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Vince Kuraitis
@
VinceKuraitis
Boise, ID
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“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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14.283
Tweetovi
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408
Pratim
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5.374
Osobe koje vas prate
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Vince Kuraitis
@VinceKuraitis
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13 h |
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Hang-ups, hold-ups and hurdles passing federal privacy legislation
scmagazine.com/home/security-…
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Trevor Hughes
@jtrevorhughes
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4. velj |
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'We've created a privacy industry': California law fuels wave of startups nbcnews.com/tech/security/… via @nbcnews
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Kirk J. Nahra (work)
@KirkJNahrawork
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30. sij |
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Part 2 of my discussion for @PrivacyPros on health care and federal privacy legislation. twitter.com/DailyDashboard…
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Vince Kuraitis
@VinceKuraitis
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13 h |
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Good resource on federal privacy legislation in the works
cc: @HealthPrivacy twitter.com/Cernaksj/statu…
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Vince Kuraitis
@VinceKuraitis
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20 h |
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my sincere condolences
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Vince Kuraitis
@VinceKuraitis
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22 h |
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My rephrasing:
Award for best patient portal is like award for "Best Sauerkraut Recipe" twitter.com/Brian_Eastwood…
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Vince Kuraitis
@VinceKuraitis
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23 h |
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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
@VinceKuraitis
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3. velj |
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I looked up the churn rate for MA plans -- about 11% per KFF study bit.ly/2UlJcat
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
@VinceKuraitis
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3. velj |
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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
@VinceKuraitis
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3. velj |
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Improvement In Chronic Disease Outcomes For Medicare Beneficiaries Has Stalled—Where Do We Go From Here? | @Health_Affairs blog
bit.ly/2RT4ASP
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Vince Kuraitis
@VinceKuraitis
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3. velj |
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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
@VinceKuraitis
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2. velj |
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Apple can't do "something for everyone" by themselves,
but worth watching to see how much they can cooperate w/ Android CommonHealth
twitter.com/VinceKuraitis/…
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Vince Kuraitis
@VinceKuraitis
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2. velj |
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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
@VinceKuraitis
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2. velj |
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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
bit.ly/2Uk6m0U
Awaiting further details on this...and FHIR promises good interop.
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Vince Kuraitis
@VinceKuraitis
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2. velj |
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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
@VinceKuraitis
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2. velj |
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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
@VinceKuraitis
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1. velj |
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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
@VinceKuraitis
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1. velj |
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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
@VinceKuraitis
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1. velj |
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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
@VinceKuraitis
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1. velj |
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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% twitter.com/amalec/status/…
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