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Vince Kuraitis
“Platforming Healthcare”. Consultant with experience across 150+ organizations; speaker, writer. Dogs are a gift to humans. Recovering lawyer. Love my family.
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Vince Kuraitis 13 h
Hang-ups, hold-ups and hurdles passing federal privacy legislation
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Trevor Hughes 4. velj
'We've created a privacy industry': California law fuels wave of startups via
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Kirk J. Nahra (work) 30. sij
Part 2 of my discussion for on health care and federal privacy legislation.
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Vince Kuraitis 13 h
Good resource on federal privacy legislation in the works cc:
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Vince Kuraitis 20 h
Odgovor korisniku/ci @john_chilmark
my sincere condolences
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Vince Kuraitis 22 h
My rephrasing: Award for best patient portal is like award for "Best Sauerkraut Recipe"
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Vince Kuraitis 23 h
Odgovor korisniku/ci @JConnol @chasedave @Steve__Rowe
I don't claim to be up-to-the-minute on MA market. Is a bifurcated POV evolving? * Some MA plans have gotten good at care management & caring for highest cost/risk pts * Some MA plans focus on attraction/retention of healthy/ low risk pts. Thoughts? Stats?
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Vince Kuraitis 3. velj
Odgovor korisniku/ci @chasedave @Steve__Rowe
I looked up the churn rate for MA plans -- about 11% per KFF study I remember reading (somewhere) that MA members are likely to leave when seriously ill -- lack of treatment options. MA plans want healthy people; sick people are expensive.
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Vince Kuraitis 3. velj
Odgovor korisniku/ci @Steve__Rowe
Good point. Medicare Advantage plans are also subject to churn, and in turn have limited incentives to invest in long-term health improvement. MA plans would evaluate investment ROI over the expected tenure of MA plan members.
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Vince Kuraitis 3. velj
Improvement In Chronic Disease Outcomes For Medicare Beneficiaries Has Stalled—Where Do We Go From Here? | blog
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Vince Kuraitis 3. velj
Odgovor korisniku/ci @VinceKuraitis
8/ While Apple health doesn't have the critical mass to become a DOMINANT HC platform... Android has 85% share of worldwide smartphone OS market. Android CommonHealth DOES have potential to become a dominant (WTA ?) HC platform. More likely to focus outside the U.S.?
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Vince Kuraitis 2. velj
Odgovor korisniku/ci @ePatientDave @lymepolicywonk
Apple can't do "something for everyone" by themselves, but worth watching to see how much they can cooperate w/ Android CommonHealth
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Vince Kuraitis 2. velj
Odgovor korisniku/ci @VinceKuraitis
7/ Will be interesting to watch how much cooperation is possible between Apple health & Android CommonHealth. Potential to create duopoly is a big incentive to work together. Data privacy? Not so much. Apple: "Your data is YOUR data" Android: "Your data is OUR data"
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Vince Kuraitis 2. velj
Odgovor korisniku/ci @VinceKuraitis
6/ So, with only 35% U.S. OS market share >> zero potential for Apple WTA healthcare platform. BUT...potential for DUOPOLY with Android healthcare platform in the works at UCSF/Cornell Awaiting further details on this...and FHIR promises good interop.
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Vince Kuraitis 2. velj
Odgovor korisniku/ci @VinceKuraitis
5/ Many platform markets have strong winner(s)-take-all (WTA) dynamics, e.g., FB near monopoly in social media. Network effect -- you can leave FB but you can't take your network with you. iOS/Android duopoly in smartphone OS -- near 100% market share.
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Vince Kuraitis 2. velj
Odgovor korisniku/ci @ePatientDave @lymepolicywonk
Lorraine, agree -- nothing written in stone. Dave, you are correct that Apple model is not "monetizing my data". This is consistent w/ model (not necessarily "strategy") of high margins/unit on hardware vs. maximizing market share.
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Vince Kuraitis 1. velj
Odgovor korisniku/ci @VinceKuraitis
4/ Apple's lack of market share limits potential for gaining critical mass & network effects. Apple model is to maximize profit on hardware, not maximize market share w/ lower prices. That's fine, but limits potential to be a universal healthcare platform.
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Vince Kuraitis 1. velj
Odgovor korisniku/ci @VinceKuraitis
3/ Switching costs of going from Android to iOS are HUGE: * hardware costs of expensive Apple devices * repurchase of apps * learning new UIs * etc. I've personally thought about it bc I like Apple's stance on privacy...but huge inertia to overcome.
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Vince Kuraitis 1. velj
Odgovor korisniku/ci @VinceKuraitis
2/ * Interesting footnote: iOS market share among MDs is about 75% Implication is that huge portion of the market is on Android.
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Vince Kuraitis 1. velj
1/ Agree that Apple is closest thing out there to being a model citizen re: privacy. But...not a comprehensive solution. Quoting from memory: * Apple iOS market share is about 15% worldwide * iOS market share in the U.S. about 35%
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