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Health 2.0 Fall 2018 Takeaways


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By Kristin Mengel & Erin Madison

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Health 2.0 Fall 2018 Takeaways

  1. 1. H I L L H O L L I D AY @ H E A LT H 2 . 0 1 2 T H A N N U A L FA L L C O N F E R E N C E S E P T E M B E R 2 0 1 8 P r e p a r e d b y K r i s t i n M e n g e l & E r i n M a d i s o n
  2. 2. H E A L T H 2 . 0 2 Health 2.0 was founded by consultants Matthew Holt and Indu 
 Subaiya who were independently following Web 2.0 trends and their impact on the healthcare industry. In September 2007, the first Health 2.0 conference was held in 
 San Francisco, hosting 500 attendees. Today, the annual fall conference welcomes more than 2,000 digital health innovators from the payer, policy, provider, marketing and technology industries in the heart of Silicon Valley. Health 2.0 itself has global chapters and a community of over 100,000+ visionaries across specialties “united by their belief that digital tools will empower and enable people to live healthier lives.”
  3. 3. “ W E A R E I N T H E N E O B I O L O G I C A L R E V O L U T I O N . ” 3 Jane Metcalfe, founder of Wired Magazine and NEO.LIFE (online magazine) excited the crowd with her keynote on what she calls the “neobiological revolution.” The digital revolution changed how we work, learn, communicate and have fun. It’s impacted our politics, access, wealth creation and how we connect with the world. The 20th century was all about Physics. The 21st century is all about biology and changing our definition of what it means to be human. Through brain mapping, genomic sequencing, etc., we are evolving ourselves. We can wear, embed and even swallow sensors. We’ve seen a cultural shift in our entertainment – shows like Altered Carbon, Black Mirror and West World “reflect how we now think about consciously directing our evolution.” The next 5-10 years will be the story of our times. We are very lucky to be at the forefront of this transformation. - Jane Metcalfe, Founder of Wired and NEO.LIFE
  4. 4. D O N O T F E A R … T E C H W I L L N O T R E P L A C E H U M A N S 4 We often hear “the robots are coming! We’re all going to lose our jobs.” This is simply not the case. Rather than replace us, these tools will enhance humans. Steve Jobs was known to refer to a 1973 study published in Scientific American that measured the output of organisms in the world to see what could travel the farthest distance with the least amount of effort. It was the Condor, however when a tool was added – specifically, a bicycle –humans won hands down. Humans traditionally scale (get the most out of less) through tools. Since the release of the iPhone in 2007, we have seen exponential growth in health tools available in the form of health apps that drive deeper awareness of personal health conditions and improve communication and experiences with physicians. And with these tools we will begin to see earlier detection and interventions, pushing us towards a healthier future together. To succeed, we need to look beyond the technology and make sure we take into account how the tool will add utility to both the physician workflow “The computer is the equivalent of the bicycle of our minds.” - S T E V E J O B S
  5. 5. Entrepreneurs want to bring healthcare home: The continued rise of telehealth, importance of patient and physician communication, continuous monitoring, remote patient monitoring, on-demand care. We are in the Digital-Health Hype Cycle Behavioral Science is key in managing chronic disease Transparency, privacy, and ownership of data: 
 Patient and Physician concerns as data collection and aggregation increase. The Importance of partnerships and learning transfer Our Physicians are killing themselves: Physician burnout is on the rise in the US. Are we part of the problem? 55 K E Y T H E M E S 1 2 3 4 5 6
  6. 6. Cost is certainly not the only issue when it comes to access to healthcare. Gyre Renwick of Lyft shared an alarming statistic: “Today, 3.5 million Americans miss appointments due to lack of transportation, amounting to $150B in losses per year.” One of the most apparent trends from the conference was that startups are trying to take healthcare services out of the four walls of the doctor’s office and into the home. Providing more convenient care helps keep patients out of the hospital or urgent care center, improves access, and ultimately drives down costs for both patient and the healthcare system. Whether it’s through continuous monitoring systems, telehealth applications, home care, or transportation services, these startups have a similar goal of improving the life in our years, not just the years in our life. 66 H E A L T H H A P P E N S E V E R Y W H E R E1
  7. 7. V I R T A H E A L T H M E D I C A L L Y H O M E L Y F T Virta Health’s mission is to reverse type 2 diabetes in 100 million people by 2025. With their continuous care app and specially trained physicians, Virta has seen results: • 94% of insulin users reduced or eliminated usage after 1 year • 60% of patients reversed their diabetes after 1 year • Average A1C reduction of 1.3% after 1 year MedicallyHome focuses on eldercare, providing all the services one would expect in the hospital, at home. It’s complete care coordination from antibiotics, diet, infusions and physical therapy. MedicallyHome service is 1⁄3 to 1⁄2  the cost of traditional hospitalization. Lyft recently teamed up with Allscripts, integrating their Concierge API and enabling providers to request Lyft rides for 7.2 million patients within their EHR platform. Lyft is also working to support Medicare and Medicaid beneficiaries through their partnership with Access2Care. CareLinx, a caregiver marketplace, launched CareRides with Lyft, allowing caregivers to arrange rides for their loved ones T E C H T O N O T E
  8. 8. Digital therapeutics and digital health are trendy phrases right now – but don’t be jaded about these shiny objects. When Fitbit launched in 2007 there was a ton of hype, followed by a ton of jokes(and stats to back them up) about how “everyone has a Fitbit in their drawer, not on their wrist.” We are now in the ‘slope of enlightenment,’ where the technology has been developed and refined to the point where we are no longer just seeing shiny toys, but real tools and utility that are reimbursable, prescribed, and can even save lives. 8 2 D O N ’ T B E A F R A I D O F T H E H Y P E C Y C L E
  9. 9. T E C H T O N O T E Considered the “Netflix of Fitness,” Aaptiv is an on-demand audio based workout application with over 200,000 paying members. Amazon recently became an investor, in talks to develop Alexa skills that incorporate on demand voice- based Aaptiv workouts as well as potential to expand the Prime membership into fitness. Aaptiv is successfully following the trend to meet consumers where they are and giving them control over when and where they workout. Livongo is a catalyst for behavior change that uses personalized health insights to treat pre- diabetes, diabetes, and high blood pressure. Livongo uses data science, mobile applications and connected devices to deliver a personalized experience. Medici enables patients to communicate with their medical providers, creating an additional channel for patients and their doctors and allowing for more customized and timely medical care through a single app. HIPAA-compliant, the app allows providers to communicate with their patients over text and video, revolutionizing the doctor- patient relationship. Heal brings a qualified doctor to you, on-demand and on your schedule. In- network with insurance, you'll pay your regular copay. No insurance, no problem. No hidden costs or extra charges. You will always see your price before you book & never get a bill later. A D A P T I V E L I V O N G O M E D I C I H E A L M P L Johnny Matheny was a self-proclaimed “hillbilly” but is now considered the most advanced bionic man in the world. Thanks to targeted muscle reinnervation using a modular prosthetic limb (MPL), he can control movement of his new arm using his mind. Spectrum of digital health tools: from wellness and fitness trackers to communication tools to bionics
  10. 10. 1 01 0 “Everyone likes to innovate, no one likes to change.” These 
 new digital health trackers and tools can empower us to live healthier lives, but they only work if we’re willing to pay them some attention. As we get smarter at predicting health 
 issues through data collection, the importance of patient participation and persistence increases. This is especially true in many chronic health conditions, 
 where lifestyle modifications and new habits can be as important, or even more important, than the medications prescribed to manage them. Harnessing behavioral science 
 can help patients reframe their failures and overcome 
 the human struggle to make real, lasting habit changes. 3B E H A V I O R A L S C I E N C E T O T R E A T C H R O N I C D I S E A S E
  11. 11. T E C H T O N O T E 1 1 * 1 1 EngagedIN is a neuroscience based design firm specialized in behavior change. They aim to solve the Brain- Behavior Gap™ by combining the latest research with a compassionate design approach to increase engagement and behavior change at-scale.* Why do people fail at behavior change? They stop trying. EngagedIN created a system that transforms ”Goals” into “Practice” and “Failure” into “iteration” to work with, not against, the brain. Designed to promote the formation of lasting, healthy habits and based on the brain science of habit formation, Fresh Tri is a practice and iteration game that invites you to test drive healthy habits – removing the guesswork and feelings of failure so you can iterate your way to success. A social element allows users to crowd-source healthy tips for better habits. Fresh Tri has seen early success in a case study with Wal-Mart employees seeking healthier habits HealthyCapital is a behavior- modification app that utilizes actuarial data to motivate individuals to adopt simple physician-approved behavior changes leading to lower healthcare costs, longer life expectancy, and increased retirement savings. In simple terms, the application shows how getting healthy is not only good for the body, but also for the bank account (and ultimately, their long- term financial goals). E N G A G E D I N F R E S H T R I H E A L T H Y C A P I T A L
  12. 12. You may have questioned who owns your Facebook posts or Instagram stories, but have you wondered who owns your genomic code? With the increase of health data generation, and consequentially the storage of health data, the answer of who owns your medical records may not be that obvious. As tech gets more complicated, transparency will be highly valued and essential to consumer comfort. At Health 2.0, Patients and Physicians questioned their privacy and are demanding more control over their data. Entrepreneurs are answering the call, with a few doing one better by promising compensation for sharing this precious information. 1 2 4P R I V A C Y , T R A N S P A R E N C Y , A N D O W N E R S H I P O F D A T A
  13. 13. T E C H T O N O T E 1 3 B . W E L L C O V E R M Y M E D S N E B U L A G E N O M I C S B.well provides a single platform to safely and securely store and manage all healthcare information in one place – including labs results, medical records and histories, billing & insurance information, past and future appointments, and integrates with wearables and genomic data. All sharable with family, caregivers, and/ or HCPs at your request. Plus, patients can connect to telemedicine services, search for providers, and compare pharmacy prices all within the app. Initially focused on automating the Prior Authorization process, CoverMyMeds now offers an instant benefits check system called RxBenefit Clarity™. Simply input a few patient details for instant personalized pricing, including deductibles, co-pay and out-of-pocket benefits, financial aid, available savings cards, etc. Rx pricing has never been so transparent. Currently incorporated in some EHR systems and open to considering placement on sites. A storage, sharing, and computing platform for biomedical big data. Researchers benefit from access to the aggregated privacy protected records, and Patients are paid for sharing their genomics with research – safely through blockchain technology. “Our mission is to build the world’s largest, most trusted genomic and health data marketplace where everyone can participate to usher in an era of data- driven healthcare.
  14. 14. Every part of the healthcare ecosystem has something to offer – pharmaceutical companies in particular have the ability to affect change on the industry. We heard from a number of executives from 
 major healthcare systems, technology and pharmaceutical companies who are encouraging start up incubation, open innovation models and funding to improve and advance the solutions we offer patients and physicians. 1 41 41 4 “The future of healthcare will be built on the shoulders of the strongest partnerships.” 
 - r a s a s h r e s t h a o f u p m c 5 P A R T N E R S H I P S W I L L 
 A D V A N C E H E A L T H C A R E
  15. 15. What do PayPay, SpaceX, Tesla, SolarCity, Hyperloop, OpenAI, Neuralink and The Boring Company all have in common? A founder. Certainly not a field or industry. Elon Musk is a firm believer and expert in learning transfer. This means he takes what he learns from one area and applies it to another area. This is extraordinarily difficult to do on your own, nearly impossible to manage four multibillion dollar corporations at the same time, but through partnerships and shared learnings across the spectrum of technology, pharmaceutical development, marketing and communication, transportation, data management, etc, we as a community can change the healthcare system for the better. 1 5 L E A R N I N G T R A N S F E R 
 F O R S U C C E S S SoftwareEnergyTransportationAerospaceOnlineBankingNeurotech
  16. 16. P A R T N E R S H I P S O F N O T E 1 6 U P M C E N T E R P R I S E S G R A N T S 4 A P P S J L A B S Over the last 20 years, UPMC has evolved from a single psychiatric hospital into a $19 billion integrated provider and insurance system. UPMC is dedicated to “the relentless pursuit of innovation– actively inventing new models of patient-centered, cost- effective, accountable care.” UPMC Enterprises is the innovation incubation arm, that fosters innovation by investing in and developing new digital health companies. UPMC has a strong portfolio, including the likes of Xealth and vivifyhealth. Bayer’s Grants4Apps program is a global open innovation initiative that started as a passion project in Berlin in 2012. Originally organized to sponsor small meet-up events in an effort to get to know the startup scene, it now offers financial support to companies looking to change the patient experience for the better. Over the past 6 years, G4A has grown to receive over 1800 startup applications annually and hosts 14 G4A programs globally.  Jlabs is the life science incubator arm of Johnson & Johnson that hosts Quickfire Challenges to empower innovators to deliver life- enhancing health and wellness solutions. Quickfire Challenges cover issues across the healthcare spectrum including infant care, smoking cessation and surgical robotics. JLabs has 11 labs around the world, firm in their belief that “great ideas come form everywhere.”
  17. 17. Can you imagine if you heard that 50% of pilots were burned out and that at least 400 of them committed suicide a year? There would be public outcry. Doctors are our healers, yet they have the highest rate of suicide among any profession. We are in the midst of a crisis in the medical world that puts both physician and patient lives at risk – the third leading cause of death in the US behind heart disease and cancer is medical error. This begs the question -- Are we part of the problem?Innovators need to provide solutions that work with and improve the physician workflow. Unfortunately, physicians have not historically been consulted in the discovery process for systems and tools – a prime example being EHR systems that are often cumbersome and confusing, adding stress and administrative work to the physicians day. Training programs and updating standard med school curriculum's the include technology training will be necessary in the coming years. 1 7 P H Y S I C I A N B U R N O U T A N D S U I C I D E E P I D E M I C6 02 0 0 . 0 0 . 2 0 2 2 2
  18. 18. C O L L A B O R A T I N G W I T H H C P S F O R B E T T E R T E C H What are HCPs looking for in new tech? • Will it save time AND provide better outcomes? • Will I be reimbursed? • I already spend too much time with my computer. How will this reduce that time, not add to it? • Privacy concerns. Will I get sued? Successful tech removes roadblocks for physicians, it shouldn’t create roadblocks • Health information technologies should be accessible and affordable. • Regulatory requirements should be simplified and flexible enough to accommodate emerging technologies, new models of care and physician payment. • Unessential tasks and administrative burden should be eliminated. • Technical standards should be implemented for the secure transfer of health data. • Policies should be developed for how patient information is shared between physicians, patients, health systems, medical registries and others. How to include physicians in your discovery: AMA Physician Innovator Network – meets Linkedin for healthcare startups • 2600 physicians, 4000 total users, 460 companies 1 8 Click here for a link to full report from AMA.
  19. 19. H A N D O F F P R O A V I A M E D I V I S T E C H T O N O T E 1 9 HIPAA compliant smartphone app designed for secure and more complete patient handoff and task management during shift changes in the ER. Keeping teams on the same page by easing communication and collaboration reduces the chance that something, or someone, falls through the cracks and lifts some of the stress associated with staff handoffs. Avia is a technology company focused on the health systems’ challenges and opportunities, including clinician burnout, mental health and consumer engagement. Using a custom voice application, Avia has developed a solution that allows physicians and nurses to properly delegate administrative tasks and work in the hospital, easing the workflow to allow physicians and nurses to do what they do best – care for their patients. This tool is being used at Cedar Sinai MediVis is a mixed reality company built to augment the training of medical students. Launched in 2015 by two NYU physicians, MediVis leverages Microsoft HaloLens to “completely change how physicians prepare for and perform surgeries in the operating room.” MediVis has transformed 2D medical training to immersive, 3D training.
  20. 20. M I R A A C C E N D O W A V E F I B R I C H E C K O T H E R G R O U P S T H A T C A U G H T O U R E Y E 2 0 Mira’s connected women’s health tracker won the consumer competition at Health 2.0 . For $199, women receive a urine analysis device that connects to a mobile app via bluetooth. The device helps women identify peak fertility days to maximize or avoid conception and monitor hormones. In a clinical trial, this class 1 medical device demonstrated 99% accuracy and has the opportunity to potentially serve as a monitoring and management tool for kidney conditions. AccendoWave uses an EEG headband and a tablet with AccendoWave software to track patient relaxation, focus, pain, and nausea. The software analyzes patient’s brainwaves and prompts content such as music, video, and games to help manage discomfort. Proven to reduce discomfort in 83% of patients in a clinical setting, providing a non-pharmaceutical solution for pain-management – something hospitals are now required to offer patients as of January 1, 2018. FibriCheck, J&J Innovations Lab winner, was awarded a $25k investment. FibriCheck allows patients to monitor heart rhythms for aFib with their smartphone, anywhere, anytime. The app is medically certified screening and monitoring and available on prescription for the detection of irregular heart rhythms, including atrial fibrillation. All of the information is automatically shared with HCPs for instant remote monitoring.
  21. 21. What changes in the next 5-10 years will have the biggest impact on the future of healthcare? 1. Technology: More sophisticated infrastructure. 
 The de-siloed trend will put pressure on tech solutions 
 to improve cross-communication between systems. 2. Collaboration: Working together across industries to 
 solve our most pressing problems like interoperability, physician burnout and privacy. 3. Culture: Shift from wariness to acceptance of AI as essential. 4. Policy: Software regulation similar to the medication regulation of today. 5. Consumer: Increased adoption of data generating devices. 2 12 12 12 1 W H A T ’ S C O M I N G N E X T ?
  22. 22. 2 22 2 W H A T W E C A N D O N O W A S P H A R M A M A R K E T E R S Bring healthcare home: Support the increased adoption of telehealth with digitally-housed information and resources like brochures and discussion guides. Consider remote monitoring opportunities for safety and efficacy tracking. Take advantage of the Digital-Health Hype Cycle: Look to strategic digital solutions that serve all of the members of the healthcare team, like prescribable tools that drive real outcomes. Harness Behavioral Science: Build patient support programs and RM streams that teach patients how to hack their own habits for better med adherence and lifestyle management. Transparency, privacy, and ownership of data: Always allow patients to access and control any information or data shared. Look for partnerships outside of your traditional network: Keep up with current consumer expectations by bringing consumer-centric thinking into the healthcare space, with faster, more personalized, and more convenient brand experiences. Support our physicians: Reduce the prescribing burden with streamlined PA processes and digitally-enabled monitoring solutions 1 2 3 4 5 6
  23. 23. 2 32 32 3 Q U E S T I O N S ? R E A C H O U T T O K R I S T I N M E N G E L