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THCB Reader - Issue #37

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THCB Reader

January 17 · Issue #37 · View online
Everything you always wanted to know about the health care system. But were afraid to ask.

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On today’s edition of the THCB Reader: Bryan Carmody questions why residents are technically considered ‘doctors’ but can’t work as physicians until after residency; Hans Duvefelt comments on the slew of lab orders and requests from patients before they get a physical, and how that isn’t the best idea considering vagaries of test interpretation and insurance bills; and Kim Bellard believes that health care needs more “IHOPs,” a place where physicians are seeing how the entire health care system works and less “5 Star Restaurants,” or residency programs that are reflective of only a subset of the patient population. On our THCB Spotlights, I talk to some OGs from the original days of Health 2.0, Scott Shreeve, founder & CEO of Crossover Health, and Jay Parkinson, founder and CEO of Sherpaa, about what would happen if the physical health care world would meet the online world, and create a new care model that would exceed both. And on the WTF Health Show, Jess speaks with Dan Trigub, Head of Uber Health, about all things ‘rideshare in health care’ and the 1,000+ clients and 400% year-over-year growth in the health vertical they are seeing. Enjoy! – Matthew Holt 

Bryan Carmody, Jan 16
Surely every resident has had the experience of trying to explain to a patient or family what, exactly, a resident is. “Yes, I’m a real doctor… I just can’t do real doctor things by myself.” How come you can call yourself a doctor after medical school, but you can’t actually work as a physician until after residency? Looking back at the origin and evolution of residency training, it’s clear why some problems in the UME to GME transition persist today. So, what should residency training be? 

Hans Duvefelt, Jan 14 
It’s January and we all know what that means—health insurance plans renew and it’s time for the annual physical. Turns out many patients ask for complete labs prior to their physical, especially around this time, but Duvefelt explains why this isn’t the best idea. On top of all the vagaries of test interpretation, can anybody imagine how many things we can now test for, how much that can cost and what insurance company would consider footing the bill for such blanket requests? Beyond that, doctors should know what’s going on, what their patient’s priorities are and make a shared, informed decision about what to test for. 

Kim Bellard, Jan 13
In healthcare, physicians usually get their training in academic medical centers, which is sort of like training chefs in culinary schools or 5 star restaurants.  They learn a lot, see some exotic things, but that experience is similar to what one chef explained: “a lot of the curriculum in culinary school is not reflective of what is going on in the everyday world.” Physicians are not trained on how the entire system works — no equivalent of working as a server or in the kitchen first — and without learning how much things cost. The future of healthcare is patient-centered & business-minded, but are doctors trained to support this?
Livongo is working to #SilenceNoisyHealthcare. Visit livongo.com for more details.
Livongo is working to #SilenceNoisyHealthcare. Visit livongo.com for more details.
THCB Spotlights: Scott Shreeve, CEO of Crossover & Jay Parkinson, CEO of Sherpaa
THCB Spotlights: Scott Shreeve, CEO of Crossover & Jay Parkinson, CEO of Sherpaa
Uber as a Healthcare Company: The ‘Rideshare in Healthcare’ State-of-Play | Dan Trigub, Uber Health
Uber as a Healthcare Company: The 'Rideshare in Healthcare' State-of-Play | Dan Trigub, Uber Health
Catalyst @ Health 2.0 
Do you want to collaborate with digital health experts from EU, China, Korea, Japan, Canada, & U.S.? The IDIH Project (International Digital Health Cooperation for Preventive, Integrated, Independent and Inclusive Living), a project funded under the European Union Horizon 2020 Research and Innovation Programme, is setting up an expert-driven “Digital Health Transformation Forum.” The project is seeking individuals who can lend their expertise in the following focus areas: preventative care, integrated care, independent and connected living, and inclusive living. Experts will work together in groups to create strategies that promote and increase international collaboration, advance digital health, and support active and healthy aging through innovation.
For detailed selection criteria and more information on the EG members’ and Chairs’ role, please consult the Expert Groups – Terms of References, as well as the IDIH Experts Group webpage. 
The call for experts closes on January 31st, 2020—don’t miss out on this opportunity!
The Health Care Blog The Health Care Blog
The Health Data Goldilocks Dilemma: Sharing? Privacy? Both? - The Health Care Blog
We hope you enjoyed the pieces and videos we had for you today. As always, if you have a piece you would like us to consider, please email zoya@thehealthcareblog.com and if you are looking to reach 20K of the smartest people in health care on this newsletter, or 80-100K each month on the site, please think of sending some of your marketing $$$ our way! Here’s our prospectus.

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