Monday, September 26, 2011

#health20 #Employers20 introduced by @Keas

The Employers 2.0 session at the Health 2.0 Conference:

Employers, Payers and the Great Health 2.0 Awakening

GRAND B (Main Ballroom)

Sponsored by:
Keas

Employers and insurers have been the sleeping giants of health care. But now they are increasingly active in guiding people they cover in wellness programs and in collaborating on the infrastructure for new delivery models. How are they using Health 2.0 as part of their awakening?

KEYNOTES:

JOINING THEM ON THE PANEL WILL BE:

  • Louis Burns, CEO, Care Innovations
  • Giovanni Colella, Co-Founder & CEO, Castlight Health. 
  • Jim Hansen, Vice President & Executive Director, Dossia
    & via video from the Benefits Forums & Expo in Dallas:
  • Jen Benz, Chief Strategists & Founder, Benz Communications, with
  • Sally Luck, HR Director, Hallmark Cards

WITH DEMOS FROM:

  • Aetna
  • Care Innovations
  • Castlight Health
  • Dossia
Mark Bertolini - @mtbert

$400M per year of application development.

Using Applications to bring affordability.

AETNA looking to give employers direct access and registration in 48hours. instead of 3 months via brokers. Sucks to be a broker.....

Consumer platform launching in spring 2012 to allow real time access to book appointments etc. This will be mobile.

SDK being developed to allow developers to integrate in to the platform.

Demonstration of iNexx platform from Medicity

The Cardio Referral app that was developed and given away to 5 doctors in Michigan has gone viral - now 250 doctors using it.
Why do it for free? Because it reduces operating costs and improves patient satisfaction.

Consumers only interact when something is wrong. 

A technology savvy Health Care CEO - A shame that this is still a surprise in HealthCare

Louis Burns
Care Innovations, a GE and Intel joint venture. Told the joint venture to "Drive the bus like you stole it!"
Simple solutions - it doesn't have to be sexy or flashy
Great simple tablet application with audio, video and image  support. 

very focused on putting tools in people's hands

Jim Hansen
Dossia - reset and set about building a health engagement platform that built on 360 degree health platform (PHR). 

People want tools to solve problems. They don't want a PHR.

Dossia Health Manager.

Link profiles so you can manage a family.
Integration from FitBit (http://healthca.mp/fitbit)
Pull data from Health Records.

Building an App marketplace that uses the Dossia platform and data.

Adding challenges and gamification. 

You can connect with people who are not on the platform.
When will Dossia open doors to non-employer base. Like when Facebook graduated from college.

10 Employers using Dossia. 
Achieving 50% adoption levels in repeated use.

Giovanni Colella

Working with several employers.

Some insurers have non-price transparency as a competitive advantage - this has to be a losing strategy. Information wants to be free. The power of the consumer and social networks will increase the liquidity of information.

Castlight provides employers and employees with access to cost and quality data.

Jim Benz and Sally Luck

HR folks are busy but now employees need to be more involved in their health care.

George Halvorson

HealthCare business model is setup to create what we have. We get paid for actions not outcomes.

When you pay for the piece not the package there is no incentive to reengineer. This is the silver bullet in Accountable Care Act. Paying for outcomes and bundling payments for outcomes.

KP cuts the number of broken bones in half for seniors but two thirds of actions they take have no fee schedule in Blues Plans 

Docs didn't want this publicized because other docs might be hostile.

KP had 125 accounting systems. each new site development would pick best of breed.

Kaiser reengineered in a collaborative approach. You can see that with initiatives like the great Innovation center where we held HealthCampSFBay on September 23rd.

Kaiser Permanente won awards for being the top 4 plans providing Medicare plans.

30M e-visits last year

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@Health2con User Generated Health discussion @azaaza @tgoetz @agaricus

An interesting panel on User-Generated Health.

User-Generated Health: From Intelligent Communities to Self-Tracking, and the Quest for Personalized Health Platforms

GRAND B (Main Ballroom)

Sponsored by:
Boozallenhamilton

Communities are evolving from simple support mechanisms to becoming personalized platforms for disease management, behavior change and data analytics. We’ll take a look at the themes of peer and professional support, self-tracking, information sharing and delivery, competition, real-time data streams, and carrot vs. stick – and see the Health 2.0 tools and unplatforms that are driving consumer engagement and testing leading behavior change models to make the greatest real-world impact.

COMMENTARY FROM:

AND DEMOS FROM:

Indu Subaiya introduces the panel. 

Gary Wolfe -
Quantified Self is a frame to explain what is happening. Self monitoring  takes place by individuals for individuals. 

We are used to using words to tell how we are doing. There is a big cultural change to use data to express themselves. e.g. Nike Plus graphs.  

Thomas Goetz - 
When something is externalized it makes more impact. Community is an effective way to drive change. People want to fit in.

Aza Raskin - 
People who most need help often get the worst service. 
Feedback loops need to have an emotional connection

Catch people at the right time and nudge them in the right direction. That is how Google made Billions.

Demos: 
Alliance Health Networks - Diabetic Connect

Launched in 2008 in conjunction with Diabetes Mine (Amy Tenderich)
Enhanced user profiles and added another 40 sites focused around other conditions. Consumers love social features. They want to connect. They like personalization and virtual gifts. 

what was interesting was the use of invisionapp.com to demonstrate new features. This is a cloud based wireframe and prototype service.

MedHelp - 
Demo showing data relevant to pregnancy. The key thing is personalized feedback. Data matched with my 
85% of users make data public to the community. 

HealthTap
www.healthtap.com launched today.

Also announcing iphone app. 

Brings a network of physicians providing advice and virtual practices. 

OneRecovery
Online community helping people recovering from addiction.

A persons emotional state is the best indicator of a potential relapse in to addiction. Bring together peers and professionals to support people with addiction.
Their platform and game mechanics yields a 67% improvement measured by reduction in readmissions.

90% of the support comes from the community. 

StickK
 http://www.stickk.com/     Set and achieve your goals.
Health and wellness goals are 75-80% of goals.

Set the goal. Set the stakes.  You can set a wager to a charity you don't like. Added incentive to meet your goal. If you fail you fund a charity you don't like.

Integrating with Worksmart apps and withings to get data feeds.

Support network watches over you. 

This seems very like HealthMpnth from habitlabs.

They have a white label version that can support health and wellness goals. Good for companies to drive change of behaviors.

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#Health2con Kicks off Great keynote from Mark Smith of CA Health Care Foundation @CHCFNews

I am at the Health 2.0 Conference in San Francisco for the next 2 days. I will be tweeting and blogging from the event so expect a regular stream of updates. It is a packed event  with a lot going on.

The Opening Curtain Raiser

GRAND B (Main Ballroom)

Hosted by: Matthew Holt and Indu Subaiya, Health 2.0

Indu & Matthew will kick off the conference by reviewing the state of Health 2.0 and telling you what to expect for the conference and the year ahead.

User-Generated healthcare -> Consumers connect to providers ->

Interaction in the cloud

Great Design

Data + Data Utility Layer + unplatforms leading to decisions and actions

mHealth is just the manifestation of a network we can't see. We are an inter connected world.

Integration of the analog world is what is the next big breakthrough. This is coming true with the emergence of consumer sensors.

Connected Health communities is another big theme. The crowd comes to you through the cloud. Professional experts are moving in to these online communities.

The old world - Client-Server over featured and under used.

9,000 Health Apps for mobile devices. 

EMRs are moving to the cloud. APIs will open up. The patient is more closely linked. Data Liquidity is improving.

EMR and PHR just become data and applications.

Big Data is the other theme. It is finally arriving in healthcare.

Holly Potter is up to talk about progress with Health 2.0 - a 4 year partnership as flagship sponsor.

Mark Smith, MD President / CEO of California Healthcare Foundation (a proactive entity for change).  

Keynote: Mark Smith, California Health Care Foundation

GRAND B (Main Ballroom)

Sponsored by:
Kaiserpermanente

Mark Smith, President and Chief Executive Officer of the California Health Care Foundation is not only one of the wittiest people in health care, but he has always driven the industry towards making health care better andcheaper. We’re thrilled to have him tell the Health 2.0 community what he thinks we should be doing to make that happen.

Big Iron meets the Foosball crowd

Per VP Joe Biden  - this is a big effin deal

Healthcare is about 20 years behind other industries. The system is not setup to propagate change. Why would docs reduce visits if that is what they get paid for.

HealthIT Startup. Invent stuff... Magic happens... profits.

CHCF Innovation Fund is looking for investments for ideas that evolve and make money and scale. They want something with market traction.

- Technology is maturing
- Policy is evolving

- Technology is not the main obstacle.
- We are running out of time.

Widespread agreement that health care costs have to fall.

Shout out to: 
- RockHealth
- HealthBox
- VonLiebig Center at UCSD

Sources for help.

Opportunities:
1. Cost
2. Convenience to patients
3. Rapid Learning for Providers
4. Enrollment for uninsured.

There is an awful lot that people can do for themselves if the guilds would get out of the way.

Turning data to information to learning is a massive opportunity amongst providers.

www. ux2014.org is developing the User Interface for health insurance exchanges.

We are just on the verge of change. 

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Sunday, September 25, 2011

The best show that isn't on the agenda at #health20

Te rainbow button initiative

IMG_1057.MOV Watch on Posterous

Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone

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#patients20 @lygeia Here is an action plan for the Consumer Put the I in Health IT pledge

#Patients20 Awesome session in progress

The Patients 2.0 Session at the Health 2.0 Conference in San Francisco is an empowering event.
Kudos to Jane Sarasohn-Kahn for chairing this session so empathically.

Question posed by Lygeia Ricciardi asked the question "What can consumers do to pledge to Put the I in Health IT.

http://www.youtube.com/watch?v=K0XTCHekghc This was my attempt to drive Consumer empowerment.


The Society of Participatory Medicine has developed a seal for providers that practice Participatory Medicine:

4 criteria:

1. Proactively provide access to you health data.
2. Encourage feedback from patients (including a mechanism for anonymous feedback)
3. Participatory Providers will have a Patient Council to review and provide feedback
4. Participatory Providers wil give resources with every diagnosis.

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You meet the most interesting people at #patients20 / #health20

Photo

Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone

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