Release date: 2015-09-21
In recent days, Welldoc has suddenly become a hot topic in the mobile medical circle. The development and business model of Personal Health Management Mobile Medical Company, which was founded in 2005, attracted the comments of many big coffees such as Qiange, Weige, Lazy and so on. Below, I will only talk about some less mature thoughts and ideas on personal research.
On April 20th, 2015, JAMA magazine published a very interesting article, "Is there an APP that can solve the problem of APP overload?" (IsThereanApptoSolveAppOverload?), author BridgetKuehn summarized the current status of medical APP and pointed out that it is on the market now. More than 40,000 medical apps face challenges:
Lack of clinical research and published data support on the effectiveness of APP
Effective guidelines for clinicians and consumers to lack APP functionality and effectiveness
Lack of effective assurance on the privacy and security of patient data
In the context of clinical applications, there is a lack of clear explanation of how to apply the APP (especially how to work through the well-known EMRs)
However, JAMA's article also pointed out that Welldoc's bluestar, the only FDA-approved app with clinical data support and prescriptions, is an exception, from the official listing in Q3 2014 to April 2015, in the United States. About 2,000 patients in the state are using BlueStarapp and are steadily increasing their patient population by more than 50%, with 60% being prescribed by a doctor who has been visited by Welldoc.
At the 75th ADA in June 2015, George Washington University, MedStar Alliance Memorial Hospital and Welldoc jointly published a report "MobilePreionTherapy: ThePotentialforPatientEngagementtoEnhanceOutcomes". In this report, Welldoc believes that the purpose of mobile healthcare is to pass Technology to improve health outcomes, and in this emerging field of medicine, Welldoc believes that there are two points that are worthy of attention, one is patient involvement and the other is improvement in health outcomes.
From September 1, 2014 to March 26, 2015, a total of 226 patients were prescribed Bluestar, of which 87.6% (N=198) received prescriptions, and 69% of patients adhered to more than 4 months. Of these patients, 79% had A1C levels greater than 7 (that is, blood glucose control was not up to standard) and the median age was 53 years (the youngest was 23 years old and the largest was 73 years old). Let's take a look at some of the interesting results of this report:
82% of patients use Bluestar via mobile app, 18% via web
The patient participated in 66,242 times, of which drug-related items accounted for 43%, and blood glucose-related items accounted for 17%.
Patients older than 60 years of age have higher participation than expected
More than 50% of patients have been using it for at least 3 months
The patient's hyperglycemia and hypoglycemia are controlled
61% of substandard patients met or decreased by more than 1% compared with baseline
Through this research, Welldoc once again showed that their MPT (mobilepreiontherapy) is a platform and tool to effectively motivate patients to participate in improving health outcomes. Here I want to point out that Welldoc's bluestar is not a simple APP, but a company like Defined is an integrated treatment program, this treatment program is mainly based on mobile phones, which is different from the current definition of mobile medical in China, and at this point I personally recognize Professor Gao Jiechun at Baidu World Congress Medical The definition of mobile medicine proposed in the forum: Mobile medical is to provide medical information and medical services through the use of mobile communication technologies such as PDA, mobile phone, satellite communication, etc., and can effectively improve the medical process and quality. The main body here is medical information and medical services, with the aim of improving the care process and quality.
Let's look at the bluedoc system of Welldoc. There are several points that domestic medical APPs are far from being able to do. One is clinical decision support, and the other is individualized real-time counseling for patients. All of this is based on the establishment of welldoc over ten years. The cloud-based automated expert analysis system requires a lot of technology, capital and big data accumulation to be realized.
From the front end, patients with Welldoc's bluestar can conveniently store information on diet, blood glucose levels, and medication regimens (either manually or by wirelessly connecting the device to the blood glucose monitor) to get personalized feedback and alerts through the cloud. After analyzing the data of the existing drug dose, blood glucose fluctuations, and carbohydrate intake per meal, the diagnosis advice can be sent to the medical staff, and the medical staff can adjust the patient's medication selection according to the situation. Patients can be guided in a timely manner to increase treatment engagement and compliance.
The DCHealthConnect study at the George Washington University School of Medicine showed that patients had very good feedback on the WellDoc Diabetes Stewardship System, and 100% of patients thought it was helpful to get timely personalized feedback, and 100% thought the system helped them better monitor Blood sugar, while only 6% of patients think it is very troublesome to enter their diabetes information.
WellDoc charges the insurance company by paying for it. Because the WellDoc Diabetes Steward System can help health insurers reduce long-term expenses and get the same status as drugs in reimbursement, two health insurers have expressed willingness to pay more than $100/month for the “Diabet Manager†system – As long as the doctor advises the patient to use the system, the insurance company will pay the bill. After the launch of WellDoc's new mobile health application BlueStar in June 2013, Ford, Laidde and other Fortune 500 companies announced their willingness to include BlueStar in their employee prescription drug benefits program. Ford and Laide believe that BlueStar can help them maintain their employees. Health and reduce the overall long-term medical expenses of the company.
Coincidentally, another similar company is CardioNet, a cardiac monitoring service provider that provides long-term remote cardiac monitoring for patients. CardioNet is more than just a mobile cardiac monitoring device manufacturer, but more importantly, a heart testing service provider, its main product MCOT. ?
(MobileCardiacOutpatientTelemetry, mobile cardiac outpatient telemetry) can provide patients with 24-hour heart data detection service through sensors and transmit data to portable monitors (real-time data transmission via CC864-DUAL cellular module developed by Telit Telit) When the monitor detects abnormal heart rhythm (the patient itself is often not aware of it at this time), the ECG is automatically sent to the CardioNet monitoring center in California or Pennsylvania. The monitoring center has a cardiac monitoring specialist 24 hours a day, 7 days a week. Data analysis, if an abnormality is found, it can be diagnosed and treated in time.
CardioNet has also been approved by the FDA, and monitoring results have been supported by clinical data; CardioNet also earns profits by charging insurance companies and R&D institutions. The company's 2012 revenue was $110 million, of which $93.6 million came from patient services (mostly paid by Medicare and commercial insurance companies) and $8.3 million came from research and development services. Because the CardioNet cardiac monitoring system can help health insurance companies reduce long-term expenses, they are favored by insurance companies. On June 10, 2013, CardioNet announced a three-year partnership agreement with UnitedHealthcare Insurance (UnitedHealth Insurance Company) to provide services to all of UnitedHealthcare's healthcare customers, targeting more than 70 million customers.
In the field of mobile medical care, there have always been two types of business model disputes, both domestic and foreign, one can become the "user first" mode, and the other is the "result first" mode.
The "user first" mode usually tries to obtain income by acquiring the user amount, such as how many doctors register, how many patients register, how much UI/UX is higher than the peers, do not move the activity, play the lottery from time to time, do not like the money to please the user, play It’s a lot of entrepreneurs who have a community dream, a platform dream, dream of passing A round, B round, C round and then triumphantly, killing Nasdaq all the way to knock a clock. But who beats the drums and flowers, who is it? My personal feeling, whether it is a doctor or a patient, can't be a paying party, and how the business model without payers can last.
The other is the “result first†model represented by Welldoc et al., which proves that it can improve medical results and quality through clinical trial evidence and integrated solutions, thus saving medical expenses. The eyes of the government (insurance and insurance) have long hopes for long-term development, so this year, Welldoc and Samsung launched a cooperation, which is also a signal that the industry began to vertically integrate, and also represents the future trend.
Looking at China again, the attitude of the state has been clearly expressed in the "Guiding Opinions of the State Council on Actively Promoting the "Internet +" Action":
Develop Internet-based medical and health services, support third-party organizations to build medical information sharing service platforms such as medical images, health records, inspection reports, and electronic medical records, and gradually establish a medical data sharing and exchange standard system across hospitals.
Actively use the mobile Internet to provide convenient services such as online appointment diagnosis and treatment, waiting for reminders, price payment, medical report inquiry, and drug delivery.
Guide medical institutions to carry out remote medical services such as grassroots inspection and superior diagnosis for small and medium-sized cities and rural areas. Encourage Internet companies to cooperate with medical institutions to establish a medical network information platform, strengthen the integration of regional medical and health service resources, and make full use of the Internet and big data to improve the prevention and control of major diseases and public health emergencies.
Actively explore the Internet to extend the application of medical health services such as medical orders and electronic prescriptions. Encourage qualified medical testing institutions and medical service organizations to join Internet companies to develop health service models such as genetic testing and disease prevention.
Everything, the state supports the development of Internet medical care, but the main body is also very clear, it is a medical institution rather than a mobile medical company, the purpose is also very clear is to improve medical procedures and treatment, and ultimately save medical expenses.
Written here, daring to write personal predictions, in the next 2-3 years, large platform-type mobile medical companies will only survive 2-3, and should be BAT playing, basically there will be a government shadow behind, vertical There are probably 1-2 survivors in each segment, and it should be a company like the Welldoc model.
The crap is over, please take a brick.
Source: Mobile Medical News
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