TTA’s Unofficial Summer kickoff: breaking up UnitedHealth to save it, post-GLP-1 weight gain, soft robots, NZ telehealth controversy, Midi Health widening women’s health, AssistIQ, Ambience, more!

30 May 2025

Brrrr….it’s unofficially summer as we leave May behind. Our big article this week is your Editor’s think-piece on breaking up UnitedHealth Group in order to save it–and healthcare. We also look at post-GLP-1 weight gain–and what it means for providers, in-person and telehealth, ‘soft’ robotics out of Scotland, NZ’s telehealth war with GPs, and what’s doing at companies like Midi Health, AssistIQ, Ambience, Auxira, and Yosi Health. And plenty of weekend reading and viewing!

Weekend reading/viewing (for me too): Rural telehealth blackouts and value-based care’s ‘utopia’ (Set aside the time)

Short takes: Midi Health’s longevity care for women covered by (some) insurance, NZ government 24/7 telehealth scored by GPs, Auxira tele-cardiology follow-up launches (Two disappointments that look like advances)

News roundup: GLP-1 weight regain real, soft robots walk off 3D printer, Ambience’s AI coding beats doctors by 27%, Get a Second Opinion debuts, $11.5M for AssistIQ (Reality bites GLP-1s and a soft robot wee bairn)

Job Posting: Yosi Health seeks Demand Generation Manager and Manager, Data Analytics & Reporting

Should free-falling UnitedHealth Group be broken up? Or break itself up to survive, before it becomes another GE? (updated) (Not a rant, more a ‘get going’ to avoid disaster!)

From last week: The major news the week before US Memorial Day was the Hinge Health IPO, the first for digital health in two years–but the downside was that it was at a lower valuation. Denouements abounded with most 23andMe genetic assets bought by Regeneron, without a drink of Lemonaid. WeightWatchers’ time may have passed, new heads for Calibrate and Oak Street, and two more ‘arranged marriages’, Smarter Technologies and Fuze Health. An update on the VA EHRM in the budget. Masimo’s recovering, as is Ted of Strata-gee

News roundup 22 May: an inflight ‘save’ and AliveCor’s KardiaMobile, rolling out the VA/Oracle EHR in ‘waves’, Fuze Health formed from LetsGetChecked/Truepill, hacking and ransomware 92% of PHI data breaches (A renaming of a 2024 ‘arranged marriage’–can it be saved?)

News roundup: Hinge Health public @$32/share, lower valuation. Is WeightWatchers game over? Calibrate replaces CEO, new prez for Oak Street, NMC gets ‘Smarter’ rolling up 3 portfolio companies, another splash of investor ‘cold water’ (The first health tech IPO in 2 years and ‘smushing’ when they can’t)

Update: Masimo’s website status and an analysis of the Sound United sale (Getting up and running post-attack, but what happened?)

23andMe sold to Regeneron for $256M in court-supervised bankruptcy, sans Lemonaid. And is it worth it? (We come up with a number, it’s likely)

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Donna Cusano, Editor In Chief
donna.cusano@telecareaware.com

Telehealth & Telecare Aware – covering news on latest developments in telecare, telehealth and eHealth, worldwide.

News roundup: GLP-1 weight regain real, soft robots walk off 3D printer, Ambience’s AI coding beats doctors by 27%, Get a Second Opinion debuts, $11.5M for AssistIQ

Another review/meta-analysis confirms that GLP-1 weight off doesn’t stay off. A University of Oxford systemic review and meta-analysis of 130 full texts, distilled to 11 studies with 6,370 participants, determined the quantity of weight gain after discontinuing GLP-1 RA (receptor agonists) drugs. The gain was approximately 0.8kg (1.8 lbs.) per week for the new, more effective and common GLP-1 drugs semaglutide and tirzepatide, which means that weight loss was regained in approximately 1.5 years (76 weeks+). The meta-study notes that the regain is greater than observed following behavioral weight management programs. The study was done by researchers at the Nuffield Department of Primary Care Health Sciences, University of Oxford and the National Institute of Health Research Oxford Biomedical Research Centre, Oxford. Presented at the 32nd European Congress on Obesity (ECO) 2025 in Malaga, Spain.  Poster PDF here.

Another study from Sacred Heart University (Connecticut) noted last week as a sidebar to our WeightWatchers and Calibrate article also found that the weight regain was proportional to the original weight loss. The regain varied by type of GLP-1 drug, but the study labels it ‘significant’. Obesity Reviews (Wiley) 4 April 2025 

GLP-1 weight loss is not puppies and rainbows as it’s being marketed right now. First, 30% of users quit in four weeks and 42% by 12 weeks due to side effects like nausea, constipation, vomiting, and worse.  BCBS studyGLP-1 Digest 4 Apr  The flip side is that over half make it past the three-month bar. But it is not ‘one and done’, and right now expectations are not being managed well, especially by the teleprescribers advertising on TV and radio. For the clinically obese, to maintain their hard-won goal weight and health benefits, it will require management as a chronic disease,  continuing weight/lifestyle management, and perhaps another round of the drugs in future. For the non-obese, it requires continuing weight/lifestyle management and a recognition of the rebound. It’s a good news/bad news scenario for teleprescribers and pharmas: users will require ongoing management and may cycle through another round in a year or two- to lose weight again, but they could also be disappointed and not want to spend the money. Hat tip to the GLP-1 Digest 25 May on Substack.

A “soft robot” that strolls off its 3D printer. We’ve missed our robots. Scientists at the University of Edinburgh developed a new, inexpensive printer that created a palm-sized, 100% soft plastic, walking robot. When connected to a compressed air supply, the robot walks off the 3D Flex Printer (video download here). It’s not much to look at (at left in the picture) but soft plastic robots have great potential for use in areas such as nuclear decommissioning, the biomedical sector and in space. Designs for the printer are public and the printer uses inexpensive off-the-shelf parts that cost less than £400 and don’t require a PhD to put together. University of Edinburgh release

Ambience Healthcare’s ambient AI model now outperforms board-certified physicians in ICD-10 coding accuracy. Ambience’s platform, trained using OpenAI’s Reinforcement Fine-Tuning (RFT) technology, has a 27% relative improvement over physician benchmarks, which means a significant reduction in ICD-10 coding errors. The Ambience system combines scribing patient encounters with identifying the ICD-10 codes to generate a fully informed note that then allows the clinician to review and confirm accurate documentation and coding in real time. Ambience covers codes in over 100 specialties and is in use at 40 health organizations for documentation.  Release

Get A Second Opinion enters the DTC information market on medications. The subscription model at a modest $35/year solves the problem of consumer confusion over medications, interactions, alternatives, and cost. Its two tools are:

  • Discovery Tool: Analyzes a single medication and/or condition against a unique profile, generating a comprehensive report with rankings, supporting data, and average monthly cost—often identifying more effective alternatives with fewer side effects at a lower cost. The annual plan covers up to 10 reports.
  • Planner: Evaluates up to 10 medications treating up to 10 conditions simultaneously, identifying optimal treatment combinations while minimizing side effects and adverse interactions. The annual plan covers up to two reports.

The profile is built using their AI Diagnostician engine, which analyzes age, sex, BMI, medications, pre-existing conditions, and price. It  cross-references each unique profile with FDA data, medical studies, warning labels, and clinical outcomes. Get A Second Opinion also offers a 100% accuracy guarantee. Having all the information in one place is more than reassuring and worth it, especially when prescribed new drugs. Your Editor can say this from first-hand experience–and her brother is a physician! Release

AssistIQ’s surgical supply chain management system raised a Series A of $11.5 million. Funders were Battery Ventures, with participation from existing investor Tamarind Hill. AssistIQ tracks actual supply and implant usage in operating rooms and procedural areas using the AIQ Capture platform that tracks supplies and implants as they are used, eliminating RFID and barcodes, and integrating them into EHR and billing records with 98% accuracy versus half in manual systems. The Montreal-based company had an initial seed raise of C$2.5 million from StandUp Ventures. Its US flagships are design partner Northwell Health (Allscripts transitioning to Epic), Owensboro Health Regional Hospital in Kentucky (Epic), and others in coming months. It is also a partner with CHUM— Centre hospitalier de l’Université de Montréal , the anchor hospital for the University of Montreal. Mobihealthnews, Battery Ventures release, BusinessWire release

Now EHR data entry 50% of primary care doctors’ workday: AMA, University of WI report

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2017/09/EHR-burden-Robert-Wachter.jpg” thumb_width=”200″ /]Where’s the doctor? Typing away! A fact of life doctors have agonized on over the past ten years–even great advocates like Robert Wachter, MD above at NYeC last year–is the clerical burden of EHRs and patient data entry. A late 2016 time and motion study in the ACP Annals of Internal Medicine (AMA, Dartmouth-Hitchcock, Australian Institute of Health Innovation) noted a mere 49.2 percent of ambulatory physicians’ time spent on EHR and desk work. Mayo Clinic (above) has been tracking both the burnout and the burden as 50 percent (above).

Now we have a new three-year study published in the Annals of Family Medicine led by the University of Wisconsin Medical School tracking EHR data entry as 52 percent: 5.9 hours of an 11.4 hour workday. This includes allied clerical and administrative tasks including documentation, order entry, billing and coding, and system security accounting for 2.6 hours, close to 50 percent of the 5.9 hours daily.

Is there a way out? The study’s recommendations were:

  • Proactive planned care
  • Team-based care that includes expanded rooming protocols, standing orders and panel management
  • Sharing of clerical tasks including documentation, order entry and prescription management
  • Verbal communication and shared inbox work
  • Improved team function.

Much of this sounds like burden shifting to deal with the EHR, not a redesign of the EHR itself, but the commentary in AMA Wire makes it clear that it was shifted in the first place by the EHR designers from other staff to the doctor for direct entry. Other time savings could be realized through moving to single sign-on (versus dual entry passwords) to advanced voice-recognition software. (UW release)

The earlier ACP study excerpt in NJEM Journal Watch has physician comments below the article and they blast away: (more…)

Ebola and health tech: where it can help, where it failed (Updated)

 [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/08/keep-calm-and-enter-at-own-risk-3.png” thumb_width=”150″ /]Ignore the sign…come on in, we can be quarantined together! Everyone is on Ebola-overload, so we will keep it short and sweet. The Gimlet Eye (recovering after an argument with a box, see below) advises a calm, adult-beveraged, low-media weekend with Mantovani, Bert Kaempfert or Percy Faith on the stereo.

  • Yes, digital health is addressing the needs that Ebola screening and care are generating. MedCityNews spotlights Medizone International’s AsepticSure peroxide/ozone aerial mist sterilizer which was originally developed to kill MERS and MRSA in field hospitals, to be tested by Doctors Without Borders in a 40-bed unit. Startup AgileMD launched a free mobile app for clinicians containing the Centers for Disease Control (CDC) Ebola prevention treatment guidelines (for what anything from CDC is worth….) Text message alerts used first in Sierra Leone are being expanded to seven West African nations for use by the Red Cross and Red Crescent (also BBC News). Sanomedics International has the TouchFree InfraRed Thermometer which is being used at US airports which are screening for passengers originating in West Africa, and Noninvasive Medical Technologies is promoting their ZOE fluid status monitor because it applies electrical currents externally to determine hydration levels.
  • Even crowdfunding’s getting into the act. Researcher Erica Ollmann Saphire and her colleagues at Scripps Research Institute  (more…)