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    Health & Fitness

    The Beat

    The Beat, powered by HLTH, is a weekly interview series dedicated to paving a better path forward for the future of health. Each week a variety of hosts bring you authentic conversations with prominent thought leaders. Through these interviews with people at the forefront of change in healthcare, we hope to spark new ideas and encourage new collaborations among listeners.

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    Copyright: © 2020 HLTH Matters

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    Latest Episodes:
    Live at HLTH: The Future of Venture Capital in Healthcare—featuring Dr. Vineeta Agarwala Jan 05, 2023
    Show notes

    Several years ago, leading VC Marc Andreessen proposed the notion that innovation happens through a process of unbundling and rebundling.

    Healthcare is no exception.

    Through the micro-specialization of companies, we’ve witnessed a great deal of unbundling in the industry. Now, we’ve begun the process of rebundling.

    So, what does this mean for the future of healthcare tech? And how do venture investors leverage this idea to decide which digital health startups deserve funding?

    Dr. Vineeta Agarwala is General Partner at Andreessen Horowitz, where she leads investments for the a16z bio and health fund across digital health care delivery, biotech and life sciences tools and diagnostics.

    Dr. Agarwala has a special interest in companies leveraging unique datasets to improve healthcare delivery, and she serves on several healthcare portfolio company boards, including Memorial Health, Thyme Care and Waymark.

    On this episode, Dr. Agarwala joins host Dr. Guatam Gulati to discuss what health payviders are doing to aggregate the best technology for specialty care and how we might integrate such specialized health tech into already complicated workflows.

    Dr. Agarwala shares her take on the successes and failures of digital health in the last decade, describing how healthcare tech has been transformative for certain patient populations and why she sees most remote connected wearables as a missed opportunity.

    Listen in to understand how the high bar for fundraising is changing the way a16z makes decisions and get Dr. Agarwala’s advice for aspiring founders in healthcare tech.

    Topics Covered

    • How Dr. Agarwala thinks about the unbundling and rebundling of services in healthcare
    • What health payviders are doing to aggregate the best possible technology across large numbers of specialty care areas
    • How we might integrate specialized health tech into already complicated workflows (and why it’s such a challenge)
    • Dr. Agarwala’s take on patients, providers and payers as joint custodians of healthcare data
    • The pros and cons of imposing a government tax on corporations to access healthcare data
    • How digital health has been transformative for some small patient populations, health systems and provider practices
    • Why Dr. Agarwala sees remote connected wearables as a failure in the absence of intelligent care management
    • How the high bar for fundraising has changed the way a16z makes healthcare tech investment decisions
    • Why a16z is encouraging its portfolio companies to adopt a lean business model
    • Why now is a phenomenal time to start a company in the healthcare technology space
    • How Dr. Agarwala’s experience with her grandfather’s death informs her work at a16z


    Connect with Dr. Vineeta Agarwala

    Dr. Agarwala at Andreessen Horowitz

    Dr. Agarwala on Twitter

    Dr. Agarwala on LinkedIn

    Connect with Dr. Guatam Gulati

    HLTH

    Dr. Gulati on Twitter

    Dr. Gulati on LinkedIn

    Resources

    Julie Yoo at Andreesen Horowitz

    Thyme Care


    Live at HLTH: Disrupting Episodic Care with Technology —featuring Dr. Jaime Murillo Jan 03, 2023
    Show notes

    About Jaime Murillo:

    Dr. Jaime Murillo is a Senior VP and the Chief CardioMetabolic Health Officer at Optum Labs.

    He is focused on disruptive care delivery solutions to improve health in the community using AI-powered technology, social-behavioral determinants of health, and community-based collaboration. His work also includes advanced analytics to identify gaps in care with an emphasis on health equity and AI/ML-based phenotyping and multi-omics to advance precision medicine.

    Before his current role at Optum Labs, he spent 2 years at UnitedHealthcare as the national lead for cardiovascular and ED services. This work focused on simple innovation and value-based transformation of care and affordability. He is a cardiologist from Yale University with a background in computer sciences and basic science and clinical research at Harvard Medical School and outcomes research at Yale University.

    He is a former IBM Watson Health collaborator on the clinical implementation of machine learning in the cardiovascular field. He practiced cardiology with a subspecialty in imaging for 20 years at Sentara Health. Within Sentara, he played several executive roles with a focus on leadership development and consumer strategies. Outside of work Jaime enjoys watching his son play tennis, watching movies with his wife, and practicing Pilates.

    Things You’ll Learn:

    • In healthcare, communication is one of the areas with significant improvement opportunities.
    • By 2025, about $300 billion in care will be delivered to consumers' homes.
    • UnitedHealth Group also works with a sense of purpose, their recent merger with LHC seeks to build care in communities and at homes.
    • Healthcare solutions today are based on clinical components and other different determinants of health.
    • Algorithms can now be built to allow the identification of those who may have a condition before it develops any complications.
    • Medical solutions today cannot exclusively take into account clinical data, they need to look at the patient holistically.

    Resources:

    • Connect with and follow Jaime Murillo on LinkedIn.
    • Follow Optum Labs on LinkedIn.
    • Discover the Optum Labs Website!

    Live at ViVE: Aging in Place, The Hospital-at-Home Model—featuring Sheeza Hussain Sep 20, 2022
    Show notes

    How can we transform patient health through personal and predictive care?

    By taking it home.

    Sheeza Hussain is the Chief Commercial Officer of Biofourmis, a global leader in digital therapeutics. Biofourmis has a vision to improve the delivery of healthcare by treating patients with chronic and acute medical conditions outside of the hospital utilizing advanced technology.

    On this episode, Sheeza joins hosts Dr. Gautam Gulati, Dr. Jessica Shepherd, and Dr. Jordan Shlain to discuss how Biofourmis is using continuous vitals monitoring to prevent adverse events before they happen, allowing patients to get healthy at home.

    Listen as Sheeza shares Biofourmis' mission to expand AI into people’s lives by creating innovations that meet patients at home. Scientific studies support the fact that patients recover more comfortably in their own environment and now technology is making it possible for aging to happen at home.

    Topics Covered

    • How Biofourmis is like the OnStar for your health
    • An inside look at the data and the analytics of Biofourmis’ bio vitals index
    • The 3 tools the Biofourmis platform uses to customize care
    • The partnerships required for hospital-at-home patient selection
    • Sheeza’s passion for the future and how demand is increasing for patients to receive their care at home

    Connect with Sheeza Hussain

    • Sheeza Hussain on LinkedIn

    Connect with Dr. Gautam Gulati, Dr. Jordan Shlain, & Dr. Jessica Shepherd

    • Dr. Gulati on Twitter
    • Dr. Gulati on LinkedIn
    • Dr. Shlain on Twitter
    • Dr. Shlain on LinkedIn
    • Dr. Shepherd on LinkedIn
    • Dr. Shepherd on Twitter

    Resources

    • Biofourmis
    • ViVE

    Live at ViVE: Community Health: The Challenges and the Opportunities—featuring Scott MacLean Sep 13, 2022
    Show notes

    Can we take what we learned from the influx of telehealth during the pandemic into the future to close the gap in health inequality?

    Scott MacLean is Senior Vice President and Chief Information Officer at MedStar Health, a not-for-profit health system serving Maryland and Washington, DC. He's responsible for the leadership and vision of information services to support clinical research and academic and administrative functions across the system.

    On this episode, Scott joins host Dr. Gautam Gulati to discuss how the entire healthcare model is being re-engineered before our very eyes. The pandemic may have started the chain of change, but that was just the beginning.

    Scott shares the biggest challenges MedStar Health was facing before the pandemic and how his team found the technical solutions to serve the mass increase in telehealth visits during the COVID crisis.

    Listen as they discuss how those innovations became the catalyst for MedStar Health to transform its strategic processes and move the needle on optimization. And learn why he’s working so hard to invest in technology to engage his community with more digital healthcare options to close the divide of health inequity.

    Topics Covered

    • MedStar Health’s story of teamwork during the pandemic and their current focus on infrastructure
    • How MedStar Health adjusted the universal EHR across the enterprise as COVID treatment protocols evolved
    • What MedStar is doing to move the needle towards more optimization and clinician usability
    • MedStar’s strategy for the future of home-based telehealth and how Scott’s team is using technology to better serve the community

    Connect with Scott MacLean

    • Scott MacLean on LinkedIn
    • Scott MacLean on Twitter

    Connect with Dr. Gautam Gulati, Dr. Jordan Shlain, & Dr. Jessica Shepherd

    • Dr. Gulati on Twitter
    • Dr. Gulati on LinkedIn
    • Dr. Shlain on Twitter
    • Dr. Shlain on LinkedIn
    • Dr. Shepherd on LinkedIn
    • Dr. Shepherd on Twitter

    Resources

    • MedStar Health
    • ViVE

    Live at ViVE: Prioritizing Partnerships to Provide Health for All—featuring Rasu Shrestha Aug 30, 2022
    Show notes

    The pandemic exposed the cracks in the healthcare system. But how do we prioritize resources to maximize capabilities for the future?

    By prioritizing partnerships.

    Dr. Rasu Shrestha is Chief Strategy and Transformation Officer and Executive Vice President for Atrium Health, one of the largest non-profit and leading academic health systems in the United States. Dr. Shrestha is responsible for Atrium Health’s enterprise strategy, including planning and tactical direction for the organization’s current strategic roadmap.

    On this episode, Dr. Shrestha joins hosts Dr. Gautam Gulati and Dr. Jordan Shlain to discuss his background and how he’s forging a path to the future by breaking down walls and building bridges to person-centered care enabled by technology.

    We discuss the cracks exposed in our healthcare system during the COVID and how we can pivot to make the heroics displayed during the pandemic the blueprint of how we operate going forward.

    Listen as Dr. Shrestha shares why social impact is such a big driver at Atrium Health and how they’re embracing their mission of health, hope, and healing for the future of healthcare.

    Topics Covered

    • How Dr. Shrestha’s personal experiences, combined with today’s healthcare climate, inform what he is doing at Atrium
    • How the pandemic accentuated the cracks in the healthcare system
    • How Atrium is creating a blueprint for collaborating in public-private partnerships
    • Why human struggles mixed with a healthcare emergency and chaos in the healthcare field is the recipe for disaster
    • How Atrium is using technology to leverage data to reach underserved communities
    • How Atrium is thinking globally while acting locally in its program rollout
    • An inside look at ‘The Pearl,’ Atrium Health’s innovative new medical school
    • How Atrium is asking the right questions to overcome data blind spots
    • Dr. Shrestha’s quest to prioritize Atrium Health’s mission of health, hope, and healing for all

    Connect with Dr. Rasu Shrestha

    • Dr. Shrestha on LinkedIn
    • Dr. Shrestha on Twitter

    Connect with Dr. Gautam Gulati, Dr. Jordan Shlain, & Dr. Jessica Shepherd

    • Dr. Gulati on Twitter
    • Dr. Gulati on LinkedIn
    • Dr. Shlain on Twitter
    • Dr. Shlain on LinkedIn
    • Dr. Shepherd on LinkedIn
    • Dr. Shepherd on Twitter

    Resources

    • Atrium Health
    • ViVE

    Live at HLTH: Just How Much Can Remote Patient Monitoring Technology Scale? —featuring Dan Vahdat Aug 18, 2022
    Show notes

    Since the pandemic many health care providers have shifted to a remote approach. Though, not every provider looks to improve the root of total health. How can we power proactive, predictive health from real-time patient data with prevention in mind - all remotely?

    Dan Vahdat is the CEO and Founder of Medopad, a global HealthTech AI company with a vision to create a world where people can live longer. His professional career spans from IT to medical technology including several years at Johns Hopkins University.

    On this episode, Dan joins hosts Dr. Gautam Gulati and Dr. Jordan Shlain to discuss the future of remote patient monitoring not only in the U.S. but in countries around the entire world. He describes exactly how the remote monitoring process works for clients at Huma, the constraints found in America compared to other countries, as well as how technology can help at a scale compared to physical care alone. Listen in to how Huma is working with countries all over the world to provide remote care that brings each patient proactive data that allows Huma to power predictive health and prevention.

    Topics Covered

    • What Huma does and how the company came about
    • How the remote monitoring process works at Huma
    • What the exact care process looks like for clients
    • How technology innovations have benefited the health care system
    • How Dan and his team are handling the flow of communications at Huma
    • Dan’s insight on the differences being seen in remote patient monitoring in the US versus in European countries
    • The biggest constraints found in America with remote healthcare
    • Dan’s insight on the non-traditional players who act as competition
    • What the future of Huma and Remote Patient Monitoring looks like
    • The possible limits with remote telehealth
    • How Dan defines health
    • How Dan defines health care as care with a smile

    Connect with Dan Vahdat

    Huma

    Connect with Dr. Gautam Gulati & Dr. Jordan Shlain

    HLTH

    Dr. Gulati on Twitter

    Dr. Gulati on LinkedIn

    Dr. Shlain on LinkedIn

    Dr. Shlain on Twitter

    Introductory Quote

    [4:00–4:49]

    “In the past 18 months we have done national projects. Not one hospital, not two hospitals, not one region - across large scale countries as big as Germany, UK, France and not only modern countries but countries like India…and so on. Projects that are quite big..We have shipped millions of devices for our projects…This showed that technology can help at scale.


    Live at ViVE: The Future of Value-Based Care at Retail Pharmacies—featuring Rani Khetarpal Aug 16, 2022
    Show notes

    How do you optimize the outcome for a patient who has chronic kidney disease? By treating them as a whole person.

    Rani Khetarpal is Head of Value-Based Care Partnerships at CVS Health, where she leads the build and execution of innovative alternative payment models and risk arrangements. While she encompasses a diverse array of experience within the healthcare ecosystem, Rani’s area of expertise lies in designing and delivering patient-centric, outcomes-driven models that align provider and payer.

    On this episode, Rani joins hosts Dr. Jessica Shepherd, Dr. Gautam Gulati, and Dr. Jordan Shlain to discuss kidney care models that look at the patient holistically—as a patient and a person.

    Listen as Rani shares how CVS is using brand recognition and its geographical footprint to reach patients where they are. They explore how CVS Health is partnering with provider care teams to change the narrative and provide value-based care that is quality-, cost-, and patient-centered.

    Topics Covered

    • The psychosocial barriers, comorbidities, and other factors that contribute to the progression of chronic kidney disease (CKD)
    • How CVS is working to challenge the true cost of care by focusing on the desired outcomes and then working backward
    • How value-based care is shifting the focus to preventing disease instead of treating patients
    • Where Rani thinks the greatest use of digital technology is happening right now
    • How CVS is using provider-based care teams to create individualized treatment models
    • How CVS is changing the value-based care narrative to better meet patients' needs

    Connect with Rani Khetarpal

    • Rani Khetarpal on Twitter
    • Rani Khetarpal on LinkedIn

    Connect with Dr. Jessica Shepherd, Dr. Gautam Gulati, & Dr. Jordan Shlain

    • Dr. Shepherd on LinkedIn
    • Dr. Shepherd on Twitter
    • Dr. Gulati on Twitter
    • Dr. Gulati on LinkedIn
    • Dr. Shlain on Twitter
    • Dr. Shlain on LinkedIn

    Resources

    • CVS Health
    • ViVE

    Live at HLTH: The Intersection of Health and Tech —featuring Vivian Lee Aug 11, 2022
    Show notes

    If you think about our phones, we all essentially have the same phone yet, it’s a deeply personalized experience for each one of us. What if healthcare was like that? - Personalized and holistic, thinking about you, where you are.

    Vivian S. Lee, M.D., Ph.D., M.B.A., is the President of Verily Health Platforms, overseeing all health care platforms, including Onduo, Healthy at Work, and Verily’s Value Suite, among others. She is also the author of The Long Fix: Solving America’s Health Care Crisis with Strategies that Work for Everyone. As a healthcare executive, she formerly served as the medical school dean, SVP, and CEO of the University of Utah Health, a $3.5 billion integrated health system and health plan that ranked first among university hospitals in quality and safety. Over her career as an NIH-funded MRI researcher, she has published over 200 articles in leading journals including JAMA and the New England Journal of Medicine and received the Gold Medal of the International Society for Magnetic Resonance in Medicine.

    If that wasn’t enough, Dr. Lee was elected to the National Academy of Medicine in 2015 and was ranked #11 among Becker’s 100 most influential people in healthcare in 2019. A Rhodes Scholar, she is a graduate of Harvard College, Oxford University, Harvard Medical School, and NYU Stern School of Business.

    On this episode, Vivian joins hosts Dr. Gautam Gulati and Patricia Bradley to discuss the intersection of health and tech and how it can be very transformative on health care. She describes strategies to solve America’s healthcare crisis and how these strategies can not only work for everyone, but also advance healthcare faster than ever before. Listen in for insight on the future of health platforms and the potential they have to advance population health.

    Topics Covered

    • Vivian’s background in medicine and what she does now with Verily
    • Insight on Vivian’s book, The Long Fix: Solving America’s Health Care Crisis with Strategies that Work for Everyone
    • What the average individual can do to contribute to the ongoing change of healthcare
    • Where all the costs of healthcare are coming from
    • The Surf and Turf Problem
    • How the healthcare system is only designed to treat instead of prevent
    • What Vivian took away when writing her book
    • Who Verily is and their purpose
    • Vivian’s insight on how much more personal healthcare could be and the goal around that
    • Vivian’s insight on how unique and personalized healthcare could and should be
    • The ways Onduo plans on providing more personal results and solutions for people
    • The vision of Verily Health Platforms
    • How Vivian defines health as the ability to really live our lives in a productive, comfortable and safe way
    • Vivian’s belief that healthcare for every single person in America is the answer to health

    Connect with Vivian Lee

    Verily

    Connect with Dr. Gautam Gulati

    HLTH

    Dr. Gulati on Twitter

    Dr. Gulati on LinkedIn

    Resources

    The Long Fix: Solving America’s Health Care Crisis with Strategies that Work for Everyone

    Onduo

    Healthy at Work

    Verily’s Value Suite

    Introductory Quote

    [19:05–19:34]

    “Even though my book is called The Long Fix, I’m hoping that it’s going to be less long now because of the pandemic and the acceleration of these digital health approaches that can be a lot more personalized and holistic, and thinking about you, where you are. So, if you think about our phones, we all essentially have the same phone...but yet it’s a very deeply personalized experience for each of us. Now, think about if healthcare were like that.


    Live at HLTH: Navigating the Future of Public Health With the Tension Found in the Health Care System—featuring Vin Gupta Aug 04, 2022
    Show notes

    People talk about cost savings or about longevity but if you frame it with how many doctor visits you’re going to have per year, you want that to be the lowest number not the highest number. So, how do we prevent people from getting into an ICU? How do we do this when on the other side with capitalism you have people saying, “how do we get more people in here?” There’s this real tension in the health care system.

    Vin Gupta, MD, MSt, MPA, is a Critical Care Pulmonologist, Senior Principal Scientist and Chief Medical Officer of COVID-19 Response at Amazon, and Affiliate Faculty at the Institute for Health Metrics and Evaluation, part of the University of Washington. Vin previously served as Principal Scientist at Amazon Care and, prior to that, was part of the Apple Clinical team in a part-time capacity working on its pulmonary roadmap for the Series 6 Apple Watch. Additionally, he served as health advisor on the Biden-Harris Transition’s COVID-19 Response team, and currently serves as a senior medical advisor to several organizations, including T-Mobile, Inc, Thermo Fisher Scientific, the Seattle Seahawks and Seattle Mariners. Though, his background doesn’t stop there.

    On this episode of The Beat, Vin joins hosts Dr. Gautam Gulati and Dr. Jordan Shlain to discuss the future of public health and the pandemic response within Amazon care and how they are working through tension found in the healthcare system. Vin describes the steps being taken to make the majority of primary care virtual for patients with prevention in mind rather than sickness alone. Listen in for insight on telemedicine and telehealth and how Amazon’s virtual health care compares to other providers.

    Topics Covered

    • Vin’s background that’s led him to where he is now with Amazon
    • Vin’s insight on the healthcare system working with doctors that want to prevent transactions from a system that wants transactions
    • Vin’s insight on how the increase of savvy patients is affecting the health care system
    • The innovations that have developed because of the pandemic and why they should become permanent
    • What Telemedicine is and why it needs to be talked about more
    • Why it’s so important to have a user friendly telemedicine platform and how Amazon does that well
    • Navigating how to best scale telehealth services
    • Vin’s insight on Amazon’s virtual healthcare system compared to all the other virtual plays available
    • How Vin defines health as living a long life filled with wellness
    • How Vin defines healthcare to him as focusing on prevention, not sickness

    Connect with Vin Gupta

    Vin Gupta on LinkedIn

    Connect with Dr. Jordan Shlain

    HLTH

    Dr. Shlain on LinkedIn

    Dr. Shlain on Twitter

    Resources

    Amazon Care

    Introductory Quote

    [3:19–3:30]

    “The goal here is how do we actually virtualize most of primary care and do so in a way that’s clinically meaningful - that makes people feel reassured that they’re getting high quality care, they’re not making any sacrifices?”


    Live at ViVE: Using Technology for Increased Health Equity and Better Patient Outcomes—featuring Rajeev Ronanki Aug 02, 2022
    Show notes

    The biggest opportunity in healthcare is to extend health equity and provide total wellness solutions through virtual and technology platforms.

    But what challenges does that present? And how can you simplify the human experience across the spectrum?

    Rajeev Ronanki is the President of Digital Platforms at Anthem®, where he is harnessing the power of AI to offer personalized healthcare for patients, providers, and caregivers. He is also the author of You and AI: A Citizens Guide to AI, Blockchain, and Puzzling Together the Future of Healthcare.

    On this episode, Rajeev joins host Dr. Jessica Shepherd to discuss the current gap and biggest obstacles to extending the reach of virtual healthcare to provide options for wellness, prevention, and breakthroughs in health equity.

    Listen as Rajeev shares the details of how Anthem® is navigating the challenges of delivering virtual healthcare to more populations through partnerships with cellphone companies and their Concierge Care programs.

    Topics Covered

    • What Rajeev thinks is the biggest issue today for physicians, patients, and caregivers and the opportunity for improved outcomes
    • How to create a win-win in virtual vs. in-person care
    • How to use data as a predictor of a person’s health journey to decrease preventable disease and lower healthcare costs
    • How Anthem® is working to attract consumers through rewards-based incentives
    • What Rajeev believes is the future of the national standard of care
    • Rajeev’s take on the biggest change needed to improve health equity and access to care for all

    Connect with Rajeev Ronanki

    • Rajeev Ronanki on LinkedIn
    • Rajeev Ronanki on Twitter

    Connect with Dr. Gautam Gulati, Dr. Jordan Shlain, & Dr. Jessica Shepherd

    • Dr. Shepherd on LinkedIn
    • Dr. Shepherd on Twitter
    • Dr. Gulati on Twitter
    • Dr. Gulati on LinkedIn
    • Dr. Shlain on Twitter
    • Dr. Shlain on LinkedIn

    Resources

    • You and AI
    • Anthem®
    • ViVE

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