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02 Dec: How Patient Care Is Being Improved by Technology Everyday

With technology becoming more integral to patient care in recent years, innovation in the medtech space is progressing at an unprecedented level. From streamlining long-held manual processes to creating entirely new diagnostic devices, new tech is cropping up all over the industry—resulting in a real-world impact on patients’ quality of life.
These technologies are helping companies to enable faster and more efficient engagement with patients, improve traditional devices, incorporate more software solutions into patient care, and even launch wholly new products. Further, these modern tools help medtech companies keep up with the rapid pace of innovation, by launching new products faster and quickly extending to new markets.
Streamlining quality processes for the better
In medtech especially, quality is the name of the game. The speed at which companies can address post-market or field issues is vital to success. After all, if a product meant to improve patient care isn’t performing the way it’s intended to, there could be tangible life-saving implications.
The secret to speedy post-market action is automating and integrating what was once a manual and disparate case-to-complaint and reportability process, by using a single enterprise platform.
For instance, imagine a company that wants to decrease their issue-to-resolution times. Their cases can be automatically tied to complaints and propagate common data, enabling faster investigations, reportability determination and electronic submissions.
Also, their enterprise technology enables them to capture nonconformances with batch details which can quickly trigger ship holds, dispositions, and field actions.
And many of these major innovations trickle downstream to corrective and preventive actions (CAPA), Engineering Change Orders (ECOs), and business processes.
Having the ability to close the quality loop throughout the entire enterprise value chain can not only revolutionize a necessary process, it can deliver better patient experiences and outcomes.
Improving traditional therapies 
While headlines about new strains of Covid-19 and Monkeypox continue to circulate, the most common chronic diseases continue to grow at alarming rates.
Technology is helping to both manage difficult symptoms of these diseases, and find proactive ways to prevent them before the onset.
Advances in technology are giving patients their independence back. Think of how much easier a diabetes patient’s day-to-day life would be by conducting therapies in their own home instead of adjusting their scheduling around trips to the hospital for recurring appointments. Not to mention the lowered cost.
Imagine a world where therapies for type 2 diabetes (T2D) have the potential to prevent or even reverse its course. In the U.S. alone approximately 30 million people are diagnosed with T2D and half of them have difficulty controlling it.
Leveraging software as a medical device (SaMD)
Smart technology is virtually inescapable today. We use software devices in many aspects of our lives—in our homes, in our cars, in our pockets. And our medical needs are no exception.
Software as a Medical Device (SaMD) is one of the fastest growing areas of medtech innovation, enabling tangible life-saving results from:

Remote patient monitoring Faster, more accurate disease diagnosis and treatment decisions, such as stroke and pulmonary issues
Streamlined workflows & coordination for care teams
Digital Therapeutics and Digital Companions

…and the list is increasing exponentially. SaMD has changed how patients manage their health and interact with healthcare professionals.
Ushering in the future of care
The pace of medtech innovation is accelerating so much it almost feels as if we’ve stepped into the future. There are groundbreaking companies focused on eradicating certain cancers that are offering comprehensive genomic profiling (CGP) which provides results from a simple blood draw in days. This allows oncologists to obtain information quicker and advise the right treatment to each of their cancer patients.
This is just one example of how patients at all stages of cancer can live longer and healthier through the power of blood tests and the data they unlock.
The secret weapon 
The secret weapon is the ability to connect all business processes on a single platform solution. Keeping pace with top innovators requires a modern system to manage integrated change processes and cross-functional collaboration across the entire product and software lifecycle.
The critical and complex products that patients rely upon demand responsibility to ensure the best availability, quality, outcomes and uptime.
Photo: metamorworks, Getty Images

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01 Dec: AHIP: Americans Want Congress To Make Telehealth Capabilities Permanent

To address challenges during the Covid-19 pandemic, state and federal governments provided temporary waivers and flexibilities to make telehealth more available for consumers. Now, Americans want the government to make these provisions permanent, a new survey shows.
The survey was published Thursday by advocacy group America’s Health Insurance Plans (AHIP). It was fielded in October by NORC at the University of Chicago and included a nationally representative sample of 1,000 adults, of which 498 were commercially insured.
AHIP’s survey found that 73% of commercially-insured telehealth users think that “Congress should make permanent the provisions that allowed for coverage of telehealth services before paying their full deductible.” 
Because of these findings, “health insurance providers encourage policymakers at the federal and state levels to make telehealth design flexibilities permanent to allow for the continued convenience, access, and value they provide for Americans,” the advocacy organization stated in a news release. 
The survey also discovered:

Four in 10 of the commercially insured respondents said they had used telehealth in the last year. Of this group, more than half used telehealth between 2 to 5 times in the past year.
Nearly 70% of commercially-insured telehealth users said they used telehealth instead of in-person services in the last year because of convenience.
Almost 4 in 5 commercially-insured telehealth users said telehealth helped them receive care when they needed it.
Another 85% said there is an “adequate” number of providers available through telehealth to meet their health needs.
Women with commercial insurance were 1.6 times more likely than men to use telehealth services. Women were also four times more likely than men to use telehealth due to a lack of childcare or eldercare.
Those with low to middle incomes use telehealth slightly more than those with higher income. About 40% of those earning $30,000-60,000 annually and 46% of those earning $60,000-100,000 annually use telehealth, compared to 38% of those earning more than $100,000.

“Patients and providers accept — and often prefer — digital technologies as an essential part of healthcare delivery,” Jeanette Thornton, executive vice president of policy and strategy at AHIP, said in the news release. “Telehealth can be just as effective as in-person care for many conditions and allows patients to receive more services ‘where they are.’ That’s why health insurance providers are committed to strengthening and improving both access and use for the millions of Americans who use telehealth for their health care needs.”
Photo: Alisa Zahoruiko, Getty Images

01 Dec: UpStream Rakes In $140M to Scale VBC for Seniors

UpStream — a company that provides care coordination technology and services for physicians enrolled in value-based care models — raised $140 million in Series B financing on Thursday. 
The round brings the Greensboro, N.C.-based company’s total funding to nearly $185 million to date. It was co-led by investment firms Coatue and Dragoneer, with participation from Avidity Partners, Define Ventures and Mubadala.      
UpStream was founded in 2018 by pharmacist and entrepreneur Fergus Hoban.
“[Hoban] was deeply cognizant of the challenges of the broken healthcare system — mainly the fact that patients who were living with chronic conditions and medically complex conditions really got the shortest end of the stick in primary care practices. They were shuffled between specialists in primary care. And due to their medical complexity, they did not fit into the conventional time slot of a 15 to 20 minute primary care visit,”  UpStream CEO Sanjay Doddamani said in an interview.
UpStream’s mission is to address the fact that patients with chronic conditions often do not receive an appropriate level of care — a reality that often sends them to emergency departments and hospitals. Many of these admissions could be avoided if patients received the right care earlier, Doddamani said.
To solve this problem, UpStream provides primary care practices with AI-based technology designed to anticipate patient needs and coordinate care for patients living with chronic conditions. The company also deploys pharmacist-led care teams into primary care practices. These teams are meant to bring all of a patient’s challenges “under one umbrella,” from managing multiple prescriptions to coordinating transportation to appointments, he said.
These pharmacist-led care teams are meant to make patients feel more comfortable and less rushed in the U.S. healthcare system. Doddamani claimed that this approach involving pharmacists is one of the factors that differentiates UpStream from its competitors, such as Oak Street Health, Agilon Health and Privia Health.
Another factor is the fact that UpStream takes on full financial risk with payers to enable physicians to deliver value-based care to seniors, who are often the most complex and expensive patients to care for, Doddamani pointed out.
The company doesn’t charge providers to use its services. While it gets to share in savings, UpStream is also accountable for some of the loss if spending goes beyond the benchmark. The company has negotiated rates with Medicare programs and takes on both upside and downside risk — but physicians “only see the upside” because they get paid by UpStream no matter what, according to Doddamani. 
“We have to put up capital reserves to participate in these models,” he said. “And then based on savings, we get paid. Our physicians also get paid based on savings. But the way we’ve constructed our model, our physicians don’t wait to get paid.”
UpStream works with physicians who provide care to seniors on Medicare under full-risk, value-based arrangements. Some of these physicians are independent, and others are attached to a larger network or healthcare system. 
The company has partnered with physician groups in North Carolina, Virginia and South Carolina.
For next year, UpStream has announced new partnerships with Community Care Physician Network in North Carolina, Tidewater Medical Group in Virginia, Primary Care Associates in South Carolina, and Medical University of South Carolina Health Alliance.
“We have enabled the primary care physician to enter into a domain of full financial risk,” Doddamani said. “They can have maximum opportunity for that boat financially — but also more importantly, for resource-rich environments to be able to deliver better care for their older, sicker patients right in the existing primary care infrastructure. How can they do that? Because we put in the vital resources that they need — not just the technology, but also the people.”
Directly embedding a pharmacist in primary care offices to manage prescriptions is a key way UpStream does this. Providing patients with home-based support, such as field nurses and a medical support concierge, is another way.
UpStream’s internal data shows that when patients are supported by their services, their cost of care ends up decreasing by an average of 20%, according to Doddamani. This mostly comes from annual reductions in hospitalizations and emergency department visits, he said.
“We don’t stand in the way of patients or act as a barrier to their aspirations for something like elective surgeries when appropriate — it is really about reducing the avoidable suffering that patients are confronting by having to repeatedly go into the hospital for one of their underlying chronic conditions,” Doddamani said.
Photo: Doug Burke Photography