Direct-to-Consumer Telemedicine: Has its time come?

Originally posted on The cHealth Blog:

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Bryan Roberts: Health care venture capital’s billion-dollar man

Originally posted on Fortune Finance: Hedge Funds, Markets, Mergers & Acquisitions, Private Equity, Venture Capital, Wall Street, Washington:

Venture capitalist Bryan Roberts now has invested in six $1 billion+ companies. And none of them are in consumer technology.

Bryan Roberts, the most successful healthcare VC

Bryan Roberts has a lot of reasons to smile, including last week’s Castlight IPO

FORTUNE — In the world of venture capital, health care-focused investors are often thought of as second-class citizens (if they’re thought of at all). Their investments are more scientific than sexy, and often require heavy capital outlays with lower-multiple returns.

One enormous exception to this rule, however, is Venrock partner Bryan Roberts. Last week, a health care SaaS company Roberts co-founded and incubated — Castlight Health (CSLT) — saw its stock jump nearly 150% after going public, and today opened trading with a full-diluted market cap in excess of $3 billion. It is the sixth $1 billion+ company of Roberts’ venture capital career, which is a record that would make most consumer or enterprise…

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The Digital Transformation of Healthcare

Michael Fitzgerald, contributing editor at MIT Sloan Management Review, talks with WellPoint executive Lori Beer.  Read more…

Remote Patient Monitoring will Lead Value-Based Healthcare

Originally posted on The Digital Health Corner:

Traditional health insurance reimbursement to providers (though payment is a more appropriate word) for healthcare services and products is at the root of our healthcare crisis.  Our traditional fee for service system in the USA rewards hospitals and providers for doing more (and more costly) procedures to patients. Some interesting findings from a study from Harvard Medical School  were that the higher the cost of surgery, the greater the likelihood of complications and the more out-of-pocket a patient with Medicare or private insurance paid, the more complications were reported. In addition, if a patient paid for the surgery fully out-of-pocket or through government-funded Medicaid, the likelihood of complications was lower. The Affordable Care Act, which introduces newer payment models including bundled payments, is creating an economic environment which is conducive to the widespread use of remote patient monitoring (RPM) for recently discharged hospital patients and those with chronic…

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3-D Printer Builds Structures From Microscopic Water Droplets!


For more information, go to 3-D printers don’t build only solid objects anymore. They also build liquid objects, thanks to a research team at the University of Oxford.

Classification of technology enabled behavior modification programs

In thinking through how to classify technology enabled behavior modification programs, found this to be helpful.

Health-oriented behavior-change programs can be divided into five categories based on their relationship to clinical settings. The participant and clinician expectations are different for each approach.

1 Direct to consumer: No relationship to clinical setting.

2 Clinically referred: Clinician/system suggests a patient tries a particular solution (e.g., why don’t you try a commercial weight loss program?).

3 Clinically sponsored: Clinical setting has decided on particular solution(s) and offers it to the patient (for free or for a charge) (e.g., linked directly from clinical website to clinic-branded site with direct-to-consumer application/program, e.g., dLife, WebMD).

4 Clinically linked: Clinical site refers patient to specifically approved approach, provides information to the program and receives feedback about the patient’s performance. Clinician is expected to encourage participation, identify barriers, support patient’s choices, etc.

5 Clinically integrated: Clinical site provides branded experience in which clinic-based clinicians are part of the approach (e.g., there is a group-based experience run by the clinic staff and an Internet-based experience in which a clinician coaches the patient).

Neal Kaufman. Diabetes Technology & Therapeutics. February 2013, 15(S1): S-60-S-74.

Touchscreen T-Shirts only a few years away

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