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Happtique's mRx Big Opportunity/Threat for Pharma

With the proliferation of mHealth apps, it was only a matter of time before healthcare providers would start prescribing apps as soon as apps proved to be as or more effective than prescription drugs. Happtique, a mobile health application store and app management solution startup will launch a trial of mRx™, the first program to enable physicians to prescribe mHealth apps to patients. You could call it an "app formulary" that complements (and competes) with a traditional drug formulary.
 
 
Pharma Looking Like a Cross Between Railroads and Newspapers

Avado featured in the Wall Street Journal

Avado was featured in the Wall Street Journal along with Mint and other hugely successful consumer applications. The article just focused on the consumer-facing side of Avado. Naturally, Avado's focus on the clinician and how they communicate with their patients is what enables this capability.
 

Dashboard Your Life

Tame the tangle of bills, finances and frequent-flier miles by visiting only a few websites instead of 20
 

Avado featured in New York Times

 
The New York Times featured Avado among a select group of startups focused on improving health outcomes by enhancing communication between doctors and patients.
Vital Signs by Phone, Then, With a Click, a Doctor’s Appointment

If ever an industry were ready for disruption, it is the American health care industry. Entrepreneurs have responded by starting health care technology companies that are changing the way we interact with the entire system.
HOW IT WORKS: A doctor subscribes to Avado and gets a suite of tools that enable the easy creation of a Web site where patients can fill out intake forms, schedule appointments, ask for weekly medication reminders and track symptoms for chronic conditions.

 

"Primary Care Spring" unleashed by IBM

 
A year ago, the Arab Spring rocked the world. Stateside, a less visible revolution is underway. The revolution could be called the Primary Care Spring. As social media played a role in the Arab Spring, there is a large group of primary care physicians who have rallied around the #FMRevolution hashtag. Perhaps as unlikely as a street vendor catalyzing the Arab Spring, a catalyst for the Primary Care Spring was IBM.
 
Like any revolution, there are many factors at play (not all of them can be addressed in one article). As a doctor would take a medical history, make a diagnosis and then layout a prescription with accompanying risk factors, I will use this same format for what I believe is fueling the revolution.

Health Systems Spending Billions to Prepare for the "Last Battle"

Matthew Herper‘s May 7th Forbes cover story reports on the billionaires at Cerner and Epic created by the HITECH Act. This was the $19 billion portion of the stimulus bill that is providing billions of subsidies for the adoption of electronic health records. When this kind of money is being spent, it begs the question whether health systems are making the best use of that investment in modernizing the U.S. healthcare system.
 
On the one hand, it’s hard to argue with modernizing the record-keeping in healthcare that isn’t far beyond how medicine was recorded in the time of Hippocrates. Many thousands of lives are saved as a result of this modernization (e.g., avoiding deadly prescription errors) and it is why there is strong support from the current and past administrations to modernize systems. On the other hand, the companies benefiting most from the stimulus are running on 30-year-old technology architectures that have two significant shortcomings.

Do Stage 2 Meaningful Use Opponents Believe >90% of People Don't Care About Their Health

 
In an earlier piece, I spoke about how the Office of the National Coordinator (ONC) at Health & Human Services should ignore calls to water down the Stage 2 Meaningful Use requirements they have proposed. The health (and budget) of the country depends on them sticking to their guns. As predicted, they would receive pushback from some folks who think the patient engagement requirements are too tough. In particular, they have focused on the requirement to have a mere 10% of patients engage. 

 

Huge stimulus to Health 2.0 startups?

The federal government is on the cusp of leveling the playing field for healthtech startups. Health 2.0 events have shown an unprecedented wave of innovative healthtech startups have developed over the last few years. You can also see them at  demo day events that Blueprint Health, Healthbox, Rock Health and StartUp Health host. However, the health sector may be the single most challenging arena for startups.
I would argue nothing would result in population health improvement (while decreasing healthcare costs) more than having greater engagement by patients in the healthcare process. The Office of the National Coordinator (ONC) could catalyze an unprecedented wave of innovation with a stroke of a pen by strong inclusion of patient engagement requirements in the Meaningful Use requirements.

The Next Generation of Patient Portals - mHealthZone Podcast transcript

There is a great new podcast called the mHealth Zone hosted by Happtique's CEO (Ben Chodor) and President (Corey Ackerman). I have listened to all of their episodes and Ben and Corey do a great job. Recent episodes include my friend Milena Adamian, MD, Founder and Executive Director of Life Sciences Angel Network on "mHealth as an Investment Thesis: The Need, Promise & Mystery" and Dr.

Onsite Clinic: Employers Solving Healthcare Crisis One Clinic At A Time

Employers fed up with the annual "get less for more" health story when they get annual plan updates have taken matters into their own hands.  This has created one of the hottest sectors of the economy — onsite clinic providers. Also published on TechCrunch.

Aetna: Scaring Its Competition and Delighting Startups

Wither health insurance? A former medical advisor to the Obama Administration who also is the brother of former Presidential Chief of Staff predicted in the New York Times that by 2020 health insurance companies will be extinct. Nearly two years ago, I penned a piece entitled Health Insurance's Bunker Buster. It outlined two key reasons that health insurance -- as we have known it the last couple decades -- will cease to exist.

Pharma's Choice: DEC or IBM?

The article below was also published on TechCrunch (click to read an active comment thread). In the piece, I laid out a clear choice that pharma has before them. They can reinvent themselves like IBM shifting from a product to customer/service centered company. Alternatively, they can join the ranks of DEC, Wang, Data General et al who rapidly went from very profitable to artifacts of history.

Two Nationally Prominent Physician Thought Leaders Join Avado Team

It's long been said that the most important member of the care team is the individual (aka "patient" - we prefer the word "individual" as most of us don't consider ourselves "patients"). This dovetails with the fundamental thesis for Avado: We believe it's nearly impossible for healthcare providers to thrive in a reimbursement environment that is rapidly shifting from a "do more, bill more" model of reimbursement to a value and outcome based model without recognizing the criticality of the individual. 
 
 
 

MD Runs No Overhead Practice with Avado, Evernote and Grasshopper

With the failure of the super Congress, there's a 27% cut in Medicare reimbursement that is looming. Less well understood is the implications on primary care salaries. Dr. Matthew Mintz wrote for KevinMD that the implications would be a halving of primary care providers' salaries. Whether this will happen remains to be seen, but it is indisputable that primary care has received dramatically less reimbursement over the years.

Marcus Welby is Dead. Long live Marcus Welby

Periodically, I write for publications such as Forbes, Reuters, KevinMD, FreelanceMD, Huffington Post, TechCrunch, the Seattle PI and others (see past articles here). Forbes is running a series on ideas for reducing healthcare costs. Since my mission is to slay the healthcare cost beast, I couldn't resist the request to contribute.

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In the News

New York Times

Vital Signs by Phone, Then, With a Click, a Doctor’s Appointment
If ever an industry were ready for disruption, it is the American health care industry. Entrepreneurs have responded by starting health care technology companies that are changing the way we interact with the entire system.
HOW IT WORKS: A doctor subscribes to Avado and gets a suite of tools that enable the easy creation of a Web site where patients can fill out intake forms, schedule appointments, ask for weekly medication reminders and track symptoms for chronic conditions.
Read article

Physicians Practice

Making Your Practice More Efficient Means Fewer Staff, More Tools By Craig Koniver, MD

I want to give you some practical advice about how you can start creating your very own lean medical practice to start you thinking about how you can manage your practice on your own, by yourself.

Read article

TechFlash

Six Wash. startups to present at the NW Startup Demo

I am amazed at the breadth of innovative technologies and the caliber of entrepreneurs we will be showcasing at our DEMO event

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TechCrunch Disrupt Finalist

Avado Presents at TechCrunch NY Discrupt 2011

Avado was a finalist at the TechCrunch NY Disrupt 2011 as one of the most disruptive technologies of 2011. 

Watch the presentation

Portland Business Journal

OEN names 10 companies to present at Venture NW event

The 10 companies presenting at this year’s conference represent the entrepreneurial spirit that continues to grow in ... the Northwest

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Business Insider

8 Startups That Are Shaking Up The Health Care Industry

With products for both the provider and patient sectors, Avado is changing the way doctors run their practices

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The Wall Street Journal

Dashboard Your Life

What services like Simplee and Mint do for bills and finances, Avado plans to do for medical records.

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GeekWire

 Microsoft vet Dave Chase sets out to fix the ‘broken’ health care system with Avado

There’s perhaps no industry as screwed up in America as health care. And Dave Chase who helped create the healthcare business at Microsoft during his 12-year tenure, is now looking to help fix it

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VentureBeat

Avado turns health care into continuous care

Avado ... aims to turn patients from passive health care receivers into active health care partners via its patient relationship management system. Think of it as Mint or healthcare.

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TechCrunch

 Avado Aims To Be The Salesforce.com Of Personal Health Records

Avado, a startup launching at Disrupt NYC today, is partnering with healthcare businesses like the two mentioned above to provide a “Patient Relationship Management” platform, in an attempt to create a more communicative relationship between patient and doctor by way of “Connected Health Records”.

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TechCrunch

Avado Launches ‘Patient Relationship Management’ Platform To Help Healthcare Providers Go Digital

Avado will provide practices with an interactive website that includes secure messaging, a private social network, and patient portal that can be up and running within 55 minutes of sign up.

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