Monday, December 05, 2011

#MHS11 MHealthSummit Startup Health

This is a live blog post from the mHealth Summit. The summit is taking place from December 5-7th at the Gaylord National Convention Center, National Harbor, MD.

This is a live blog post, as such the notes are made in real time and posted with minimal editing. I am sharing these via Facebook, Twitter and my blog to help others get a snapshot of the activities at the conference. You can follow the tweet stream at #MHS11 or follow the mHealth Summit's twitter account @mhealthsummit.
StartUp Health: Bridging the Gap between Health & Wellness Entrepreneurs, Payers and Providers

A panel moderated by: Steven Krein, Co-founder of StartUp Health

Peter Levin - CTO and Senior Advisor to the Secretary of Dept of Veteran Affairs - Promoter of the BlueButton 

Don Casey, CEO of West Wireless Health Institute & former Worldwide Chairman for Johnson & Johnson's comprehensive care group and member of the Company's Executive committee

Stephen Ondra, MD - Senior Policy Adviser of Health Affairs, Dept of Veteran Affairs.

BlueButton - What does it mean to Entrepreneurs.

Outcomes, Cost and Control model. BlueButton improves access, compliance. Real benefit is as a catalyst to move to patient centered care.

BlueButton is simple formatted Text File. (ASCII).

At the VA it tracks 17 items in a health record, including self-entered data. Now they are starting to include data from VISTA - The VA's EMR.

Two ideas that utilize the BlueButton File:

- Help physicians deliver information to patients
- Help patients manage their own care.

There is of course RainbowButton.com to allow data donation anonymously.

Don Casey thinks there is a market for an app to find physicians that accept blue button data.

Did you know that over 500,000 people have downloaded their BlueButton data from the VA and with adoption by United Health and Aetna the market in private health care markets puts BlueButton access at over 17M.

Q: Is EMR Adoption taking up more time for doctors. 

A:  Yes - Doctors often hate the technology. They don't hate what it is trying to achieve.
They want products that help their patients, fit their workflow and help them be more efficient.

West Wireless Health development preferences:

- Diagnostics
- Analysis
- Devices

Q: How do get doctors to the table to participate in the change process.

A: we need to align incentives. It is starting to happen. Switch from fee for service to pay for performance and no reimbursement for readmission within 30 days are having a radical impact.

Billions being invested in EMRs. Most are not developed for workflow improvement but for billing management. The transition from revenue cycle management to clinical outcomes will force a radical change.

1. What problem are you solving
2. Who will pay for the solution
3. Is there something unique about your offering
4. How will this lower the cost of health care

Who pays

18% of US Population managed by capitated health plans. (Kaiser, Geinsinger)
Large Self Insured: IBM, Exxon etc.
High Deductible Self-Directed Health Plans

We need to be more be more sophisticated in how you approach health care and mHealth:

- Clinical Applications
- Revenue and Workflow management
- Health Care industry (Pharma etc)
- Health and Wellness (Consumer wellness and prevention)

$1B of innovation money
Beacon Communities

$19B to be spent over next several years.

((tag: mhealth, mhealth summit, mobile))

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