Empowered Patient Podcast

Patrick Mobley, CEO and Co-Founder of Vivid Health has developed a platform to address the inefficiencies in the post-acute care industry. Home health and hospice nurses often spend hours completing required paper-based forms and assessments to create personalized patient care plans and submissions for payments. This technology aims to streamline the workflow and collection of patient information while proactively monitoring patients and using AI-powered voice agents to improve patient engagement.

Patrick explains, "So the way it works with your standard home health organization is that referral is received from a hospital, and most of the work from that point on takes place within any EMR. There are some other vendors that process places, but there is no getting around that form. It is required that you've got to complete every single step. There's really no difference no matter what state you're in or what jurisdiction; you might see slight variations between Medicare, Medicare Advantage, or Medicaid, but it's rather consistent across every single home agency."

"Well, it's a mixture of the nurse and medical director. The nurses are often called startup care nurses. They go in the home and complete the work. It can take anywhere from two to three hours to be in the patient's home, and then once it's done, the response care goes to the medical director for sign-off. From there, there are a couple of extra steps to validate some of the information and coding associated with it. Then, it can be submitted to CMS for payment."

"For that problem, we wanted to take those anywhere from one to four hours and get them down. Well, not because we're trying not to be thorough or rush onto the next patient or anything like that. It's just that there were better ways to do it, and the technology advances, especially in the AI space, have gotten to the point where you can be efficient, lower that timeframe, and still provide good quality care."

#VividHealth #AIinHealthcare #HomeHealthAI #HomeHealth #HomeCare #Hospice #EmergingAI

vividhealth.ai

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Dr. Jonathan Usuka, CEO of Sapient, uses insights about proteomics and metabolomics to provide deep molecular characterization of diseases from a single sample to support drug discovery, development, and approval. The company's unique dataset combines real-world data with longitudinal molecular profiling of tens of thousands of samples across different diseases, ethnicities, genders, and ages. By measuring proteins and metabolites, this data and insights engine helps pharmaceutical companies gain a significantly more comprehensive view of the molecular basis of disease, better understand drug targets, and predict potential drug outcomes and safety.

Jonathan explains, "We support drug discovery and drug development, and a couple of things are going on in the industry right now in discovery and development. One is the overall pharma landscape of how a drug gets approved. That's been fairly static since the 1970s with the creation of the FDA. So clinical trials are well established, but the structure of it was based around not knowing much about the underlying drug target that your drug is interacting with. Since then, they've tightened up the requirements around mechanisms of action, but mostly, the process itself is almost protein agnostic in terms of the development process and how the drug interacts with patients."

"So what we do, what has happened recently, is a revolution in understanding the molecular basis of disease and how the therapeutics interact with it at a molecular level. We support pharmaceutical companies in understanding the safety and the efficacy and being able to predict how their therapies will do in the clinic, and then really understanding a lot more about the available drug targets, which expands the arsenal of ways to fight disease."

"At Sapient, we don't just identify dynamic biomarkers, biomarkers that change with disease or change in response to therapy. We also give a lot of context about those biomarkers. We also say where we have seen those biomarkers occur and how they have changed in response to other therapies, disease conditions, and immunological responses. So, a pharma company can see better what it's getting into when it invests in a dynamic biomarker."

#SapientBio #Multiomics #Proteomics #Metabotomics #DarkProteome #BeyondtheGenome #Plasmaproteomics #Biomarkers

sapient.bio

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Dr. Jonathan Usuka, CEO of Sapient, uses insights about proteomics and metabolomics to provide deep molecular characterization of diseases from a single sample to support drug discovery, development, and approval. The company's unique dataset combines real-world data with longitudinal molecular profiling of tens of thousands of samples across different diseases, ethnicities, genders, and ages. By measuring proteins and metabolites, this data and insights engine helps pharmaceutical companies gain a significantly more comprehensive view of the molecular basis of disease, better understand drug targets, and predict potential drug outcomes and safety.

Jonathan explains, "We support drug discovery and drug development, and a couple of things are going on in the industry right now in discovery and development. One is the overall pharma landscape of how a drug gets approved. That's been fairly static since the 1970s with the creation of the FDA. So clinical trials are well established, but the structure of it was based around not knowing much about the underlying drug target that your drug is interacting with. Since then, they've tightened up the requirements around mechanisms of action, but mostly, the process itself is almost protein agnostic in terms of the development process and how the drug interacts with patients."

"So what we do, what has happened recently, is a revolution in understanding the molecular basis of disease and how the therapeutics interact with it at a molecular level. We support pharmaceutical companies in understanding the safety and the efficacy and being able to predict how their therapies will do in the clinic, and then really understanding a lot more about the available drug targets, which expands the arsenal of ways to fight disease."

"At Sapient, we don't just identify dynamic biomarkers, biomarkers that change with disease or change in response to therapy. We also give a lot of context about those biomarkers. We also say where we have seen those biomarkers occur and how they have changed in response to other therapies, disease conditions, and immunological responses. So, a pharma company can see better what it's getting into when it invests in a dynamic biomarker."

#SapientBio #Multiomics #Proteomics #Metabotomics #DarkProteome #BeyondtheGenome #Plasmaproteomics #Biomarkers

sapient.bio

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Dr. Joel Salinas, Co-Founder and Chief Medical Officer, and Dr. Julius Bruch, Co-Founder and CEO of Isaac Health, leverage virtual care and home visits to provide proactive, technology-enabled services for early diagnosis and treatment of dementia. Their mission is to reduce barriers to cognitive assessment and improve access to personalized care plans and treatments that can delay brain disease progression. The key is respecting the patient's decisions and building trust with the care team.

Joel explains, "The first thing is really just meeting people where they're at. It's so hard to get access to high-quality care due to wait times and geographic reasons. What we're building at Isaac is meant to require zero distance and move a hundred times faster than the current care journey. The other piece is we develop these partnerships where we're much more proactive about identifying changes that someone might be having with memory or thinking. We are looking at risk factors that they may have within their health record and then actually doing some outreach to those who may have some undiagnosed cognitive impairment. Part of the goal here is by meeting people when their symptoms are at their earliest, we have an opportunity of really a golden window of time to be able to bring in interventions that can impact the long-term trajectory of their brain health."

Julius elaborates, "We have built a very extensive technology platform that underpins the entire care journey, from identifying and screening patients to diagnosing, treating, and care management, and seeing as you specifically asked about the diagnosis part. So once we've identified that the member is at high risk, we reach out to them and enroll them in one of our programs. The first visit is generally a medical assessment, and we use a neuropsychologist who does that initial assessment. Still, our platform guides that whole interaction to make sure that we collect all the right information in the most efficient way possible. So it's still very much over Zoom because it is the most effective way to get to the information in this population. Our platform supports the whole care flow and makes sure that it's run as efficiently as possible."

#IsaacHealth #BrainHealth #DementiaCare #Caregiversupport #GUIDEModel #DigitalHealth #HealthEquity #EarlyDetection #DigitalHealthcare #Telehealth #InnovativeHealthcare #PatientEmpowerment

myisaachealth.com

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Dr. Joel Salinas, Co-Founder and Chief Medical Officer, and Dr. Julius Bruch, Co-Founder and CEO of Isaac Health, leverage virtual care and home visits to provide proactive, technology-enabled services for early diagnosis and treatment of dementia. Their mission is to reduce barriers to cognitive assessment and improve access to personalized care plans and treatments that can delay brain disease progression. The key is respecting the patient's decisions and building trust with the care team.

Joel explains, "The first thing is really just meeting people where they're at. It's so hard to get access to high-quality care due to wait times and geographic reasons. What we're building at Isaac is meant to require zero distance and move a hundred times faster than the current care journey. The other piece is we develop these partnerships where we're much more proactive about identifying changes that someone might be having with memory or thinking. We are looking at risk factors that they may have within their health record and then actually doing some outreach to those who may have some undiagnosed cognitive impairment. Part of the goal here is by meeting people when their symptoms are at their earliest, we have an opportunity of really a golden window of time to be able to bring in interventions that can impact the long-term trajectory of their brain health."

Julius elaborates, "We have built a very extensive technology platform that underpins the entire care journey, from identifying and screening patients to diagnosing, treating, and care management, and seeing as you specifically asked about the diagnosis part. So once we've identified that the member is at high risk, we reach out to them and enroll them in one of our programs. The first visit is generally a medical assessment, and we use a neuropsychologist who does that initial assessment. Still, our platform guides that whole interaction to make sure that we collect all the right information in the most efficient way possible. So it's still very much over Zoom because it is the most effective way to get to the information in this population. Our platform supports the whole care flow and makes sure that it's run as efficiently as possible."

#IsaacHealth #BrainHealth #DementiaCare #Caregiversupport #GUIDEModel #DigitalHealth #HealthEquity #EarlyDetection #DigitalHealthcare #Telehealth #InnovativeHealthcare #PatientEmpowerment

myisaachealth.com

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Dr. Traci Sweet, Co-Founder and COO of Holon Health has developed an approach to treating substance use disorder that emphasizes integrating physical and behavioral health with an awareness of the impact of social determinants of health. Focusing on serving a marginalized criminal justice population that has struggled to navigate the healthcare system, Holon Health is making treatments accessible with 24/7 digital support and human-to-human interactions. Features of the Vibe app include daily affirmations, lessons, and contingency management. The key is looking forward, not revisiting the past.

Traci explains, "We developed Holon Health because so many people struggle with navigating the system, particularly in terms of integrated complete treatment, for so many years now. And I've been a doctor in the field for 31 years. For so many years, we've had such a spidered system where we look at the physical health of a patient, and we look at their behavioral health and SUD needs, and we never come together to look at that in a whole body space. So Holon focuses on fully integrating care between physical health needs, substance use disorder, behavioral health, and the additional social determinants of health. So housing, employment, education. We throw everything we can at the clients. On top of that, the addition of our digital app called Holon Vibe really makes treatment accessible 365 days a year, 24/7."

"We serve predominantly folks at the intersection of criminal justice and healthcare. My co-founder is formerly very enmeshed in working with the criminal justice population from his former company. I also have some Department of Corrections in my background as well. This patient has been marginalized in many ways and has found just getting through the system without judgment, without stigma, without having to focus on their shame. Their trauma has found it very difficult to navigate. So we're focused on changing that experience, moving this patient in the direction of preventative care, rewarding pro-social behaviors, and offering support that is kind of like Planet Fitness, just judgment-free. And it's been an amazing experience so far."

#HolonHealth #CriminalJusticePopulation #HolisticHealthcare #SDOH #SubstanceUseDisorder

holonhealth.com

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Dr. Traci Sweet, Co-Founder and COO of Holon Health has developed an approach to treating substance use disorder that emphasizes integrating physical and behavioral health with an awareness of the impact of social determinants of health. Focusing on serving a marginalized criminal justice population that has struggled to navigate the healthcare system, Holon Health is making treatments accessible with 24/7 digital support and human-to-human interactions. Features of the Vibe app include daily affirmations, lessons, and contingency management. The key is looking forward, not revisiting the past.

Traci explains, "We developed Holon Health because so many people struggle with navigating the system, particularly in terms of integrated complete treatment, for so many years now. And I've been a doctor in the field for 31 years. For so many years, we've had such a spidered system where we look at the physical health of a patient, and we look at their behavioral health and SUD needs, and we never come together to look at that in a whole body space. So Holon focuses on fully integrating care between physical health needs, substance use disorder, behavioral health, and the additional social determinants of health. So housing, employment, education. We throw everything we can at the clients. On top of that, the addition of our digital app called Holon Vibe really makes treatment accessible 365 days a year, 24/7."

"We serve predominantly folks at the intersection of criminal justice and healthcare. My co-founder is formerly very enmeshed in working with the criminal justice population from his former company. I also have some Department of Corrections in my background as well. This patient has been marginalized in many ways and has found just getting through the system without judgment, without stigma, without having to focus on their shame. Their trauma has found it very difficult to navigate. So we're focused on changing that experience, moving this patient in the direction of preventative care, rewarding pro-social behaviors, and offering support that is kind of like Planet Fitness, just judgment-free. And it's been an amazing experience so far."

#HolonHealth #CriminalJusticePopulation #HolisticHealthcare #SDOH #SubstanceUseDisorder

holonhealth.com

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John Orosco, CEO and Co-Founder of Red Rover Health is focused on interoperability in the healthcare industry and the potential impact of AI and automation in streamlining healthcare processes. The emergence of revised industry-wide standards has helped improve integration, but true ease of data sharing remains elusive. An app store approach and real-time data access are the next steps in the evolution of integration methodologies, allowing providers to access the best solutions and integrate them with the core EMR systems.

John elaborates, "The app store concept, which goes back to what I was saying when I started in this industry in 1998, was the approach. It was to pick the best solution regardless of the vendor that solves this departmental workflow need and let's implement the best solution. Well, integration with the core electronic medical record system was so tough and so painful and so ugly that pretty much the entire industry shifted to one vendor of record. They were like, we're just going to select one vendor. We're going to forego and give up feature functionality. We know that other solutions are better, but everything will be integrated. So, the entire industry shifts to one vendor. With the advent of APIs and interoperability becoming less painful, that was the right model."

"So an app store helps facilitate this notion that any provider, regardless of where you're in the country, should have access to the best solutions that any of these vendors offer. They should be able to integrate it with the medical record. It shouldn't be up to the EMR vendors, let's say, to dictate which solutions do and don't integrate or that their solutions are the only ones that are available. A true app store concept would open the door for all these great solutions that providers would have access to, and they get to decide which ones they want to implement and use."

#RedRoverHealth #HealthcareInnovation #HealthTech #Interoperability #DigitalHealth #HealthIT #AIinHealthcare #SeamlessIntegration

redrover.health

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John Orosco, CEO and Co-Founder of Red Rover Health is focused on interoperability in the healthcare industry and the potential impact of AI and automation in streamlining healthcare processes. The emergence of revised industry-wide standards has helped improve integration, but true ease of data sharing remains elusive. An app store approach and real-time data access are the next steps in the evolution of integration methodologies, allowing providers to access the best solutions and integrate them with the core EMR systems.

John elaborates, "The app store concept, which goes back to what I was saying when I started in this industry in 1998, was the approach. It was to pick the best solution regardless of the vendor that solves this departmental workflow need and let's implement the best solution. Well, integration with the core electronic medical record system was so tough and so painful and so ugly that pretty much the entire industry shifted to one vendor of record. They were like, we're just going to select one vendor. We're going to forego and give up feature functionality. We know that other solutions are better, but everything will be integrated. So, the entire industry shifts to one vendor. With the advent of APIs and interoperability becoming less painful, that was the right model."

"So an app store helps facilitate this notion that any provider, regardless of where you're in the country, should have access to the best solutions that any of these vendors offer. They should be able to integrate it with the medical record. It shouldn't be up to the EMR vendors, let's say, to dictate which solutions do and don't integrate or that their solutions are the only ones that are available. A true app store concept would open the door for all these great solutions that providers would have access to, and they get to decide which ones they want to implement and use."

#RedRoverHealth #HealthcareInnovation #HealthTech #Interoperability #DigitalHealth #HealthIT #AIinHealthcare #SeamlessIntegration

redrover.health

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Mike Esworthy, Chief Strategy Officer at EnableComp, understands the challenges that health systems face when dealing with complex health claims such as workers' compensation, Veterans Administration, motor vehicle accidents, Medicaid, and out-of-state claims. These exception-based claims require deep subject matter expertise to identify the right payer and process the claims correctly. Using AI-driven technology, EnableComp helps hospitals manage complex claims, minimize the number of denials, optimize revenue, and allow them to focus on their core commercial claims.

Mike explains, "I think the easiest example to provide in that context, if you look at a worker's comp claim, more often than not, when a patient comes into the hospital, they don't know who their company's workers' comp provider is, and so often they hand over the commercial insurance card. If that doesn't get caught early, the commercial insurance gets billed, it results in a denial, and the claim sits out there in the ether for 30, 45 days before it comes back to the provider to go figure out who is the right payer class for this. So that's the big picture of the challenges. And then each of those claim types has unique nuances that make this challenging."

"I think there are a lot of good things happening in the VA that are, in theory, improving access for veterans, and that's a great thing. From a claim standpoint, though, I think all of the core challenges still remain. And so I know that many of the EMRs have been putting a focus on interoperability, and all of that is great from a treatment care coordination, getting veterans seen in hospitals, and getting them through the door."

"But once they've been treated, all of the same challenges that were prevalent before, all of these announcements are still out there. And I think the complexity still exists in terms of not being a normal payer pathway for providers and not knowing all the specific rules. One such example is that you were only allowed one appeal level within the veteran's claims, which means you have to get it right the first time. And so there's a really important component of knowing how to process the claim, getting it done correctly, and ensuring that you're maximizing the yield and the outcome of the claim itself."

#EnableComp #VeteranCare #HealthcareInnovation #ComplexRCM

enablecomp.com

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