HIMSSCast

Medical, social services organizations advocate for passage of a new social determinants of health bill; Fitbit files patent for a ring that collects medical data . Plus: Supreme Court to hear challenge to HHS move to cut 340B drug reimbursement.Links to the stories:Hundreds of stakeholders support passage of SDOH bill in CongressFitbit patent reveals it could be working on a health monitoring ringSupreme Court to decide legality of drug payment cuts to 340B hospitals

CMS lacks authority to ensure hospital preparedness for next pandemic, says OIG; Virtual health company Ro plans to buy Kit in second acquisition in two months . Plus: Telehealth usage starting to decline as the pandemic wanes.Links to the stories:OIG says CMS lacks authority to ensure hospital safety during pandemicsRo purchases at-home diagnostic company Kit, marking its second M&A in two monthsReport: Telehealth use beginning to taper

The last 18 months in digital health have been tumultuous, to say the least, but as companies consolidate and go public some order is starting to emerge from the chaos. Scott Shreeve, CEO of Crossover Health, has some theories about what that is going to look like. Scott and host Jonah Comstock discuss payers, employers, providers, and patients and their relationships of trust and incentives in the newest episode of HIMSSCast.Talking points:Consolidation in the telehealth spaceComparing today’s telehealth landscape to the platform wars of the pastA Cambrian explosion in digital healthThe pillars of “full stack” primary careDifferent approaches to digital health plays, and how they’ve evolvedWhy the employer makes sense as a customer, and how that dovetails with patient-centricityThe role for a new kind of provider entityTrust as a currency in healthcareThe future of healthcare payment modelsThe difference in incentives between insurers and employersWhat effective incentive alignment looks likeMore about this episode:The Great Consolidation, Part 1: The Employer Health Platform WarsThe Great Consolidation, Part 2: The Four Pillars of Full Stack CareThe Great Consolidation, Part 3: The Three Organizing Categories for Employer Health ServicesThe Great Consolidation, Part 4: Trust as the Currency of Future HealthDigital-backed care provider Crossover Health hauls in $168M Series DWhy Crossover Health shut down Sherpaa, and how it's taking its lessons into the future

Scripps Health hit with multiple lawsuits following a ransomware attack; Amazon Web Services seeks to boost technical training for 10 digital startups. Plus: Five Blues plans launch for-profit pharmacy solutions startup.Links to the stories:Scripps Health hit with class action suits after ransomware attackAWS looks to digital health with new acceleratorFive Blues plans launch Evio, a for-profit company focused on lowering drug prices

At WWDC this month, Apple announced new health sharing features that allow users to share their health records and patient-generated data with family, caregivers, or their healthcare provider.  On today's HIMSSCast, Michael Abrams, managing partner at Numerof & Associates, joins host Jonah Comstock to discuss the news and how it fits in the larger context of the healthcare system.Talking points:Context for Apple’s latest health records announcementThe impact of the new Apple capabilitiesHow Apple is set up against the competitionApple’s ecosystem playAre patients ready to own and control their health data?Are physicians ready for patient-generated health data?Injecting coaches and other stakeholders to fill the data usage gapWellness, prevention, and systemic incentivesDo tech companies see value-based care on the horizon?The rise of the "payvider"Technology and the bottom lineMore about this episode:Apple adds walking stability, family and provider health sharing, and more at WWDC 2021Apple's new health data sharing feature is part of the patient-controlled data trendApple Health Records launches out of beta with 39 health systemsHow patient-generated data contributes to clinician burnoutThe real-time health system: Adapting healthcare to the new normal

Earlier this week, HIMSS Trust Partners from the HIMSS, the Chartis Group, Accenture, and ZS came together to share new data and insights at the HIMSS State of Healthcare event. If you missed it, you can still register and check out the event on demand here.But on this week's HIMSSCast, host Jonah Comstock and MobiHealthNews Managing Editor Laura Lovett discuss some of the most interesting things they heard at the event. Then stay tuned for a special segment with HIMSS CEO Hal Wolf, who talks about what's to come at the companion, in-person event Future of Healthcare, scheduled for HIMSS 21 in Las Vegas in August.Talking points:Changes in consumer attitudes about telehealthThe state of healthcare from the patient’s perspectiveWhat’s holding back the “low-hanging fruit” technologies?Which changes are staying and which are going “back to normal”?AI & ML: Providers are bullish in general but light on specifics, while patients are generally uncomfortable but excited when they hear specificsHospitals are bouncing back financially, but were lessons learned?Are hospitals underestimating new competitive threats?Looking ahead at the Future of Healthcare eventHow COVID-19 changed everything, and the role technology has to playHow healthcare could follow in the footsteps of auto manufacturingFuture of Healthcare highlightsMore about this episode:68% of health system execs plan deeper AI investments to meet strategic goalsPayers focus on artificial intelligence and machine learningTo make new tech implementations work, patient consultant says to focus on the personOscar Health's CEO on how insurance companies have transformed during COVID-19Atrium Health's quick turnaround allowed for digital innovation during the pandemic

A direct-to-consumer telehealth company looks to expand globally with new acquisition; AHA asks Express Scripts to rescind its 340B claims policy. Also: EHRs say customers can establish greater patient control over record-sharing with Apple Health app.Links to the stories: Hims & Hers eyes UK expansion with Honest Health acquisitionAHA wants Express Scripts to rescind 340B claims reporting policyCerner, Meditech to support record-sharing via Apple

Health Current’s CIO Keith Parker and IMO’s Chief Strategy Officer Dale Sanders discuss big data management in healthcare: challenges and lessons learned.

UnitedHealthcare institutes policy allowing it to retroactively deny ED claims; Apple unveils walking stability assessments in iPhone update . Also: Mount Sinai Health System teams with Caregility and Language Line to help cater to patients with limited English proficiency.Links to the stories:UnitedHealthcare looks to retroactively deny emergency room claimsApple adds walking stability, family and provider health sharing, and more at WWDC 2021Mount Sinai eases translation in 200 languages through its Epic telehealth platform

These days, insuretech is its own burgeoning startup ecosystem. But in 2012, a startup elbowing into a space dominated by big longterm players like United, Humana, Cigna, and the Blues was audacious and unheard of. Enter Oscar Health, the health insurance startup that’s been pushing the envelope, exploring ways technology can improve the experience. For today's HIMSSCast, Oscar CEO Mario Schlosser joins host Jonah Comstock and Healthcare Finance News Managing Editor Susan Morse to tell his story and answer some questions about the company's latest moves. Along the way we discuss telehealth, value-based care, and more.Be sure to check out Mario next week at the HIMSS State of Healthcare event on June 15th, where he'll represent the payer perspective on a panel of healthcare experts.Talking points:What makes Oscar’s full-stack approach to technology differentDifferentiators: Automation, virtual primary care, +OscarMajor factors driving trends in healthcareHow COVID boosted the virtual primary care businessHow Oscar overcame (and overcomes) healthcare’s first-mover curse‘Shifting the battlefield” toward value-based careDriving Oscar towards profitabilityOscar’s relationship with Cigna, and with other payersMoving toward the frontier of risk-based paymentsWhy telemedicine and value-based care need each otherThe Catch-22 of risk-sharing in healthcareThe emerging “orthogonal” healthcare systemThe last mile in telehealthIncreasing provider interest in being in the health plan businessMore about this episode:With $400M injection, tech-savvy health insurer Oscar eyes 1M member mark (from 2016)Alphabet's $375 million in Oscar Health will expand insurer into Medicare Advantage business (from 2018) Oscar's new program aims to give providers and third-party payors access to its tech-backed insurance platformCigna, Oscar plan to expand affordable coverage for small businesses in ConnecticutOscar launches no-cost virtual primary care in planned 2021 expansionTech-minded insurance company Oscar Health announces IPOHealth insuretech company Oscar scores $225M in new fundingOscar lands $140M more as it prepares to scale in 2021