UnitedHealthcare pilots predictive analytics model for SDOH, sets out plan to transform into ‘high-performing health plan’

July 15, 2021 | by

UnitedHealthcare and its parent UnitedHealth Group (UHG) have been busy in the past few weeks. Of most interest to our Readers with an interest in data analytics is UnitedHealthcare’s pilot of a social determinants of health (SDOH) initiative that uses de-identified claims data to identify members at high health risk due to social factors. UnitedHealthcare call center staffers then contact members to further determine needs and to assist them with appropriate community resources. These can include assistance with childcare, obtaining internet access, financial assistance with medical bills, healthy food options, and local support groups. Staffers are also trained to extend the conversation beyond the first call.

SDOH factors can impact up to 80% of a person’s health, according to research performed by the Robert Wood Johnson Foundation.

The predictive analytics model for SDOH was developed with Optum from data gathered from 300 markets and across 100 metrics. Call center staff are also clued to members with needs through keywords or phrases that indicate a need for assistance: “I’m hungry” or “I’m struggling to make ends meet”. The initiative also allows employers to design interventions for their employees.

The pilot is for two employer products, Advocate4Me Elite and Advocate4Me Premier. About half of the contacted members in the pilot have accepted assistance. UnitedHealthcare plans to roll the program out to other fully insured employer plans later this year. Release, FierceHealthcare

UnitedHealth Group, the parent of UnitedHealthcare and Optum, published its annual corporate Sustainability Report. where SDOH has a considerable part. It’s a roadmap for transformation into a high-performing health plan that is part of a modern, high-performing health system–a very high bar for UHG as the largest US health plan. This builds on six points detailed on page 9, most of which SDOH affects:

  • Expanding access to care
  • Improving health care affordability
  • Enhancing the health care experience
  • Achieving better health outcomes
  • Advancing health equity
  • Building healthy communities

SDOH has become significant enough to become the subject of a House bill, HR 2503, the Social Determinants Accelerator Act of 2021, to support community groups in coordinating health and social services through grants, technical assistance, information exchange. It, of course, would not be complete without a federal inter-agency technical advisory council. There is a similar bill in a Senate committee and funding made available to the Centers for Disease Control and Prevention’s Social Determinants of Health Program. FierceHealthcare

News roundup: AliveCor’s latest FDA clearance plus antitrust vs. Apple, VRI on the market, Walgreens’ ‘tech-enabled future’ indefinite plus VillageMD status, monthly telehealth usage drops 12.5%

July 9, 2021 | by

AliveCor disclosed its latest FDA 510(k) clearance for the KardiaMobile 6L, for calculation of patients’ QTc interval by the patient remotely or in the office with a physician or other clinician. QTc interval is, for those of us who aren’t cardiologists, is the total time from ventricular depolarization to complete repolarization. If too long (prolongation) or too short (congenital short) for the heart rate, it can indicate a dangerous ventricular arrhythmia or atrial or ventricular fibrillation. The manual measurement takes 30 seconds. AliveCor also has clearance on software (InstantQT) that measures QT intervals quickly and accurately to detect potentially dangerous QT prolongations in patients. Prolongations can be triggered by medications including anti-arrythmia drugs, anti-fungals, antibiotics, and some psychiatric drugs. AliveCor release. In other recent news, in June they acquired CardioLabs, a monitoring and cardiac diagnostic service provider based in Tennessee, to expand their clinical servies. Release.  

And in David Sues Goliath–Again–News, AliveCor also filed, in that quiet week right before Memorial Day, a Federal antitrust suit in the Northern District of California. This lawsuit is over Apple’s exclusion of other heartrate analysis providers from the Apple Watch, harming AliveCor and consumers, and seeks damages plus an injunction to cease the exclusion. Release  This is in addition to their US International Trade Commission (ITC) complaint on infringement of AliveCor patents held for heart monitoring on the Apple Watch 4, 5, and 6. That seeks to bar importation of Apple Watches [TTA 29 Apr]. No update on that so far. 

‘Insider’ report: VRI on the market. PERS Insider, our newly discovered source for news about the emergency response device market, reported on 22 June that VRI, a PERS and remote patient monitoring provider, is up for sale. It has been majority-owned by Pamlico Capital, a private equity company, since 2014. VRI does not sell direct to consumer but concentrates on health insurance, government programs, and other B2B through its dealer network. No reasons for sale given, but with all things telehealth and most things remote healthtech fetching hefty sums post-pandemic, perhaps Pamlico senses a fortuitous time to test the waters for an exit. Article. (Subscribe here to their weekly free letter)

Walgreens Boots Alliance’s new CEO promises a ‘tech-enabled’ future for the chain, sans details. The incoming CEO, Rosalind Brewer, fresh from her COO position at Starbucks, on WBA’s Q3 earnings call mentioned a buildout of a “previously communicated tech-enabled healthcare initiative” but no further information, as still reviewing the company. Stefano Pessina has retired from the long-held CEO position, but retains the executive chair title in addition to being WBA’s largest individual shareholder. Forbes’ breathless report. More to the profit point, the latest on Walgreens and VillageMD’s full-service Village Medical practices at Walgreens locations: 29 new locations in Houston, Austin and El Paso, Texas this year, staying on track for 600 primary care practices in more than 30 markets over next four years. Business Wire

National telehealth usage dips to 4.9% of US claims in April, a 12.5% drop from March. Analyzing regional and national insurance claims data, non-profit health analytics company FAIR Health in its monthly report tracks telehealth receding as patients return to in-person care. Telehealth is now dominated by mental health procedure codes, accounting for 58.65% of diagnoses, with all other conditions at 3% or lower. Regionally, the Northeast is even higher at 64.2% and the Midwest above 69%. Monthly National report, Monthly Regional Tracker page

An ‘insider’ point of view on the Connect America acquisition of Philips Lifeline

July 9, 2021 | by | 2 Comments

This Editor, through a search initiated due to reader Adrian Scaife’s comment on the article below, happened on a back article from a news source on the Connect America acquisition of Philips Lifeline. Who knew (as they say) that there was a newsletter solely devoted to the PERS business? The article was written from a real insider point of view with a complete background on Connect America, Lifeline, and also why Philips put Lifeline up for sale.

  • It’s likely that Philips bought high and sold low. In 2006, Philips purchased Lifeline for a reported $750 million, then HealthWatch for an additional $130 million. At the time of the announcement, PE Hub put the value of the company in the $200-400 million range. It’s understandable that with the rise of smartphones and mobile, wrist-worn band-type PERS, the value of what is largely a traditional PERS company would suffer, but the best case is a 60 percent loss over 14 years.
  • The industry believes that Philips mismanaged the company. Example: dealers did not have 4G/LTE cellular equipment to replace the 3G in the field. The phrases ‘a mess’ for the organization and ‘run the Lifeline name into the ground’ aren’t used lightly.
  • For the past few years, Lifeline has been in the shadow of Philips’ other clinically-oriented healthcare systems. As this Editor noted, Philips has divested or spun off multiple businesses in North America.
  • Philips ran the business without understanding its unique dynamics, including dealer networks and a B2B +B2C market of home health agencies and senior housing combined with direct-to-consumer sales. They focused on the latter and kept it on short rations for the past few years.
  • They were also slow to market with innovations and had a significant amount of negative publicity on the performance of AutoAlert for fall detection starting in 2011 (Editor Steve) and in 2014.

The Philips Lifeline saga was a longer and more costly version of Tunstall’s acquisition of AMAC. At the time of sale, Lifeline was #1 in PERS, and AMAC was #3. Even with Tunstall’s expertise and the addition of remote patient monitoring, the US market was Too Tough For Tunstall. They sold in 2019 to…drum roll…Connect America.

The article includes excerpts from an interview with CEO Janet Dillione, a review of the Connect America team, and well wishes from those insiders. PERS Insider (Subscription to the weekly newsletter is free and found here.)

Another irony: Just prior to the acquisition, Dennis Shapiro, the former head of Lifeline, passed away on 16 February, aged 87. Mr. Shapiro was responsible for the company creating the first modern PERS radio pendant, telephone-connected base unit, and call center monitored service in 1980.

 

News/deals roundup: Connect America finalizes Philips aging/caregiving buy; Amedisys-Contessa $250M hospital-at-home; UK’s Physitrack $20M IPO, Dutch motion tracker Xsens

July 7, 2021 | by | 2 Comments

Kicking off our week….

Connect America closed today (6 July) the purchase of Royal Philips’ Aging and Caregiving line of business. This includes the top basic personal emergency response system (PERS) device provider, Lifeline. Purchase price by Connect America’s owner, Rockbridge Growth Equity, was not disclosed. For Connect America, they now top 900,000 subscribers to PERS and monitoring services. At this point, the combined business will have 1,500 employees and 3,000 provider partners. Lifeline also includes services such as 24/7 response with their products: the HomeSafe traditional home PERS with and without AutoAlert fall detection and GoSafe2 mobile PERS with AutoAlert.

There is no indication from the company release or the brief Mobihealthnews article on whether the Lifeline brand name or others from Philips will be retained. Lifeline’s history dates back to 1974, with Philips adding the AutoAlert, HomeSafe, and GoSafe product after their purchase in 2006. Other undisclosed considerations are integration and rationalization of the current Connect America PERS and monitoring products with Lifeline. There is also a promotional partnership agreement with AARP that likely–but not necessarily–will transfer with the purchase. This Editor can tell you that a seat at AARP’s poker table requires a tall stack of chips.

Our earlier article on the acquisition profiles Connect America, Lifeline, and the decline of traditional/mobile PERS with the rise of accessible wristwatch and band forms that don’t scream ‘I’m at risk of falling and not being able to get up!’

Home healthcare provider Amedisys announced their $250 million acquisition of Contessa Health, extending into hospital-at-home and skilled nursing-at-home. As our Readers who looked at Ziegler’s analysis [TTA 25 June], this is a hot and tech-driven care area. Amedisys is claiming that they are the first home health, hospice, and personal care service provider to expand into Contessa’s business, which is hospital-at-home and skilled nursing facility (SNF) at-home including palliative care services launched recently with Mount Sinai Health System (NY). Contessa will operate as a separate division of Amedisys, which plans to invest in both the future growth of Contessa and their proprietary informatics platform CareConvergence with the aim of creating a “premier home-based health system”. The acquisition is expected to close on 11 August. Contessa has both hospital partnerships, which are the bulk of Amedisys’s client business, and joint venture/payer partnerships. Amedisys release, Hospice News

The UK’s Physitrack quietly went public with a raise of over $20 million. The IPO was listed on 18 June on the Nasdaq First North Premier Growth Market (Nasdaq Nordic, Sweden and Finland) earlier this month with an original offering of SEK 40 ($4.69) per share with 4.4 million shares in the offering. The market value is estimated at SEK 624 million ($72.5 million). Unfortunately, you cannot look beyond this investor page if you are in the US, Australia, Canada, Hong Kong, Japan, New Zealand, Singapore, Switzerland, South Africa, or South Korea as citizens of these countries cannot invest in their shares. Physitrack is a digital physical therapy plus patient engagement company headquartered in London with offices in Santa Monica, Houston, and Utrecht. It was in the first group of the NHS’ Digital London accelerator program and now is distributed in 100 countries serving 1 million patients. Mobihealthnews, Baker McKensie (legal advisor announcement)

And keeping it physical, Xsens, a Dutch 3D motion capture and attachable sensor company for therapy and ergonomics study, is extending into Automatic Reporting as part of its online MotionCloud platform. A full report, graphs, and a digital recording of an avatar completing the movements can be available to physiotherapists, health specialists, and ergonomic consultants in under two minutes. In addition, they announced a new Awinda Starter system which has their proprietary motion-tracking technology at a more affordable price. Xsens press release, Mobihealthnews

Lightning news roundup: AI for health systems Olive scores $400M, VA’s sticking with Cerner EHR, Black+Decker gets into the PERS game

July 2, 2021 | by

As here in the US we are winding up for our Independence Day holiday (apologies to King George III)….

Olive, a healthcare automation company for healthcare organizations, scored a venture round of $400 million from Vista Equity Partners. To date, it’s raised $856 million through a Series G plus this round and is now valued at $4 billion according to the company release. Olive’s value proposition is automating via AI routine processes and workflows, such as benefit verification discovery, prior authorizations, and billing/payments for health systems. About 900 US hospitals have adopted Olive’s systems. Mobihealthnews.

Breaking: The US Department of Veterans Affairs will be staying with Cerner Millenium for their EHR modernization from VistA. This follows a 12-week review of the implementation following failures within the $16 billion program itemized by the Government Accountability Office (GAO) in February [TTA 19 Feb]. Secretary Denis McDonough is scheduling two further review weeks to determine additional changes to the program. The intent is to build a cloud-based system fully interoperable with the Department of Defense’s Military Health System (MHS) also built with Cerner. FedScoop, Healthcare IT News

And in the What Are They Drinking in Marketing? I want some of that, stat! department…

Black + Decker is now becoming a PERS provider with the introduction of Black+Decker Health and the goVia line of mobile and home-based PERS with optional fall extension and call center monitoring through Medical Guardian . The devices are a fairly predictable line of cellular-connected (Verizon, AT+T) with a ‘classic’ home landline unit. The units are being sold through Amazon. B+D release

From a marketing perspective, the Black+Decker name, identified for decades with home and power tools, on a PERS line is also a classic–a classic mistaken line extension like Cadbury mashed potatoes or Colgate frozen entrees. Buy a PERS, get a drill? Relevance and fit to a older, female-skewing group?  It surely looks like their parent Stanley, which is a leading company in institutional alarm and location services. offloaded this legacy business to them. (Judging from the website, someone’s in a rush as some pages still have ‘greek’ copy under headings.) Hat tip to a Reader who wishes to remain anonymous.

Tunstall under fire in Swedish court on appeal of Adda procurement exclusion

July 2, 2021 | by

Tunstall appeals Swedish procurement exclusion. Tunstall has gone to a Swedish administrative court to fight the exclusion by Adda Inköpscentral from the Swedish framework agreements for the municipal procurement of telehealth and security alarms,  In April, Adda, the strategic supply consultant and agreement manager, announced that Tunstall would be excluded from two 2018-2019 framework procurement agreements as well as the new four-year framework agreement on performance issues, including a major problem with alarm responses last October [TTA 22 May]. 

What is being debated in court in the action between Tunstall and Adda is the following, according to SVT Nyheter (disclosure: translated from Swedish to English via Google Translate):

  • Certain municipalities received compensation from Tunstall, which the company has refused to disclose nor what the agreements look like, other than they were based on a template. Municipalities also refused to send Adda copies of the agreements, citing confidentiality. In Sweden, municipalities can negotiate agreements on their own with suppliers, but if they choose to work under the framework agreement, the municipalities create their own detailed contracts using the framework as a basis. Adda apparently received copies of agreements that included ‘silence’ (presumably non-disclosure or confidentiality) clauses. According to Adda, this violates both the framework agreement and ‘publicity legislation’.
  • According to SVT quoting Adda’s filing, “Tunstall “consistently deliberately withheld information from Adda, probably in order to avoid exclusion in the Procurement” and now “deliberately tries to mislead not only Adda, but also the administrative court.” This also refers to data files that contained information about when alarms stopped working in over 100 municipalities in October 2020 due to, apparently, a bad software update. The translation in the article subhead refers to “lying and misleading the court”.
  • Municipalities had delays in implementation going back to 2018. Ystad demanded a fine of half a million for its delays, where it turne out that response times had been calculated in different ways, After Tunstall promised improvement, Ystad dropped the demand. Götene signed an agreement on security alarms for nursing homes in spring 2020 but only a limited number were operative by December well into this year. This municipality remains unhappy according to SVT, contradicting Tunstall’s official statement to the publication, which closes the SVT main article.

There is no indication in the article when a decision will be made by the administrative court.

There is a second SVT article on the disagreement on the handling of an alarm call in Lidingö. The Tunstall call center did not call for an ambulance, the city was delayed for two hours, and the person died. Neither Tunstall nor Adda were interviewed for the 24 June SVT articles. Hat tip to two of our Readers who wish to remain anonymous. One also referred, with a certain gimlety turn, to two 2018 interviews with CEO Gordon Sutherland on the subject of building trust both as an organization and with their customers. PwC (January 2018) and The Trusted Executive (June 2018).

Four ‘moonshot’ health tech startups aiding cognition and brain health (podcast)

July 1, 2021 | by

This 30 minute podcast interviews four tech entrepreneurs in the StartUp Health Health Transformers accelerator/funding ‘moonshot’ program. Their focus is on technologies designed to improve brain health and address issues around cognitive impairment and disease.

  • Amir Bozorgzadeh, CEO & Co-founder of Virtuleap, a Lisbon-based company that uses VR and gamification in the Enhance VR brain training app for a daily cognitive workout of short, intense, and fun games
  • Kate Rosenbluth, PhD, Chief Science Officer & Founder at Cala Health, Cala Trio is a wrist-worn stimulator that reduces hand tremor for people with essential tremor (ET). Up until this therapeutic device, the only option for ET was a stimulator inserted in a key portion of the brain. 
  • Maor Cohen, CEO & Co-founder of n*gram health, uses immersive digital experiences and augmented reality delivered via smartphone and tablet for assessment, evaluation, and improvement in older adults with cognitive impairment.
  • Mark Cavicchia, RC21X co-founder. RC21X has developed two brain and human performance assessment tools, Roberto and RC21X. These provide brain performance trend data that can be used in healthcare, for monitoring treatment and recovery plan effectiveness, as well as industrial safety.

All these businesses are well along in proven technology and funding, a trend we’ve been finding with accelerators that once specialized in startups barely out of seed and still proving their models. Cala Health, for example, we noted in 2016 with its $18 million raise, but has been around since 2013. RC21X, once Home Base, also has been around since 2013.

The podcast is hosted by India Edwards and Logan Plaster. Mr. Plaster, StartUpHealth’s media director, and this Editor worked together on an article about the late Viterion Digital Health in his previous venture with Telemedicine Magazine. 

‘Insurtech’ Bright Health’s IPO second largest to date, but falls slightly short of estimates (updated)

June 30, 2021 | by

Bright Health Group’s IPO last Friday (23 June) fell a little short of the $1 billion+ raise and valuation projection two weeks ago, but not by much on a bad market day. Their $924 million raise was based on a float of 51.3 million shares at an opening price of $18 per share, with a targeted price range of $20 to $23. (Thursday 1 July’s BHG close: $16.85, a typical pattern.)

The raise compares favorably to Oscar Health’s blockbuster $1.44 billion IPO, Clover Health’s controversial but lucrative SPAC [TTA 9 Feb]. and Alignment Health’s $490 million.  Bright Health also acquired Zipnosis, a telehealth/telemedicine ‘white label’ triage system for large health systems, in April [TTA 6 Apr].

The IPO now creates a company value of $11.23 billion, down from the expected $14 billion. Bright Health is unique in its category in not only offering exchange and Medicare Advantage plans but also NeueHealth, 61 advanced risk-bearing primary care clinics delivering in-person and virtual care to 75,000 unique patients. FierceHealthcare, Reuters, Bright Health Group release. Also see TTA 18 June and 28 May.

Telehealth usage going flat, off by 1/3 and declining: Trilliant Health study

June 30, 2021 | by

Trilliant Health, a healthcare data analytics and advisory shop based in Tennessee, has run some projections on the US healthcare market and telehealth, and they’re not as bright as many of us–and a lot of investors plus Mr. Market–have believed. It opens up on page 4 of the electronic document (also available in PDF) with this ‘downer’–that the largest sector of the largest global economy is overbuilt and unsustainable. Hospitals and health systems have operated for decades that basic economic factors–demand, supply, and yield–don’t apply, and there are more companies competing with them for the consumer healthcare dollar than they realize–with more proliferating every day. 

Sledding through their 160-page report, we turn to our sweet spot, telehealth, and Trilliant is not delivering cheerful news (pages 32-43). 

  • Unsurprisingly, demand for telehealth is tapering off. Based on claims data for face-to-face video visits, excluding Medicare fee-for-service (Original Medicare) and self-pay visits, they peaked above 12 million in April 2020 and, save for a bump up in December 2020-January 2021, steadily declined to about 9 million by March 2021.
  • Teladoc, the leading provider, is projecting that 2021 volume will only represent 4 percent of the US population–a lot more than before, but not growing as it did in 2020.
  • Telehealth’s growth was astronomical on both coasts–California, Massachusetts, Vermont, Oregon–and Hawaii–but relatively lower in middle and Southern America in places like Wyoming, North Dakota, Mississippi, and Iowa. Telehealth usage is declining sharply in that region as well but across the board in all states including California. In fact, Phoenix and Dallas had higher telehealth utilization pre-pandemic than during it.
  • Mental health drove telehealth growth during the pandemic, representing 35 percent of claims, almost four times the next group of categories at 8 percent. The largest group of diagnoses were for anxiety and depression among women 20-49. With the reopening of the US economy and children heading back to school, will this sustain or decline?
  • Women 30-39 are the largest users of telehealth–pre, during, and post-pandemic

Telehealth is not only proliferating, it is going up against now-open urgent care, retail clinics from Walgreens, Walmart, and CVS, plus tech-enabled providers that blend virtual care with home care, such as Amazon with a full rollout of Amazon Care and other employers. The cost of care is also a negative driver. FierceHealthcare analyzes other parts of the report impacting practices, health systems, and hospitals.

 

Weekend reading: 1/3 of global healthcare orgs ransomwared, 50%+ mobile privacy problems–BMJ study, med device insecurity

June 25, 2021 | by

Weekend reading to make you feel insecure, indeed. Healthcare continues to be one of the most vulnerable sectors to hacking, breaches, ransomware. (It likely was one of the top 5 on the list handed to Mr. Putin in Geneva a week ago.) It doesn’t help that many organizations from providers to payers, legacy devices to apps, figuratively have a ‘Welcome Hackers’ neon sign on their doors, virtual and otherwise.

Three articles from the always interesting Healthcare Dive, two by Rebecca Pifer and the third by veteran Greg Slobodkin, will give our Readers a quick and unsettling overview:

  • According to cybersecurity company Sophos in their 16-page report, 2020 was an annus horribilis for healthcare organizations and ransomware, with 34 percent suffering a ransomware attack, 65 percent confirming the attacks encrypted their data, but only 69 percent reported that the encrypted data was restored after the ransom was paid. Costs were upward of $1 million. Their conclusion: assume you will be hit, and at least three backups. Dive 24 June
  • The BMJ found that lax or no privacy policies were a key problem with over half of mobile health apps. 23 percent of user data transmissions occurred on insecure communication protocols and 28.1 percent of apps provided no privacy policies. There’s a lot to unpack in the BMJ study by the Macquarie University (Sydney) team. Our long-time Readers will recall our articles about insecure smartphone apps dating back to 2013 with Charles Lowe’s article here as an example. Dive 16 June
  • Old medical devices, continuing vulnerability that can’t be fixed. Yes, fully functioning and legacy medical devices, often costing beaucoup bucks, are shockingly running on Windows 98 (!), Windows XP, outdated software, and manufacturers’ passwords. It’s hard to believe that Dive is writing about this as it’s been an issue this Editor’s written about since (drumroll) 2013 when TTA picked up on BBC and other reports of ‘murderous defibrillators and pacemakers’. If too far back, try 2015 with Kevin Fu’s and Ponemon’s warnings then to ‘wash their hands’ of these systems even if they’re still working. Chris Gates quoted in the article: “You can’t always bolt-on security after the fact, especially with a legacy piece of equipment — I’ve literally handed checks back to clients and told them there’s no fixing this.” Dive 23 June

What to do?

  • If you are a healthcare organization, think security first. Other organizations in finance and BPO do, locking down to excruciating points. And yes, you’ll have to pay a premium for the best IT security people, up your budgets, and lower your bureaucracy to attract them. Payers are extremely vulnerable with their wealth of PHI and PII, yet tend to skimp here.
  • Consider bringing in all your IT teams to your home country and not offshoring. Much of the hacking occurs overseas where it’s tougher to secure servers and the cloud reliably and fully.
  • Pay for regular and full probes and audits done by outside experts.
  • If you supply a mobile app–design with security and privacy first, from the phone or device to the cloud or server, including data sharing. There are companies that can assist you with this. One example is Blue Cedar, but there are others.
  • If you supply hardware and software for medical devices, think updates, patches, and tracking every bit you sell to make sure your customers do what they need to do. Even if your customer is a past one.

(Side message to NHS Digital–don’t rush your GPDPR upload to the summer holidays. Make it fourth quarter. Your GPs will thank you.)

Suggestions from our Readers wanted! While your Editor has been covering security issues since early days here, she is not an expert, programmer, or developer, nor has stayed at a Holiday Inn Express lately.

News/deals roundup: Amazon’s health accelerator, digital health library opens, Ziegler’s ‘Hospital at Home’ paper, SEHTA announces MedTech event; $670M in funding for Talkspace, Pear, DrChrono, NuvoAir

June 25, 2021 | by

First, the news….

Another Amazon angle on healthcare. This time, it’s the Amazon Web Services (AWS) Accelerator for healthcare startups. It’s designed as a virtual four-week technical, business, and mentorship for 10 select companies. Naturally, it’s targeted to cloud-based operations for companies with ‘demonstrated commercial traction’ in remote patient monitoring, voice technology, analytics, patient engagement, and virtual care technologies and systems. Applications opened on 21 June and proposals are due 23 July. It’s limited to US-based healthcare startups or international startups with existing US operations. This round is in collaboration with KidsX, the world’s largest pediatrics digital health accelerator formed by a consortium of over 50 children’s hospitals from North America, Europe, and Australia. AWS blog announcement, FierceHealthcare

A crowdsourced library exclusively for digital health resources and research now open. The Clinical and Translational Science Institute (CTSI) and Center for Health + Technology (CHeT) at the University of Rochester have created a crowdsourced library for the digital health community. It’s hosted by the Digital Medicine Society (DiMe); the link to the library is here. “Resources” are defined as specific pieces of specific regulations, guidances, policy, or literature that are relevant and useful “as-is”. 

Another free resource is investment bank Ziegler’s white paper on ‘Hospital at Home’. The paper addresses the leading Hospital at Home models, providers, and the reimbursement dynamics for this growing tech-enabled option serving acute patients requiring higher medical care. A worthwhile read (24 pages)-see if your tech can fit into these models.

In the UK, SEHTA (South East Health Technology Alliance) announced their 2021 International MedTech conference on 8 October in a hybrid live and virtual event format. The live portion will be at the Hilton London Tower Bridge Hotel. They’ve also added a new director, Sven Bunn, Life Sciences Programme Director at Barts NHS Health Trust & Queen Mary University of London. SEHTA news page

A lightning roundup of $670 million in deals that aren’t taking the summer off….

Talkspace finally executing its SPAC with Hudson Executive Investment Corp., with a deal expected to give the company $250 million in capital. It was originally announced in mid-January [TTA 14 Jan]. Talkspace is a consumer mental health app that helps a user assess their concerns, then matches them with a therapist. Shares are listed at $8.90 on Nasdaq with approximately 152 million shares outstanding for a valuation of $1.4 billion. Mobihealthnews

Pear Therapeutics is planning a hefty SPAC towards the end of this year with Thimble Point Acquisition Corp., backed by Pritzker family interests. It’s estimated that it will round up about $400 million giving it a valuation of $1.6 billion. The new Pear Holdings will trade on Nasdaq as “PEAR”. Pear develops end-to-end platforms for prescription digital therapeutics (PDTs) for serious diseases as stand-alone software treatments or jointly with pharmaceuticals. Pear release, FierceBiotech

Mobile-friendly EHR DrChrono now has a friendly $12 million in growth funding from ORIX Growth Capital. DrChrono also handles practice billing and management. This is on top of their January funding of $20 million, also by ORIX. Mobihealthnews (exclusive)

Stockholm-based digital respiratory care management system NuvoAir also raised $12 million (€10 million) to expand its chronic disease management and clinical trial platforms. It combines an app with data from a spirometer and sensors that attaches to asthma and COPD inhalers plus NuvoAir Cough, which assesses changes in nighttime coughing. The Series A was led by AlbionVC. Mobihealthnews, TechCrunch

Aging and Health Technology Watch’s latest: The Future of Wearables and Older Adults 2021

June 24, 2021 | by

Laurie Orlov’s latest report takes a look at the state of wearables in the older adult market. She posits that it’s comparable to where voice tech (Alexa et al) stood in 2018–at the early stage, with the present state of minimal adoption ramping up in about a three to five-year time frame. 

From the report, she identifies these tipping points:

  • Self-service hearables have made hearing improvements cool – and cheap. In the US, hearing assistance has become mass marketed and, as a result, has become less of a stigma. While not for all, it’s reduced prices overall.
  • Fitness wearables already appeal to the younger, better educated, and more affluent cohort of older adults. They will carry this trend forward as they age.
  • Designs are improving, from the Apple Watch to mobile PERS. The pendant is the past.
  • Pricing is improving
  • Technology means that one wearable can be multi functional–and research is pouring into new uses, creating new companies and tech
  • Investment is pouring into digital health, accentuating all the above
  • Doctors may be more accomodating of the ‘data overload’–but consumers may drive this with recording their own data

The future for wearables? Personalized, predictive, proactive, smart, integrated, affordable, privacy-protective–and prescribed.

The report is free and downloadable from AgeInPlaceTech.com.

GPDPR update: GPs must set own patient opt-out date prior to 1 September extraction (updated for ‘Data Saves Lives’)

June 24, 2021 | by

(Editor’s Note: Read till the end for Roy Lilley’s take on data and the NHS Bureaucracy. “Bureaucracy… creates delays, duplication, interfaces and costs lives.)

Is it 25 August–or earlier? Well, it depends… NHS Digital has informed GPs that, contrary to a prior announcement, the deadline for submitting those who wish to opt out of the General Practice Data for Planning and Research (GPDPR) database must be set by the GP practice, and is not 25 August. The deadline for the mass extraction remains 1 September. This puts practices into a dilemma–informing patients of their right to opt-out. setting a date for staff to process the forms, and processing the hard copy forms in time for the 1 September extraction. (And right during summer holiday time with the bank holiday on 30 August)

For patients wishing to opt-out, they must submit a type-1 opt-out form (a Word document) and send it to their GP practice via mail or email by the deadline which then submits with the data collection. If a patient wishes to opt-out after, it’s permitted but any data before the opt-out date will be collected. The National Data Opt-Out does not apply to the GPDPR. 

According to the 22 June update in Pulse,

The BMA GP Committee’s latest newsletter quoted IT lead Dr Farah Jameel as saying: ‘The public needs a clear deadline by which they can opt out, alongside clear instructions on how to do this if they so wish.

‘We have been urging the government and NHS Digital to consider making the process of opting out simpler, and in effect remove any additional burden [that] large volumes of Type 1 opt-outs could place on already under-pressure general practice.

‘We urge NHS Digital to clarify this with both the public and practices.’

Another GP from Bristol is quoted as pointing out that most opt-outs will be received last minute, jamming the practices.

In addition, each GP practice has more work to do before the extraction–a data protection impact assessment (DPIA).

The problems of patient awareness, particularly during the summer, obtaining the form, and submitting it in time remain. So, what’s the rush? This Editor closes once again with the thought that the fourth quarter would be far better timing both for the surgeries and NHS Digital.

Our prior coverage 11 June and 2 June.

Addendum: Roy Lilley’s eLetter on ‘Data Saves Lives’ (draft publication here) is a Must Read. It is a most interesting take on how the NHS is botching the opportunities around health data by drowning it in bureaucracy. The latest example is a draft document titled ‘Data Saves Lives’. A course in obfuscation where even a casual look will reveal its true awfulness. Mr. Lilley has counted 96 commitments, 10 new organizations, and six major pieces of legislation. “It is bad, bad, bad and a perfect example of why the NHS’ relationship with the IT sector is so bad.” The GPDPR gets one–one–mention in this document. Sounds like some imports from the US Congress wrote it! In any case, if you’re in UK healthcare, you should be subscribing to this free eLetter. ‘Data Saves Lives’ NHS news release may go down easier

Breaking: 1B CVS Health records exposed in unsecured database now secured

June 18, 2021 | by

A potential hacker’s holiday–damage unknown, but now secured. Back in March, cybersecurity researcher Jonathan Fowler, working with the WebsitePlanet research team, discovered an unsecured database, hosted by an undisclosed third-party vendor, with information clearly linked in their view to CVS Health. Mr. Fowler and WebsitePlanet immediately notified CVS Health through a responsible disclosure notice. 

The files were production files with 1,148,327,940 records in a file of 204 GB. CVS worked quickly to secure the data that same day by shutting down public access. CVS confirmed to WebsitePlanet that it was indeed their data. No directly personally identifiable information (PII) was included of customers, members, or patients. Instead, the histories are largely log files from searching and shopping on the site. However, Mr. Fowler maintains that there was enough information in the files to derive customers’ PII, including their email addresses.

The story is breaking now on media, notably ABC-TV cited in Becker’s. While apparently not a true breach or malicious–just another one of those darn errors–it presented a real danger to CVS Health customers. Whether the publicity will force CVS Health to take remedial action is to be determined. Not ‘Hackermania Running Wild’ but could have been in this overheated world of ransomware and Healthcare Hacking. CVS needs to keep far tighter oversight on their vendors. They should post what’s left and above in the IT Department. Also Threatpoint and Becker’s Health IT

US FCC releases Round 2 of the Connected Care Pilot Program with 36 projects

June 18, 2021 | by

The US Federal Communications Commission (FCC) has awarded another round of the Connected Care Pilot Program. Funds are awarded to 36 projects in underserved geographies, such as rural and Indian Tribal areas, plus to groups such as veterans, the disabled, children, and older adults. A brief sample of the awardees includes Yale New Haven Health System (four projects), Catholic Health Initiative (36 sites in the Midwest), Heritage Clinic (CA), Hudson Headwaters Health Network (upstate NY), Johns Hopkins (Baltimore), and the Universities of Kentucky, Florida, and Hawaii. 

The original Connected Care Pilot Program started in 2019 [TTA 20 June 2019]. It was established to provide up to $100 million in Universal Service Funds (USF) to help eligible health care providers defray the costs of providing connected care services to their patients. On an ongoing basis, the USF can be used to provide continuing support for connected care services. FCC Public Release, WTVQ (Lexington KY)

News and deal roundup: Zus Health’s $34M ‘back-end in a box’, Bright Health’s IPO, Lyra Health’s $200M done, Valo Health’s $2.8B SPAC; UK’s Alcuris, Clarity Informatics, GTX test; Google’s health blues, Facebook’s smartwatch

June 18, 2021 | by

Athenahealth founder’s latest health tech venture lays track. Jonathan Bush’s new venture, Zus Health, is being pitched to tech founders as providing a ‘Lego’ like back-end for startup digital health companies. Variously compared to ‘Build-A-Bear’ or track laying, it’s an ‘in a box’ setup that provides a data record back end, a software development kit (SDK) with tools and services, and a patient interface. Presumably, this will also assist interoperability. Mr. Bush has enlisted an all-star team and is basing outside of Boston in the familiar area of Watertown, Massachusetts. Andreessen Horowitz (a16z) led the $34 million Series A, joined by F-Prime Capital, Maverick Ventures, Rock Health, Martin Ventures, and Oxeon Investments. The financing will be used for engineering the tech stack. Current clients developed in stealth include Cityblock Health, Dorsata, Firefly Health, and Oak Street Health. Not a breath about the revenue model other than ‘partnership’. Make sure you pronounce Zus as ‘Zeus’ (Athena’s father for those who aren’t up on their Greek myths). Zus release, FierceHealthcare

This week’s IPO filing by insurtech/clinic operator Bright Health with the Securities and Exchange Commission (SEC) confirmed earlier reports that the offering will crest over $1 billion [TTA 28 May]: 60 million shares with an initial valuation of $20 to $23 is at a minimum of $1.2 billion. Company valuation is estimated at $14 billion which is about midpoint of earlier estimates. It will trade on the NYSE under BHG. The cherry on the cake is a 7.2 million 30-day share purchase option to their underwriters at the initial IPO price. Timing is not addressed in the release but expect it soon. BHG release, Mobihealthnews

Lyra Health banks an additional $200 million. This week the corporate mental health therapy provider completed their Series F $200M financing backed by Coatue, new investor Sands Capital, plus existing investors, for a total of $675 million to date (Crunchbase). Valuation is now estimated at $4.6 billion. Mental and behavioral health tech remains warm, with the thundercloud on the horizon Teladoc’s myStrength app [TTA 14 May]. Lyra’s strong corporate footprint puts them, along with Ginger, in a desirable place for acquisition by a telehealth provider or payer. Lyra release, FierceHealthcare

Drug discovery and development company Valo Health is going the SPAC route with Khosla Ventures. The special purpose acquisition company (SPAC) Khosla Ventures Acquisition Co. will form with Valo Health a new company (KVAC) with a pro for­ma mar­ket val­ue of approx­i­mate­ly $2.8 bil­lion with an initial cash balance of $750 million including a $168 million PIPE led by Khosla Ventures. Valo’s flagship is the Opal Computational Platform that creates an AI-based platform for drug discovery. The current pipeline has two clin­i­cal-stage assets and 15 pri­or­i­tized pre-clin­i­cal assets across car­dio­vas­cu­lar meta­bol­ic renal, neu­rode­gen­er­a­tion, and oncol­o­gy fields. Khosla has been largely absent from digital health investments. The SPAC route to IPOs has also cooled. Valo release, Mobihealthnews  

And short takes on other news… (more…)