, but it publicly revealed the cost: $5 million in previously unplanned lobbying and legal costs, which include their fight with the Texas Medical Board on practicing telemedicine–which is beneficial for the entire industry. (But I would not want to be the one in the legal department explaining this budget line.) Politico, scroll down. But these lawsuits have unintended consequences–just ask the no-longer-extant Bosch Healthcare about the price of losing one. (more…)
[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2016/04/RockHealthChart1.001-1200×845.jpeg” thumb_width=”150″ /]Funding’s up, but the digital darlings have changed. The stock market and tech sector may have been uncertain kicking off 2016, but digital health wasn’t. Rock Health’s first report for 2016 exudes optimism. Compared to the same quarter in 2015, funding increased nearly 50 percent to $981.3 million, the highest amount since 2011. But the devil may be in the details:
- Five deals accounted for 56 percent of the volume (in descending order: Flatiron Health (clinical intel for cancer care), Jawbone, HealthLine (consumer health info), Health Catalyst (data warehousing) and Higi, an odd little kiosk + consumer engagement program nationally placed in Rite Aid stores–odd enough to gain $40 million in its first venture round
- Seed and Series A raises were still well over half–54 percent, over the 50 percent in 2015
- Later stage deals (Series D and above) shrank to 13 percent in 2016 from 35 percent
- Top categories also demonstrated the fickleness of funding favorites. Only two categories in the top six were carry-overs from 2015: wearables (driven by Jawbone) and consumer engagement. New favorites: analytics/big data, population health management, consumer health information and EHR/clinical workflow.
- There were no venture-backed IPOs in the quarter, and public company performance was down (9 percent y/y)
The new picture favors what to do with the data–finding trends and putting them to use both consumer and clinical sides. And exits were popular as well: 187 was the Rock Health count, with fitness wear Asics‘ acquisition of the Runkeeper fitness wearable and provider One Medical acquiring the Rise app. Will the trend continue in 2nd quarter? Stay tuned….Rock Health Q1 Update