mHIMSS Predictions – Care Models in Motion: Challenges, Disruptions & Innovation

mHIMSS Super Session Panel, Monday December 3, 2012 at 10:30am Eastern Time

At the annual mHIMSS (“mobile health or simply mHealth Information Systems Society) Conference in National Harbor, Maryland, thought leaders from various companies came together to discuss new care models and innovation.

  1. Essentially, the industry would like to find ways to combine mobile engagement with the ‘FICO score’ of health, and use mobile technology to reach out to and engage patients.
  2. However, these large companies also recognized that the innovation may not come from them, but from others in the room at this very conference.
  3. The speakers invited entrepreneurs with ideas to pitch the speakers’ companies.  One early attempt to innovate by two large companies around score cards comes from Johnson & Johnson and Microsoft.  Johnson & Johnson has published a new Windows 8 app for consumers, Digital Health Scorecard, via the Windows Store.
  4. Don Jones of Qualcomm predicted that the Affordable Care Act combined with mHealth will enable more efficient consumerism.
  5. “…Obamacare will create more insured people with high deductible plans, and therefore the first dollar will be out of pocket for these people, much like health plans in the 1970s.  The difference is that today, these health consumers will use mobile tools to enable their shopping and better informed about wellness.”  Consequently the panel agreed, they’ll have increased ownership and be a more health competent consumer.
  6. According to Mark Bertolini CEO of Aetna, at the end of 2010, 9 percent of mobile phone users had apps on their phones to track or manage their health. By 2015, experts predict 30 percent of smartphone users are likely to use wellness apps.

For more insights, continue reading below.

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Manager, eHealth at Geisinger Health System
Manager, eHealth at Geisinger Health System at mHIMSS 2012 Panel

Moderator: Don Jones – Qualcomm Life

Panelists: Scott Peterson – Verizon, Scott Ratzan – Johnson & Johnson, Chanin Wending – Geisinger Health System, David Yakimischak – Surescripts

Here are some of the key observations of the panelists.

  • David Yakimischak of Surescripts said said, “…today the patient is both at the edge of our [/fusion_builder_column][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][health IT] systems and at the center of our systems…” Yakimischak expects more and more patients to “…write directly to our systems…”  He continued, “…technology should enable pharmacists and care givers.
  • Chanin Wending, Geisinger Health System said, “…patients aren’t really great at calling their doctor and stating that they have a problem.  So Wending uses a survey, which is based on a nationally validated instrument that can be answered from the patient’s iPhone, Android device, or other mobile phone.  Ms. Wending said that proactive outreach and patient engagement via mobile devices has improved information for the physician, but the challenge continues to be ensuring that patients will act on available information to improve their health.
  • Scott Peterson of Verizon said he predicts call centers and health analytics will help determine how patients can receive data to their mobile device that is most helpful.
  • Digital scorecards, mobile devices and ‘frugal technologies’ such as paper check lists can be combined to improve health outcomes” said Scott Ratzan of Johnson & Johnson.
  • Jones switched gears and led the panel through prescribing an app that might be prescribed in concert with medication.  Where will the App be fulfilled?  J&J, Verizon?  Distribution channels, changing models from diagnosis & treat to “be well.”  The information that is critical at decision time needs to be right.
  • The panel agreed that a ‘score’ that is able to gage health over time with a dashboard that is easy to understand by the consumer.

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Michael F. Arrigo

Michael Arrigo, an expert witness, and healthcare executive, brings four decades of experience in the software, financial services, and healthcare industries. In 2000, Mr. Arrigo founded No World Borders, a healthcare data, regulations, and economics firm with clients in the pharmaceutical, medical device, hospital, surgical center, physician group, diagnostic imaging, genetic testing, health I.T., and health insurance markets. His expertise spans the federal health programs Medicare and Medicaid and private insurance. He advises Medicare Advantage Organizations that provide health insurance under Part C of the Medicare Act. Mr. Arrigo serves as an expert witness regarding medical coding and billing, fraud damages, and electronic health record software for the U.S. Department of Justice. He has valued well over $1 billion in medical billings in personal injury liens, malpractice, and insurance fraud cases. The U.S. Court of Appeals considered Mr. Arrigo's opinion regarding loss amounts, vacating, and remanding sentencing in a fraud case. Mr. Arrigo provides expertise in the Medicare Secondary Payer Act, Medicare LCDs, anti-trust litigation, medical intellectual property and trade secrets, HIPAA privacy, health care electronic claim data Standards, physician compensation, Anti-Kickback Statute, Stark law, the Affordable Care Act, False Claims Act, and the ARRA HITECH Act. Arrigo advises investors on merger and acquisition (M&A) diligence in the healthcare industry on transactions cumulatively valued at over $1 billion. Mr. Arrigo spent over ten years in Silicon Valley software firms in roles from Product Manager to CEO. He was product manager for a leading-edge database technology joint venture that became commercialized as Microsoft SQL Server, Vice President of Marketing for a software company when it grew from under $2 million in revenue to a $50 million acquisition by a company now merged into Cincom Systems, hired by private equity investors to serve as Vice President of Marketing for a secure email software company until its acquisition and multi $million investor exit by a company now merged into Axway Software S.A. (Euronext: AXW.PA), and CEO of one of the first cloud-based billing software companies, licensing its technology to Citrix Systems (NASDAQ: CTXS). Later, before entering the healthcare industry, he joined Fortune 500 company Fidelity National Financial (NYSE: FNF) as a Vice President, overseeing eCommerce solutions for the mortgage banking industry. While serving as a Vice President at Fortune 500 company First American Financial (NYSE: FAF), he oversaw eCommerce and regulatory compliance technology initiatives for the top ten mortgage banks and led the Sarbanes Oxley Act Section 302 internal controls I.T. audit for the company, supporting Section 404 of the Sarbanes Oxley Act. Mr. Arrigo earned his Bachelor of Science in Business Administration from the University of Southern California. Before that, he studied computer science, statistics, and economics at the University of California, Irvine. His post-graduate studies include biomedical ethics at Harvard Medical School, biomedical informatics at Stanford Medical School, blockchain and crypto-economics at the Massachusetts Institute of Technology, and training as a Certified Professional Medical Auditor (CPMA). Mr. Arrigo is qualified to serve as a director due to his experience in healthcare data, regulations, and economics, his leadership roles in software and financial services public companies, and his healthcare M&A diligence and public company regulatory experience. Mr. Arrigo is quoted in The Wall Street Journal, Fortune Magazine, Kaiser Health News, Consumer Affairs, National Public Radio (NPR), NBC News Houston, USA Today / Milwaukee Journal Sentinel, Medical Economics, Capitol ForumThe Daily Beast, the Lund Report, Inside Higher Ed, New England Psychologist, and other press and media outlets. He authored a peer-reviewed article regarding clinical documentation quality to support accurate medical coding, billing, and good patient care, published by Healthcare Financial Management Association (HFMA) and published in Healthcare I.T. News. Mr. Arrigo serves as a member of the board of directors of a publicly traded company in the healthcare and data analytics industry, where his duties include: member, audit committee; chair, compensation committee; member, special committee.

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