Tuesday, January 29, 2019

GoFundMe and the affordability question in health care, CVS eyes medicine delivery by drone, and 44% of docs are burned out


Published on January 18, 2019
Jaimy Lee Health Care News Editor at LinkedIn
Much of the attention around a changing health care industry has focused on the chess moves of Amazon and Apple, plus other influential tech giants and venture capitalists trying to rethink how technology can be used in health care — and that often drowns out the the persistent problem of affordability.
“The system is terrible,” GoFundMe CEO Rob Solomon told Kaiser Health News this week. “It needs to be rethought and retooled. Politicians are failing us. Health care companies are failing us. Those are realities.”
GoFundMe, once a fund-raising site for destination weddings and community service projects, has become a go-to source for people to raise money to cover their medical costs. A quarter of a million medical fundraising campaigns are launched every year on the site.
That said, some organizations and executives have been talking up new ways to solve non-medical problems, like homelessness and food insecurity, that often later lead to expensive medical services.
·         Kaiser Permanente this week acquired a 41-unit affordable housing building in Oakland, Calif., as part of its plan to find housing for 500 people who are homeless and have chronic health conditions there.
·         Select startups like CityBlock Health are sidestepping commercially insured patients altogether, working with managed care plans that serve Medicaid populations. The company, which has raised roughly $20 million from investors, built its business model around using technology to better care for low-income residents with chronic diseases.
·         Separately, Microsoft’s $500 million investment in affordable housing this week may aid nurses struggling with the cost of living in the Seattle area, according to NPR. (Disclosure: Microsoft is LinkedIn’s parent company.) Nurses in Seattle have said the cost of living has driven more of them to consider working extra hours or take on side jobs.
News I’m Watching
1. Is CVS testing drones for medication delivery? That’s what a “visibly flustered” CVS Health CEO Larry Merlo told Stat in a response to a question about drones. Now that CVS’s $69-billion acquisition of Aetna has closed, the company is testing new ideas to compete against Amazon, which last year bought medication-delivery startup PillPack, and others. Besides examining drone delivery, CVS said this year that it plans to open stores in Houston with expanded clinical services, an idea first disclosed when announcing the Aetna deal, reports MarketWatch.
2. The physician workforce is frustrated and some are retiring early as a result. About 44% of roughly 15,000 U.S. doctors surveyed by Medscape said they are burned out, and 14% said they have considered suicide. Those disturbing percentages underscore physician frustration with the direction of their profession. Doctors cited long hours (34%), increased time spent with computer systems like electronic health records (32%) and lack of respect from colleagues (30%) as contributing factors behind burnout.
3. What can Japan teach the U.S. about caring for the aging? In a country with one of the fastest-growing elderly populations, some health care startups in Japan are developing tools to take better care of senior citizens, such as using technology that keeps patients at home longer and can reduce the burden on their caregivers. “The government is trying to bridge the gap between doctors and IT,” the director of the industry ministry’s health-care division told the WSJ.

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