Really not sure how I feel about this, Primary care needs a new operating system. Especially when the article is written by a venture capitalist…? OK, I do know how I feel about it. It’s not the number of billing codes that’s the problem. Maybe the fact that there are billing codes at all for primary care is the problem. Just focus on delivering preventative care at a fixed rate, problem solved. Whether it’s direct primary care, some form of capitation etc. is less important. A bit like the model proposed by the Pacific Business Group on Health.
After years of desperately slow adoption of telehealth, now the barriers are really dropping. To move things along, CMS agreed early in the pandemic to expand reimburse for virtual visits. Now, some providers are pushing for audio-only visits to be added into the mix. I think we used to call those telephone calls.
Also new, a collaboration in Belgium makes a play for COVID-19 remote monitoring. In my experience, 6-sided collaborations rarely end well. Just too many cooks. I hope to be proved wrong in this case…
Not much of a looker perhaps, but LifeSignals receives the CE mark for its wireless vital signs monitoring wearable.
Tech experts: Widespread adoption of telemedicine, remote monitoring ‘here to stay’. No not really, not in the US at least. In Western Europe and other places where the aim is decent healthcare at the lowest possible cost, sure. In the US, technology adoption in medicine is decided mostly by lobbyists, lawyers, and accountants haggling over reimbursement policies. People who practice medicine are a poor second sadly. So unless the COVID-19 related temporary telehealth reimbursement policies (see above) are made permanent, telehealth will fade again just as quickly as it blossomed. Despite strong use cases like this, checking in with seniors at home.
More nimbleness from the federal government, flexing Medicare reimbursement rules as hospitals reconfigure to provide more capacity to counter the pandemic. Perhaps more renowned for rapidly adapting to a crisis, the US air force is adapting a monitoring solution used in the field for COVID-19. While on that thread, the DoD is working with PhysIQ for similar reasons.
Hackathon at Cornell gives birth to a smart facemask that also monitors vitals.
A bit of a change in direction/maturing of strategy for AliveCor. Originally marketed as a direct-to-consumer ECG device, the company has also gained traction with healthcare professionals. Notably in the UK, where lifetime cost of care from cradle to grave is a driver. Now, AliveCor partners with Medable for home use with clinical trials.
Also on heart health, I remember seeing this as a research project a couple of years ago, nice to see it getting funded. Bemis Manufacturing leads investment round in NY startup’s in-home cardiac testing device. The beauty of this is the monitoring is unobtrusive – and pretty much unavoidable, so helping with patient compliance. With sensors built into the toilet seat, you’re pretty much guaranteed to get a measurement once a day.
For a longer read, the redoubtable McKinsey maps out the journey for healthcare providers through COVID-19 and beyond.