Weekender 1/17/20 – Histalk : HEALTH-CARE


Weekly news recap

  • Masimo buys NantHealth’s Connected Care business for $ 47 million in cash.
  • ONC publishes a draft of its “Strategic Health IT 2020-2025 Plan” for public comment on March 18.
  • According to a Cerner study that checked customer data from the Lights On Network, doctors spend 16 minutes per encounter doing EHR work.
  • Medsphere raises $ 40 million in new funds to support growth and drive acquisitions.
  • R1 RCM acquires SCI Solutions for $ 190 million just a few days after SCI announced the acquisition of Tonic Health.
  • Former U.S. Senator Bill Frist, MD, founded CareBridge, a Nashville-based technology company that will initially use $ 40 million to improve home health care.
  • Teladoc acquires InTouch Health, a provider of telehealth platforms, for $ 600 million in cash and TDOC shares.

Best reader comments

We are in the strangest time of my career with so many mergers and acquisitions by competitors and VC companies. I started as a consultant at Millbrook / Paradigm PM and MedicaLogic / Logician EMR, which were the first GE Centricity suite on two separate platforms that had melted together. This product line has now been purchased again. I am also working with another full PM / EMR that was just acquired from a competitor owned by a VC. The mission of a VC is different from that of a traditional EMR provider. So we’ll see how this works. Changes to mandatory programs have been made in the more than ten years that GE has had Centricity, but there has never been any real product development since the acquisition. It is always the fear that your EMR will be recorded at some point, by whom and why it is determined whether the product is developed further or not. Everyone is for sale at the right price at the right time. (PM-Consultant)

While for the most part non-competitions are not legally enforceable, they are enforceable in operational practice. Epic practices this, or is at least used to restricting UserWeb access, access to resources, or just general threats to the consulting firms that work with them. Epic is a Goliath who doesn’t appear to have found a worthy David to keep him at bay. Not only does it harm and frustrate its own employees, customers and partners, but it also harms local companies in the Madison region. These local groups are constantly dealing with ex-Epic employees who only give up their work after one year to get the advice money. This increases their sales, reduces their ability to hire reliable people, and hurts confidence in hiring something from Epic. (Epic annoyed)

In the case of Epic, you are now not only restricted by your own non-competition clause, but also by the separate agreements that Epic has made with the various consulting firms. For example, I left Epic 2018 with a one-year ban on competition. When my year was almost over, I started reaching various hospitals and consulting firms. I heard from some of the larger consulting firms that they couldn’t even start job interviews before I wasn’t at Epic for 1.5 years.

As a result of these newer agreements between Epic and the consulting companies, I was essentially free from competition, which went beyond what I signed when I was hired. If you prevent a job interview from starting until the end of the waiting period, the time will increase in addition to the non-competition clause, which will most likely keep you unemployed because you cannot get the process started. (Ex-Epic Chiming In)

If Cerner has received top marks for supporting IT hospitals, I can’t imagine how bad it really is. Cerner’s IT support is about as helpful as the worse DMV experience you can imagine. I am MD at the forefront and if they are the benchmark we need a whole new paradigm. EHRs are an abomination and the support from them is also terrible. CMS and Congress have done huge harm to patients and physicians by enabling this artificial market for Cert EHR and the resulting catastrophe in which we all live today. At least a decade, maybe 20 years, it has thrown REAL innovation back into EHR / HealthIT. I’m not sure how many more articles, research, studies, etc. we need to show that the current crop of EHRs is safety, outcome, burden on medical care and the ridiculous buzzword maintenance (MACRA, ACO (Value Based Care) are complete and completely nonsensical and terribly expensive, causing devastating damage to medical practice When will we learn that Washington DC guidelines convince non-practitioners of CMS who have NO idea how to use them safely and safely Tailor-made technologies can practice medicine, we don’t need any other program changes unless they are … hey … we’re just making a mess … we avoid doctors and IT and actually let them work together instead of the data click-driven ones Nightmares where they keep piling up on us. It’s time to just say no to all of this Repair as Unfixable. When will we learn that if the government runs the healthcare system, it will combine the VA and the postal service. (Meltoots)

Watercooler Talk delicacies


GoodRx co-founder Stephen Buck (who also happens to be co-founder of a wine tour and adventure company) turns his attention to cancer survival rates with the launch of Using public data from the National Cancer Institute, the website offers survival rates of up to five years based on the stage, degree, time since a cancer patient was diagnosed and histology. Buck, who started the project together with co-founder Omar Mehmood, finally wants to sell the website to Google: “It would be ideal to maintain it as a free public resource available on a Google search.”


Mona Siddiqui, MD announces She will step down from her position as Chief Data Officer at HHS. HHS-CIO Jose Arrieta, who also claimed the role of CDO under the ambiguously structured law on evidence-based policy making, says he will hire the agency’s “first” CDO.


Chiropractor Gregory Johnson, DC Credits His practice is growing in popularity on Youtube, where he has an online fan base of “crack addicts” who have traveled extensively to take advantage of his spinal realignment known as the “ring thing”. Johnson earns around $ 20,000 a month for the 10-minute videos he makes with his cell phone camera and a selfie stick.


Goop just keeps going: Netflix will be published “The Goop Lab” next week. The six episodes, referred to as the “documentary series”, are, according to one critic, a barely veiled advertisement for Gwyneth Paltrow’s pseudo-scientific lifestyle brand.


Exactly what every Oscar winner desires: Oscar award bags will offer Urine sampling devices and genetic test kits to select nominees. No word yet about whether Goop will include any of its crazy products or not.

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