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Monday Morning Update 3/7/22

March 6, 2022 News 5 Comments

Top News

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Microsoft closes its $19.7 billion acquisition of Nuance.


Reader Comments

From Craptacular: “Re: chief digital officer. Did you see this article claiming they are more important than the health system’s CEO?” I did not, but I’ll throw out this challenge to the author, a doctor-turned-salesperson who has never been a CEO or CDO – prove your premise with an example in healthcare, or any other industry, where the CDO is paid more than the CEO. I’m all for improving the healthcare experience with consumer-facing technology, but the motivation of big-profit health systems is more preservation of the status quo rather than its disruption, thus limiting the CDO’s star power.

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A summary of reader comments (paraphrased slightly by me) on Allscripts selling just about all of its non-Veradigm business to Harris:

  • The sale price of $700 million was stunningly low. Harris has years of profits ahead by collecting maintenance fees and reducing costs as customers go through the time-consuming steps to replace the former Allscripts products.
  • Northwell represents 12.5% of the 2021 revenue of Allscripts, about $188 million. Companies can provide service when they have one big customer like Northwell paying the bills, but that doesn’t work if you have only small health systems to bankroll support and development.
  • Harris probably won’t enhance the acquired products, but maybe it is better than Allscripts at keeping the lights on instead of focusing on acquisitions and Veradigm. “Allscripts users will get the cheap corporate experience that comes from harvesting dated enterprise software investments. And they’ll avoid the unfocused, hostile, hot garbage experience that comes from being used as a component to complement another more strategic corporate investment.”
  • The last publicly traded EHR company bites the dust.
  • The projected revenue drop isn’t surprising, but the company’s projection of a 10-15% drop in EBITDA may suggest that Allscripts has been aggressive on financial engineering around depreciation and amortization, especially on legacy hardware.
  • “I could never figure out what leadership was doing on the Allscripts side of the house. DbMotion was declining year-over-year in sites, their Population Health Analytics solution was finally put down after years of not being able to calculate the most basic of conditions or generate a cohort list. The DbMotion solution itself was extremely expensive to configure and maintain, and the resulting data was often — troubled. The Community Integration Agent (CIA) that fed it from the Allscripts product was written by the same team that wrote Avenel. Avenel was a bowl of spaghetti that couldn’t do basic EHR functions nor even Alexa-level transcription. TouchWorks was a hot mess, being passed back and forth between continents, having outside contractors rewriting the middle tier only to have to rewrite it again, then to let the entire team go that worked on the uplift the week it was released.”
  • Who wants to take bets that the company will rebrand to Veradigm by the next HIMSS conference and bury the name Allscripts for good?

HIStalk Announcements and Requests

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The most common healthcare financial problems that poll respondents had – of those who had any at all – were unexpectedly high out-of-pocket costs or insurance paying less than expected.

New poll to your right or here, which I like to run every couple of years: What’s better about your life now compared to a year ago?

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To those sunning in Miami, my sponsors are doing stuff at ViVE they want to tell you about. I would also appreciate getting on-the-ground reports and photos. I’m interested in how ViVE intersects with the co-located but separate CHIME Spring Forum, which is open only to CHIME members and foundation partners, as Russ Branzell explained to me a few weeks ago. Attendee and exhibitor composition, exhibitor satisfaction, and general buzz are the most important aspects of both ViVE and HIMSS for 2022, especially since it’s the first ViVE and the first real HIMSS conference since 2019. I’m curious to see how ViVE’s “hosted buyer” program plays, in which providers must attend eight one-on-one vendor sales pitches to get in free instead of paying $2,500. I’ve been a buyer attendee of similar conferences over the years and it was a great experience for me (expensive accommodations, food, and events for free for attending a few awkwardly misguided pitches) but the vendors didn’t seem to be getting much value in return.

On a HIMSS22 downer note, I’m crestfallen after scanning the exhibitor list that MedData won’t even have a booth, much less use it to bake the scones of the gods.

LinkedIn users – I invite you to connect with me (I approve all non-scammy connection requests) so I can keep up with what you’re up to. While you’re there, please check your headshot and replace it if it’s tiny, grainy, taken at your wedding 10 years ago, or features a distracting background or the obvious presence of poorly cropped out others. We all have phones, so there’s not much excuse for not taking 60 seconds to take and post a clear, identifiable picture on your profile. Omission makes you look careless or ashamed of your appearance, while poor photo quality suggest sloppiness or failure to master basic Internet concepts, both of which are puzzling for someone who bothered to post a profile in the first place. It is surprising how many times I Google for a decent headshot to accompany a job change or company announcement and the Internet comes up blank.

Folks have mentioned some of their HIStalkapalooza memories on Twitter this week. Here’s video from the 2012 version, which I enjoyed more than any other because ESD was a magnificent sponsor, their folks did an amazing job making exactly what I wanted happen, and the scale was manageable. Do you see yourself or anyone you know? I was also checking out photos from the 2015 edition and reviewing the final one in 2017. I just realized that this is the first year since it ended that nobody has emailed me asking for tickets. Update: Lorre read this and let me know that she just received a request to attend this year’s event even though the final one was five years ago, which is actually kind of flattering.


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Welcome to new HIStalk Gold Sponsor CTG. The Amherst, NY company is a leading provider of digital transformation solutions and services that accelerate clients’ project momentum and achievement of their desired IT and business outcomes. With more than 35 years of experience in the healthcare industry, it has earned a reputation as a faster and more reliable, results-driven partner focused on improved data-driven decision-making, meaningful business performance improvements, new and enhanced customer experiences, and continuous innovation. CTG has operations in North America, South America, Western Europe, and India. Thanks to CTG for supporting HIStalk.


Thanks to these companies that recently supported HIStalk. Click a logo for more information.

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Webinars

April 6 (Wednesday) 1 ET. “19 Massive Best Practices We’ve Learned from 4 Million Telehealth Visits.” Sponsor: Mend. Presenter: Matt McBride, MBA, founder, president, and CEO, Mend. Virtual visits have graduated from a quickly implemented technical novelty to a key healthcare strategy. The challenge now is to define how telehealth can work seamlessly with in-person visits. This webinar will address patient satisfaction, reducing no-show rates to single digits, and using technology to make telehealth easy to use and accessible for all patients. The presenter will share best practices that have been gleaned from millions of telehealth visits and how they have been incorporated into a leading telemedicine and AI-powered patient engagement platform.

Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

Shares in the Global X Telemedicine & Digital Health exchange-traded fund dropped 4.5% in the past 30 days versus the Nasdaq’s 4% decline. EDOC shares are down 11% since the fund’s July 2020 inception versus the Nasdaq’s 26% gain. Its 10 biggest holdings are Illumina, DexCom, Agilent Technologies, Tandem Diabetes Care, Labcorp, Cerner, UnitedHealth Group, Nuance, Omnicell, and Change Healthcare.


People

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Lisa Potter (Data Innovations) joins JTG Consulting Group as chief growth officer.

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Stephanie Sames, MBA joins Harris-owned PulseCheck as EVP.

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Rx. Health hires Neri Cohen, MD, PhD (GBMC HealthCare) as CMIO.


Announcements and Implementations

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Vanderbilt University Medical Center describes in a JAMIA article its Clickbusters program that reduced Epic clinical decision alerts by 15%. The ultimate alert success measure is of course whether the clinician changed their behavior as a result of a warning or suggestion, although it gets somewhat murky after that since choosing a “why I’m doing it anyway” drop-down reason is often driven by the easiest-selected choice rather to provide a useful explanation.

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QGenda launches ProviderCloud, a scheduling-centric provider operations platform that brings together several of its systems.

Kootenai Health will go live on Epic this month.

Google-owned Fitbit recalls its Ionic watch that was manufactured from 2017 to 2020 after dozens of reports of burn injuries that were caused by an overheated battery.

Philips and its foundation will provide a 24-bed mobile hospital and mobile check-up units to Ukraine. The company will also provide financial assistance to displaced citizens and collect employee donations for a humanitarian relief fund.


Government and Politics

Spokane’s VA hospital warned users on Thursday to stop using its recently implemented Cerner system and to “assume all electronic patient data is corrupted / inaccurate.” The problem forced Mann-Grandstaff VA Hospital to stop new admissions, suspend the filling of prescriptions, and to review whether surgeries could be performed safely. The VA says the system went back online Friday morning. Rep. Cathy McMorris Rodgers (R-WA) says she was told that the problem was a VA database update that was performed to communicate patient demographics with Cerner, which suggests that the Cerner system itself might not have been the problem. At least one veteran reported seeing another patient’s information when they logged in to the patient portal. The VA’s second go-live is set for March 26 and another round is scheduled for June.

A federal judge awards a whisteblower $390,000 for helping the federal government recoup $18.3 million from Athenahealth for paying kickbacks to doctors and other EHR vendors to recommend AthenaClinicals. The company was accused of providing luxury trips to sporting events to decision-makers, paying customers to refer prospects, and paying competitors who were discontinuing their EHR to recommend Athenahealth as a replacement.


Other

A New York Times article notes that customer service chatbots – known for creating a “spiral of misery” of poor understanding and scripted replies — are becoming more helpful and capable of carrying on more human-like conversations. It provides an example in insurer Anthem, whose mobile app is 90% accurate in answering questions about co-payments and medications. Anthem’s long-term plan is to use AI to merge claims, clinical, and fitness tracking data to provide personalized health advice, such as offering people with diabetes the “patients like me” best suggestions for diet, exercise, and medications.


Sponsor Updates

  • PerfectServe Values Awards winners include Sales Manager Joe Faso for collaboration, Enterprise Solutions Manager Alex Van Buren for integrity, Customer Solutions Director Cameron Shahnazi for innovation, Customer Success Advisor Courtney Allnutt for service, Deployment Manager Phil Towne for purpose, People Operations & Office Coordinator Kerry Mathews for inclusion, and VP of Customer Solutions Lois Hester for leadership.
  • Premier releases a new episode of The Conductiv Podcast, “How Henry Ford Health System is Leading the Way in Supplier Diversity.”
  • In England, the National Pathology Imaging Co-operative expands its use of Sectra’s pathology solution.
  • Talkdesk is named Cloud Innovator of the Year and Cloud Innovator of the Decade in the 2021-22 Cloud Awards.
  • Volpara Health will exhibit and present at NCBC 2022 Annual Interdisciplinary Breast Center Conference March 10-11 in Las Vegas.
  • Wolters Kluwer Health adds BioDigital’s 3D anatomy platform to its Ovid medical research platform for an immersive teaching and learning experience.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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News 3/4/22

March 3, 2022 News 11 Comments

Top News

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Allscripts will sell its Hospitals and Large Physician Practices business segment to Canada-based Harris for up to $700 million in cash. The segment includes Sunrise, Paragon, TouchWorks, Opal, Star, HealthQuest,and DbMotion. It generated 2021 revenue of  $928 million.

The deal is expected to close in Q2.

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From the investor call:

  • The company sold the business because it has shrunk for three straight years and will likely continue to do so; Veradigm is growing 6% to 7% organically; and managing unrelated businesses under a single corporate structure was becoming increasingly hard.
  • Allscripts hopes to “unlock value” of its shares, whose price it feels is discounted compared to peers, by “separating pieces of the company.”
  • The business had adjusted EBITDA of $145 million on revenue of $928 million. Management expects the unit’s revenue to drop 3-4% in 2022 and EBITDA to shrink 10-15% year over year.
  • The unit being sold generates 60% of the company’s revenue and one-third of its free cash flow.
  • Allscripts will use its expected after-tax proceeds of $600 million for share repurchase and potential M&A related to Veradigm.
  • Interesting: the investor slides are copyrighted and footnoted as Veradigm, with the name Allscripts only appearing on the title slide.

Reader Comments

From Former Eclipsii: Re: Allscripts. So just under 12 years after buying Eclipsys for $1.3 billion, nine years after picking up DbMotion, and five years after acquiring Paragon from McKesson, Allscripts is selling its various parts for a loss? When I was at Eclipsys, we had looked at buying Allscripts and decided it wasn’t worth the effort.” Allscripts reportedly paid $235 million for DbMotion and $185 million for Paragon, so Allscripts spent $1.72 billion in acquisition costs alone for businesses that it is selling years later for $700 million, less than one year’s revenue. But wait, there’s more – it threw in former flagship TouchWorks as well. Last week’s earnings call made it clear that Allscripts was unhappy that its share price undervalues the company, a complaint that it makes just about every quarter, and that Veradigm is its future. I would be interested in hearing the reaction of Allscripts customers to the acquisition announcement. Also, what happened to the puffy 2019 announcement that Allscripts and Northwell would develop a next-generation EHR following the never-left-the-ground flop of Avenel?

From Mark Words: “Re: Allscripts. I predict that Harris / Constellation will acquire Meditech next since its business model is exactly what Constellation looks for – mission-critical software, high recurring revenue, and a somewhat stable market position in a mature market. Not to mention that Meditech is pretty strong in Canada and Harris already owns Iatric Systems, which has strong Meditech focus.” I agree it would be a good target. Constellation’s business model would support paying around $400 million for Meditech, which I doubt would entice its owners to sell.


HIStalk Announcements and Requests

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Welcome to new HIStalk Platinum Sponsor Baker Tilly. Baker Tilly US, LLP is a leading advisory CPA firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the US and in many of the world’s leading financial centers. On March 1, Baker Tilly merged in Orchestrate Healthcare, a multi-year Black Book and Best in KLAS awarded healthcare IT consulting firm. Combined with Baker Tilly’s legacy healthcare practice, their combined practice brings providers solutions for financial sustainability, integration and interoperability, EHR implementation and optimization, healthcare analytics, information security, and healthcare IT staffing. The company’s healthcare IT consultants are seasoned professionals with both a broad range of experiences and a deep understanding of how to listen, analyze, and innovate for process improvement. With over 1,400 healthcare IT engagements from Orchestrate and more than 3,100 healthcare clients from Baker Tilly, the company’s team of healthcare specialists excels at what they do, so your organization can excel at what you do. Baker Tilly is an independent member of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 148 territories, with 36,000 professionals and a combined worldwide revenue of $4 billion. Thanks to Baker Tilly for supporting HIStalk.


I’ve updated my guide to what HIStalk sponsors will be doing at ViVE next week. You can also download a PDF version. Want to make me look good? Let them know at the conference that you saw them listed.

Speaking of which, HIStalk sponsors who are participating in HIMSS22 should fill out my form by end of day Friday, March 4 to be included in my guide for that conference.

And speaking of HIMSS22, six exhibitors will staff booths of at least 4,000 square feet – EClinicalWorks, Epic, Microsoft, Cerner, IBM, and Athenahealth.

Don’t try this at HIMSS22: I’ve noticed several ViVE-related meetings and social events that will be held on boats. I’ve been on a couple of these in years past and they were fun, although choose your host carefully because you’ll be captive for hours.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

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Cognizant develops a remote patient monitoring solution using Microsoft Cloud for Healthcare.

Cancer risk assessment software vendor CancerIQ raises $14 million in a Series B funding round.

Israel-based research data discovery platform vendor MDClone raises $63 million in a Series C funding round.


Sales

  • University of Rochester Medical Center selects Spok Care Connect to replace its operator console and support clinical communications at Strong Memorial Hospital.
  • Behavioral health staffing and services provider EvolvedMD will implement NeuroFlow’s patient registry and mobile technology to enrich collaboration with HonorHealth’s 24 locations.
  • Orbita and OnCall Health choose Lyniate to solve data-sharing challenges.
  • Health Gorilla will incorporate clinically validated social determinants of health scores from LexisNexis Risk Solutions in its Health Interoperability Platform.
  • Respiratory remote patient monitoring platform vendor Spire Health chooses Redox for EHR integration.
  • Hospice of Wichita Falls will implement WellSky’s hospice and palliative care solution.
  • Opioid use disorder virtual care provider Bicycle Health will use Bamboo Health’s Pings and Spotlights for real-time insights into ED and inpatient care utilization.
  • Healthwise will integrate First Databank’s Meducation multilingual monographs into its digital point-of-care and patient education solutions.

People

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John Chelico, MD, MA (Northwell Health) joins CommonSpirit Health as SVP/CMIO.

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Harmony Healthcare IT hires Tamara Korbel, MBA (PDS) as SVP of operations and client experience.

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Christine Yang (Stanford Health Care) joins Alameda Health System as VP/CTO.

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Laurence Kessler, MPH (NThrive) joins Healthrise as SVP of growth and partnerships. 


Announcements and Implementations

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Styker-owned Vocera announces Minibadge, a hands-free, voice-driven communications device for mobile healthcare workers.

Diameter Health releases a technology and services solution for HIEs and data aggregators that are undertaking NCQA’s Data Aggregator Validation program.

CareMesh implements FHIR-based integration of its Navigate clinical program management system with Epic and Cerner. 

VCU Health System went live on Epic on December 2021 with the assistance of CTG, which provided legacy system support, go-live preparation, data conversion, optimization, training, and at-the-elbow support.

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CVS Health launches a Health Dashboard to allow people who received COVID-19 vaccination from CVS Pharmacy or MinuteClinic locations to access their record and print a QR code. The company says the dashboard will be expanded beyond vaccination and COVID test records.


Government and Politics

I missed this a couple of weeks ago: a federal jury convicts a Palm Beach, FL psychiatrist for billing private health insurers $110 million for drug urine screenings at a sober living living facility that was taking kickbacks to refer patients. The doctor, who was also the sober living facility’s medical director, wrote standing orders for the facility in exchange for a monthly fee and then had the patients sent to his office so he could bill several tests per week per patient at up to $9,000 per test. We hear a lot about insurers that are powerfully armed with big data capabilities, but how hard would this have been to detect given the dollar volume, the obviously frequently repeated tests, and the fact that it’s South Florida? Maybe this supports the argument that insurers have limited zeal for chasing fraud since it’s easier to raise premiums.


Sponsor Updates

  • Cerner President and CEO David Feinberg, MD joins Humana’s board.
  • Bicycle Health, a virtual care company specializing in treatment for opioid use disorder, expands its use of Bamboo Health solutions to include Pings and Spotlights solutions for real-time insights into ED and acute inpatient care utilization.
  • Impact Advisors celebrates its 15th anniversary.
  • Jvion will exhibit at the Rise Summit on Social Determinants of Health March 20-22 in Nashville.
  • Kyruus publishes a new infographic, “The Growing Role of Health Plans in the Search for Care.”
  • Nordic Consulting has received certification from HITRUST via the risk-based, two-year validation process.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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Allscripts Sells Its Hospitals and Large Physician Practices Business to Harris

March 3, 2022 News Comments Off on Allscripts Sells Its Hospitals and Large Physician Practices Business to Harris

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Allscripts will sell its Hospitals and Large Physician Practices business segment to Canada-based Harris for up to $700 million in cash.

The segment includes Sunrise, Paragon, TouchWorks, Opal, Star, HealthQuest,and DbMotion. Its 2021 revenue was $928 million. Allscripts will retain Practice Fusion, Professional, and Veradigm.

The companies expect the deal to close in Q2.

Harris is a subsidiary of Toronto-based, publicly traded Constellation Software, which acquires and operates mission-critical software companies with strong recurring revenue. It has sold just one of its 500 acquisitions in its history of more than 25 years. It historically has paid below-market rates for its acquisitions, 0.8 times annual sales, which is the value of this acquisition. It typically runs businesses under their own brand identity and leaves management intact. Constellation’s market cap is nearly $40 billion.

Some of the healthcare software units of Harris are Iatric Systems, QuadraMed, Ingenious Med, Obix by Clinical Computer Systems, and Picis. 

News 3/2/22

March 1, 2022 News 1 Comment

Top News

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Amazon announces that Alexa users can access virtual care from Teladoc Health on its Echo devices. The audio-only service, prompted by the command, “Alexa, I want to talk to a doctor,” connects users to a Teladoc call center. Visits may be covered by insurance or will otherwise cost $75, the same cost as initiating a virtual visit directly through Teladoc.

Teladoc’s stock jumped on the news, which caused some to speculate that Amazon might eventually acquire the telehealth company. Teladoc Health CEO Jason Gorevic said last year that he didn’t consider Amazon a threat to Teladoc’s business since Amazon Care’s business was overrated given its limited client base. That base has since expanded beyond the company’s employees in select markets to nationwide services for its employees and other employers.

Teladoc beat Wall Street expectations with its latest quarterly figures, though its share price has dropped 76% in the past 12 months.

Meanwhile, Teladoc warns in its annual report that its October 2020 acquisition of Livongo has created integration challenges that “will continue to be a time-consuming and expensive process” that could disrupt its business. The company suggests that it will take a non-cash goodwill write-down of between $800 million and $4 billion on the Livongo business in Q1. TDOC, whose market cap is $12 billion, paid $14 billion for Livongo 16 months ago.


Reader Comments

From Cannulater: “Re: HIMSS22. Can you provide a link to your exhibitor tips document that I’ve heard about?” I guess it’s that time of year again. Here you go.

From Ali Cart: “Re: paying for play. How much do you charge for doing an interview?” Zero. Companies can buy only two things from me — an annual sponsorship and webinar promotion – both clearly labeled, neither including editorial involvement. Sites that require payment to interview executives, run vendor-cozy propaganda, and promote white papers apparently hope that readers won’t identify that content as thinly disguised ads, but it’s a credibility karma killer for me. I’ve exited several sites and social media groups lately where the organizer tried to monetize it on the sly by having their ego or wallets stroked silently under the table. Sell space if you want, just have the guts to label it as paid content so we know where objectivity is in question.

From Be There or Be Square: “Re: ViVE conference. Why aren’t you attending?” In a nutshell, it’s too close to HIMSS and too hard (and expensive) to attend anonymously. Attendee reports are welcome.


HIStalk Announcements and Requests

The HIMSS22 web page shows that 74 of the 85 official hotels are sold out of rooms. The exhibitor list includes 945 companies. Sounds pretty bangin’ unless those numbers don’t end up matching the on-the-ground experience.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

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Cloud-based healthcare supply chain software company GHX will fold newly acquired Syft, a vendor of AI-powered inventory control and end-to-end supply chain management software and services, into its value-based care division.

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Virtual reality-based healthcare company XRHealth raises $10 million, bringing its total raised to $35 million. CEO Eran Orr, a former Israeli Air Force executive, founded the company in 2016 after experiencing long rehabilitation processes.

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Qventus secures $50 million in growth capital from investors that include Thomas H. Lee Partners and Premier, which announced a partnership with the company last month. Qventus, which has raised nearly $100 million, offers AI-powered software to help hospitals automate operations and patient flow.

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Healthcare benefits and management platform vendor Nayya raises $55 million in a Series C funding round.

Cigna will provide an additional $450 million to fund its Cigna Ventures venture capital arm, which will be used for investments in analytics, digital health, and care delivery. Cigna says it will focus on repurchasing shares rather than M&A in 2022, but will consider strategic investments and bolt-on acquisitions.

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Tenet cancels plans to spin off its Conifer Health Solutions revenue cycle management business due to improved Conifer profit and expectations for increased revenue growth.


Sales

  • AZ Sint-Maria Halle in Belgium selects Sectra’s enterprise imaging software.
  • The Epsom and St. Helier Hospitals Group will implement Cerner at their four facilities in southwest London.

People

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Floyd County Medical Center (IA) hires Cristina Thomas, MBA (The HCI Group) as interim CIO. The hospital is preparing to implement Meditech Expanse in the fall.

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Health Gorilla promotes Karla Mills, MS, MBA to COO.

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Liza Duncan (Ingenious Med) joins Cloudmed as VP of sales.

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David Horrocks, MBA, MPH (CRISP) joins the New York EHealth Collaborative as CEO.

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Daniel Chavez, MBA (HealthTech Solutions) joins Santa Cruz Health Information Organization as executive director.

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Chuck Suitor, MS retires from MD Anderson Cancer Center after a 26-year IT career, most recently as AVP/CTO.

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Swisslog Healthcare, owned by KUKA Group, promotes Cory Kwarta, MBA to CEO of Swisslog Healthcare TransLogic and Hans Schuler, MBA to CEO of Swisslog Healthcare Medication Management. Global CEO Stephan Sonderegger will leave the company.  


Announcements and Implementations

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ChartSpan adds remote patient monitoring program enrollment services to its chronic care management offerings.

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Hamilton Health Sciences will go live on Epic in June across its 10 facilities in Ontario, replacing Meditech.

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Clearwater announces GA of a 405(d) HICP Assessment solution, software, and consulting service that will help providers that have experienced a breach demonstrate that federally-recognized cybersecurity practices have been in place for at least 12 months.

Meditech makes Expanse Ambulatory available to independent and physician-owned practices.


Government and Politics

ONC has received 249 valid information blocking claims submitted through its reporting portal since the regulation took effect on April 5, 2021, with about two-thirds of those issues being reported by patients and most of them involving providers. The most common complaint of both patients and providers was being excessive charges or delays in obtaining patient information, with providers additionally reporting problems getting their EHR vendor to assist with migrating data to a replacement system. ONC will update its status page monthly, although it won’t indicate whether investigations have been opened or concluded.


Sponsor Updates

  • Amazon features AdvancedMD in an AWS case study, “AdvancedMD Reduces Time Spent Managing SQL Server Backups by 85% Using Amazon FSx.”
  • Actium Health releases a new Hello Healthcare Podcast, “Why Good Brands Go Stale ft. Jared Johnson.”
  • Bluestream Health publishes a new case study, “Heritage Valley Health System Needs an Embedded Virtual Care Solution.”
  • Current Health publishes a white paper, “Rapid Evaluation of the Virtual Ward at Croydon NHS.”
  • Dina will exhibit at the Rise National Conference March 7-9 in Nashville.
  • Ellkay will present at the Rise National Conference March 7-9 in Nashville.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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Monday Morning Update 2/28/22

February 27, 2022 News Comments Off on Monday Morning Update 2/28/22

Top News

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From the Allscripts earnings call, following Thursday’s announcement of Q4 results that beat analyst expectations for revenue and earnings:

  • Allscripts says that investment in its core EHRs has driven cross-selling opportunities in hosting, cloud, telemedicine, cybersecurity, interoperability, outsourcing, and revenue cycle.
  • Two hospitals signed to replace their Paragon system with Sunrise Community Care in the quarter.
  • Hospital and large practice sales were down for the quarter, while Veradigm’s business grew 9%.
  • The company will provide Moderna with integrated EHR and claims data for eight real-world data studies of its COVID-19 vaccine.

HIStalk Announcements and Requests

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Most poll respondents reported no issue with their most recent PCP visit, although waiting for an appointment and then waiting to seen once arrived were the most common complaints. Kendall says that even though they’ve seen the same EHR-using PCP for decades and is an active patient portal user, the practice still shoves a clipboard at them to write down everything that is already recorded electronically. Greg’s PCP left the practice without a heads-up to patients, so when he called about his chronic condition, staff directed him to urgent care who then sent him to the ED because it was beyond their capabilities, with his insurer expecting him to pay out of pocket for both visits.

New poll to your right or here: What was the cause of your biggest financial problem as a patient in the past 12 months?

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Attending ViVE 2022? Check out my guide to what HIStalk’s sponsors will be doing there.

Listening: alternative rockers Cage the Elephant, which I first recommended here in 2011. My interest was rekindled by a YouTube highlights reel of Matt Shultz’s death-defying stage dives. He and his brother are disarmingly charming in all the interview and concert videos I’ve seen, which he describes as, “I’ve been blessed to have the right kind of adversities hit me at the right times to keep it humble. And just continuously chasing after and searching for that thing that makes music utterly exciting again.”


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

Definitive Healthcare reports Q4 results: revenue up 38%, adjusted EBITDA $13.1 million versus $12.8 million (the company did not provide per-share information). DH shares are down 49% in the past year versus the Nasdaq’s 10% loss, valuing the company at $2.2 billion.


Sales

  • Bayada Home Health Care extends use of its Dina platform to its longitudinal care management program, which includes identifying risks and tracking interventions to improve transitions from hospital to home-based care.
  • Aflac will offer NeuroFlow’s self-service mental health resources to its group long-term disability clients.

People

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Jared Antczak, MBA (Highmark Health) joins Sanford Health as chief digital officer.


Announcements and Implementations

Sanford Health will go live in April on a workforce optimization system that it co-developed with precision staffing system vendor Flexwise, which will incorporate Sanford-developed features into its commercial product.

Northern Ireland’s Health and Social Care Service goes live on Sectra digital pathology.


Other

Sami Inkinen, CEO of diabetes reversal coaching and app vendor Virta Health, says that employer HR and benefits departments have had a tough challenge in trying to address rising health cost benefits as more and more people become metabolically unhealthy. He classifies the history of their efforts:

  • 2000-2010: the pre-digital era, when employers signed up for health plan services and provider networks, performed health risk screenings, held wellness events, and offered employee assistance programs.
  • 2010-2015: employers tried digital social networks, gamification, and handing out step and fitness trackers despite zero evidence (and nearly zero results) that they work.
  • 2015-2020: digital health entrepreneurs whose lack of company success in “consumers pay via the app store” model started hawking their wares directly to employers, swamping them with sales pitches.
  • Today: show me the money, show me the outcomes. Healthcare costs keep rising as digital health shiny objects lose their luster. Digital health vendors who can’t prove that their products save employers money will struggle to survive over the next five years.

Sponsor Updates

  • Current Health customers can now launch Zoom from within its care-at-home platform.
  • Healthcare Triangle closes its previously announced acquisition of health IT and managed services company DevCool.
  • G2 awards Symplr Clinical Communications Best Software Product and Highest Satisfaction Product in the category of clinical Communication and collaboration.
  • Sphere integrates MDofficeManager’s RCM solutions with its payments technology.
  • Talkdesk publishes a new report, “Creating a better way for health plan member experience.”
  • Stryker completes its acquisition of Vocera Communications.
  • Vyne Medical publishes a new case study, “Refyne Connected Care Supports Virtual Collaboration Among Montana Pediatricians.”

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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News 2/25/22

February 24, 2022 News 4 Comments

Top News

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Teladoc Health reports Q4 results: revenue up 45%, EPS -$0.07 versus -$3.07, beating Wall Street expectations for both.

TDOC shares dropped sharply on Wednesday following the announcement, then gained 12% on Thursday. They are down 76% in the past 12 months versus the Nasdaq’s flat performance, valuing the company at $11 billion.

Teladoc was touted in August 2020 as having created a $37 billion company with its acquisition of Livongo for $18.5 billion.


HIStalk Announcements and Requests

I’m declining to speculate further on attendance at ViVE and HIMSS22 since they are just 10 and 18 days away, respectively. You’re either going or not at this point. The conference and healthcare attendee environment has been reset since the pre-pandemic, pre-virtual status quo, so it’s early days in figuring out what that market wants in education and networking.

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Meanwhile, I received an email from HIMSS whose subject line suggests that the healthcare-irrelevant former occupations of its keynote speakers is the big draw.

Listening: video from the 2014 reunion concert – the surprisingly excellent first of many shows after a 16-year break – of one of my favorite bands, Failure. My favorite track: Daylight. The alt-rockers are touring this summer and my ticket procurement process is underway to make up for considering but not attending that 2014 LA show.


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Welcome to new HIStalk Platinum Sponsor VisiQuate. The Santa Rosa, CA-based company empowers healthcare organizations to achieve peak business health, through expert service-enabled technologies that dramatically improve performance and reduce process waste. They deliver optimized enterprise outcomes through a unique combination of complex data curation, deep AI & ML, advanced analytics, and intelligent process automation. Thanks to VisiQuate for supporting HIStalk.

An obvious core competency of VisiQuate is creating compelling and enjoyable videos, so instead of the usual explainer, I’ve chosen from YouTube a fun company overview set to the tune of “I Will Survive.” You may sing along.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

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Allscripts reports Q4 results: revenue up 1%, adjusted EPS $0.79 versus $0.20. 

Specialty remote patient monitoring vendor Story Health raises $23 million in a Series A funding round.

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Omada Health, which offers virtual-first chronic condition care, raises $192 million in a Series E funding round that values the company at $1 billion.


Sales

  • Northern Ireland’s Health and Social Care Board chooses medication ordering decision support from First Databank.
  • Ciox Health will implement Diameter Health’s Fusion engine to transform patient medical record data into analytics-ready form.

People

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Meditech adds COO to the title of 32-year company veteran EVP Helen Waters. The COO role was previously held by President and CEO Michelle O’Connor before her promotion in early 2021.

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Patrick Murta (Humana) joins BehaVR as chief platform architect.

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Umar Afridi, MPharm, co-founder and CEO of pharmacy fulfillment, telehealth, and diagnostic provider Truepill, is replaced by co-founder and president Sid Viswanathan.

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Mark Citrone (Healthfinch) joins Doximity as AVP of national sales.


Announcements and Implementations

Medhost announces two solutions that address CMS’s Promoting Interoperability Program, a Cures 2023 Interoperability Solution and Electronic Case Reporting.

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A economic study by healthcare market analytics company Trilliant Health finds that only about one-fourth of Americans have had a telehealth-based encounter during the pandemic and half of those had just one encounter (often to obtain a COVID-19 test), suggesting that people use it mostly when in-person visits aren’t available. The study says that the law of small numbers makes it seem that telehealth is enjoying accelerated adoption, but in reality it hasn’t impacted many people, especially those who need it most, and it hasn’t bridged the gap in available in-person primary care visits. Behavioral care is an exception, where many people prefer virtual visits. The study notes that while the marginal cost of offering a telehealth visit is effectively zero, the retail cost ranges from $59 to $75 and the patient’s payment portion increased by 110% from 2020 to 2021. 

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A new KLAS report on medication inventory management (par levels, clean room, facility-to-facility transfer tracking, formulary management, ordering and receiving) finds that Epic has the top-rated functionality even though the company’s doesn’t specialize in pharmacy. Customers of Swisslog are least likely to achieve outcomes such as improved compliance, inventory transparency, purchasing efficiency, and usage efficiency and are also least-satisfied with their vendor relationship.


Government and Politics

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The Department of Justice sues to block the $13 billion acquisition of Change Healthcare by UnitedHealth Group, saying that the deal would give the insurer details on how competing insurers bill and then undercut them. DOJ also says that UHG could withhold Change Healthcare’s products from its competitors, keep innovations for itself, and give UHG a monopoly in how claims are checked for errors.

Epic sues non-practicing entity (aka patent troll) GreatGigz Solutions for shaking down Christus Health to pay it licensing fees for its use of MyChart. GreatGiz bought some old online job recruiting patents that is says MyChart infringes on and is demanding that Christus buy licenses. GreatGigz has similarly sued Lyft, Uber, DoorDash, Postmates, CVS Health, Subway, ZipRecruiter, Target, Freelancer, Robert Half International, and countless other companies in hopes that they decide that it’s cheaper to pay GreatGigz to go away than to shovel money into mounting a defense. Epic has historically been one of few companies willing to do whatever it takes to defend itself, and in this case, the involvement of one of its customers is likely to unleash its legal dogs.


Privacy and Security

Ireland’s health service says the cost of last year’s ransomware attack has reached nearly $50 million and could rise to over $100 million.


Other

A large Medscape physician survey looks at burnout:

  • Nearly half of physician respondents said they feel burned out, up 4% from 2020, with female doctors reporting higher rates and critical care being the highest percentage specialty.
  • Sixty percent of doctors say bureaucratic tasks, such as charting and paperwork, are the main issue, double the #2 factor of lack of respect. Computer issues rank #6, with about one-third of respondents naming it as a problem.
  • Doctors say the three things that would most reduce their burnout are a better work schedule, higher pay, and more respect (I would say that “higher pay” was more of an aspiration since money isn’t likely to eliminate burnout, just make it more cost effective).

Sponsor Updates

  • PerfectServe publishes a new report, “The Rise of Emoji in Healthcare Communication.”
  • TransformativeMed launches its Cores Intelligent Care Platform on Olive’s marketplace, The Library.
  • Get Well publishes a new white paper, “Today’s Health Equity Goal: Shifting from Headlines to Impact.”
  • Imprivata has recognized partners Softcat, Conecto, Data#3, and SVA with its international IPartner Awards.
  • The Engage Your Tribe Podcast features NextGate VP of Global Marketing Richard Dark.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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News 2/23/22

February 22, 2022 News 1 Comment

Top News

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WellSky will acquire TapCloud, whose patient engagement platform collects a one-minute check-in that asks about their symptoms, concerns, and available support.

WellSky says the patient-generated data will expand its dataset to support the development of care models that predict patient risk factors for deploying interventions.


HIStalk Announcements and Requests

Should we be talking about ICD-11, which is being used in 35 countries?


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

Health Catalyst will acquire KPI Ninja, which offers interoperability solutions and population health analytics.

HealthStream announces Q4 results: revenue up 4%, EPS –$0.01 versus $0.03, beating expectations for both. HSTM shares are up 3% in the past 12 months versus the Nasdaq’s 4% loss, valuing the company at $630 million.

Release of information solutions vendor MRO acquires competitor MediCopy.

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Cerner announces Q4 results: revenue up 4%, adjusted EPS $0.93 versus $0.78. The company’s acquisition for $95 per share by Oracle remains on track for sometime in 2022. Shares closed Tuesday before the announcement at $91.83.


People

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Nicole Rogas, MBA (Experian Health) joins Symplr as president.

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Brian Silverstein, MD (The Chartis Group) joins Innovaccer as chief population health officer.

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Global health pioneer, humanitarian, author, professor, and anthropologist Paul Farmer, MD, PhD died Monday at the university and hospital he had established in Rwanda. He was 62. The non-profit group he co-founded, Partners in Health, was an early proponent of considering social determinants of health, questioning why people were being treated for diseases and then returned to the same circumstances that had helped cause them.


Announcements and Implementations

A top pharmaceutical company deploys OptimizeRx’s digital therapy initiation workflow to streamline patient therapy initiation challenges.

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DCH Health System (AL) implements real-time patient admission and discharge notification technology from Secure Exchange Solutions.

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Windom Area Health (MN) rolls out telemedicine services from TeleHealth Solution for after-hours care.

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Veriff announces GA of identity verification solutions for the healthcare industry that include digital health record protection, automated intake, and secure telemedicine and prescription delivery.


Government and Politics

NIH will require researchers to include a data management and sharing plan in their grant requests, which must include the software or tools that were used to analyze the data and a plan for publishing the data publicly. Information from failed or unpublished studies must also be published to potentially help other researchers. An estimated $10 to $50 billion is spent on US research whose data methods are insufficient, with most of the money coming from federal taxpayers. Experts note that most labs and institutions don’t have data managers and are likely to push the task onto trainees and early-career investigators.

A 33-year-old resident of Pakistan is sentenced to 12 years in prison and ordered to pay $48 million in restitution for submitting fraudulent Medicare claims for 20 home health agencies he had acquired in Illinois, Indiana, Nevada, and Texas using false names. Muhammad Ateeq was also ordered to forfeit a $2.4 million cashier’s check and $1 million in cash. Medicare paid his companies $40 million for services that had not been rendered, with DOJ noting that he had control of their billing and EHR systems.


Privacy and Security

HHS’s cybersecurity office publishes a report on EHRs in healthcare, which is mostly a glossy overview of the status quo. They urge healthcare organizations to  review Remote Desktop Protocol and consider protecting it with a VPN that uses multi-factor authentication, use endpoint detection and response, and implement email tools that filter URLS and move attachments to a sandbox.


Other

Some interesting thoughts on digital health companies from investor and former Livongo CFO Lee Shapiro of  7wire Ventures, interviewed by Marissa Schlueter of OMERS Ventures:

  • Companies need a cash runway of 18-24 months to weather current market turbulence and should be prepared to describe their expected path to profitability to investors.
  • Startups need a CFO, or at least an experienced controller, by their third year to prepare for the historical documentation that investors will want to review down the road in their C and D funding rounds.
  • The market valuation of some publicly traded companies is less than the cash on their balance sheets and those could become acquirers or acquisition targets.
  • Some companies suffer from Shiny Object Syndrome in expanding in too many markets or attacking multiple go-to-market channels.
  • Companies whose revenue is less than $50 million will need to merge to attain the scale that is needed to address the challenges of health plans.
  • Virtual-only companies could merge with brick-and-mortar companies to create an omnichannel brand.
  • Shapiro recommends that investors should watch what hedge funds are doing, some of which are turning to the bargains that are available in the public market instead of private market investing.

Sponsor Updates

  • Azara Healthcare has earned Certified Data Stream status for NCQA’s Data Aggregator Validation Program.
  • Bamboo Health has joined the National Association of Mobile Integrated Healthcare Providers.
  • Clearwater publishes a new white paper, “Keeping Patient Data Secure in the Cloud.”
  • Change Healthcare releases a new podcast, “Enterprise Imaging in the Cloud: Adoption and Outlook.”
  • Enlace Health will exhibit and present at the 2022 Healthcare Bundled Payments Conference February 24-25 in Nashville.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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Monday Morning Update 2/21/22

February 20, 2022 News 8 Comments

Top News

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Spok reports Q4 results: revenue down 8%, EPS –$0.86 versus –$2.44.

From the follow-up announcements and earnings call:

  • The cloud-based Spok Go, which was introduced in February 2020, will be discontinued and the company will take a $15.7 million impairment charge. Spok says the product’s traction has been limited because of COVID-19, challenges in recruiting and retaining software engineers, and the company’s need to reduce costs and headcount.
  • The company will maximize revenue from its legacy product, Spok Care Connect Suite.
  • Spok will cut its management team by half and its workforce by one-third in the next 60 days.
  • The company will increase its dividend and repurchase $10 million of its shares.
  • The company continues to seek a buyer. One interested party is Acacia Research Corporation, whose primary business is buying struggling companies and then filing patent infringement lawsuits to force the purchase of licenses (aka a “patent troll.”) Acacia’s acquisition partner is activist hedge fund Starboard Value, best known in health IT circles for leveraging its tiny position in Cerner into board seats and a “cooperation agreement,” then selling off CERN shares as soon as the price went up as a result.
  • Acacia proposed in August 2021 to acquire all outstanding Spok shares for $10.75 in cash. Shares are now at $8.65, valuing the company at $171 million. Spok turned down a $12 per share offer from B. Riley Financial two years ago.
  • President and CEO Vincent Kelly says the board’s decisions were influenced by Oracle acquiring Cerner, Stryker acquiring Vocera, and Hillrom (and then Baxter) acquiring Voalte.

Reader Comments

From ViVE Sponsor: “Re: ViVE conference. The attendee list shows 3,000 people, only [low number omitted] of them providers.” Unverified, so I’ve omitted the number. I’ve emailed the conference’s generic email address for press inquiries since that’s the only contact I can find and will update with any response I get. The conference website says it expects 4,000 attendees (it said a year ago that attendance could top 5,500). Readers keep asking me about registration breakouts for ViVE and HIMSS22 that I don’t have, so tell me if you know or if you saw the same list. Meanwhile, the HIMSS22 exhibit hall is looking pretty full with about 800 “real” booths (excluding meeting place, pavilions, interoperability showcase, etc.) and 898 exhibiting companies. I’m hoping that, unlike HIMSS21, it will be worth my time and money to attend.

From TikTokDoc: “Re: videos. Doctors should use them for patient education. Good idea?” TikTok probably isn’t the ideal platform due to its limits on video length, but I can see doctors recording short, generic YouTube videos for patients who have new diagnosis or who need specific information about drugs, procedures, or lifestyle recommendations, then sending those patients a link after their encounter (the videos could be made private on YouTube or not, depending on practice’s goals). I like the idea of recording a quick video recapping the visit and to-do items for the patient’s later review, but malpractice fears probably make that unlikely. I wonder how many telehealth visits are recorded by the patient using screen-capture apps?


HIStalk Announcements and Requests

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Few poll respondents include certification or fellowship credentials on their business cards or email signatures, including two-thirds of the folks who have earned them. LinkedIn is full of credentials that I would have to look up  (or in reality, ignore) – some that I’ve seen recently in profile titles (not just in a list) are CCEP, CHPS, CHC, FACP, CDH-E, CRCR, CVAHP, CHPC, GRCP, CSPO, NEA-BC, PMHNP-BC, LP/NREMT-P, and CSSM. I’ve hired and been hired based on minimum educational level, but I’ve never hired anyone or been hired because of a certification. Actually, that’s not entirely true – Epic certification is required for many health IT jobs and is harder to earn and keep than some of the credentials that are issued by member organizations. I’m curious to hear from readers – what health IT job descriptions have you seen in which a specific certification or fellowship is required? 

New poll to your right or here: What were the negative aspects of your most recent PCP visit within the past 12 months?

Best thing I saw in the internet this week:  “Everyone who confuses correlation with causation eventually ends up dead.”


Last chance – if your company is exhibiting or participating in ViVE, send me your information to be included in my conference guide. Some of the activities I’ll be listing for attendees to consider include sponsorship of the welcome reception, happy hours, live podcasts, presentations and demos, evening receptions, and strategy sessions.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

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Real-world data platform network TriNetX acquires Advera Health Analytics, which offers pharmacovigilance software for drug safety concerns.

Radiology workspace vendor Sirona Medical acquires the AI capabilities and related employees of Nines, which offers an AI diagnostic solution for respiratory diseases and a triage system for intracranial hemorrhage. Nines will retain its teleradiology business.

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The Columbus business paper runs an excellent profile on AndHealth. I interviewed founder and CEO Matt Scantland last week.


Sales

  • Emory Healthcare expands its Sectra enterprise imaging system by adding digital pathology.
  • Rush University System for Health offers its employees the Transcarent app for finding health information and health coaching  as part of its medical plan.

People

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David Pickering, MBA (Indiana University Health) joins St. Jude Children’s Research Hospital as VP for clinical applications.


Announcements and Implementations

Cleveland Clinic lists its top 10 medical innovations for 2022, whose only health IT entries are AI-powered sepsis detection and analytics for early diagnosis of hypertension.


Government and Politics

The VA moves two of its 130 instances of VistA to AWS in a pilot project.

Stat reports that health tech vendors are worried about the trend of states enacting consumer privacy laws that, unlike HIPAA, give people control over how their data is collected and managed, which will increase regulatory compliance costs. The possible alternative outcome is developing a national standard for managing patient data. 


Other

The Atlantic looks at “Why America Has So Few Doctors” even as an aging, ever-sicker population now has COVID-19 to deal with few primary care doctors available to see them. Reasons:

  • US medical education is the longest and most expensive in the developed world, with programs requiring a minimum of eight years of school (degree plus medical school).
  • Those years in college leave graduates hundreds of thousands of dollars in debt, encouraging them to pursue whichever specialty pays the most.
  • Residency spots and federal funding for them are limited.
  • Physicians and physician groups have an economic incentive to claim a physician oversupply to constrain the number of medical school seats.
  • Physician groups fight proposals that would allow lower-level clinicians, such as nurses, to do lower-level tasks.
  • The medical establishment has made it hard for foreign doctors to practice in the US, especially those from Mexico and Canada whose practice is limited by NAFTA.

Sponsor Updates

  • USPTO awards Volpara Health a patent for its method of detecting and quantifying breast arterial calcifications in mammograms.
  • Redox releases a new podcast, “WebMD’s Ann Bilyew on Why Scale Matters in a Shifting Market.”

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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News 2/18/22

February 17, 2022 News 3 Comments

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The Department of Justice will file a lawsuit to block the proposed $13 billion sale of Change Healthcare to UnitedHealth Group, a report says, citing two insiders.

Dealreporter says the sources told it that DOJ cannot identify any divestitures that would ease its anti-competitive concerns.

Change Healthcare reportedly considered selling its payment integrity business to avoid regulatory intervention.


Reader Comments

From Fungible: “Re: HIMSS Accelerate. I can’t figure out how to see the activity there. All I see is promotional posts from HIMSS. Can you ask readers if they are using it?” Same for me. It lists a ton of members, but I don’t see any posts, but then again I’m not following anyone and that might be limiting what I see. Still, even Half Wolf hasn’t posted much of anything. I checked maybe 100 user profiles and I would suspect they were auto-added or something since I didn’t see any that had completed their profile or posted any messages. If you’re using Accelerate, please explain what you’re doing on there. You would think it would be lit up given that HIMSS22 is 25 days away.

From Boris Badenov: “Re: [technology company name omitted]. Has cancelled all meetings and has asked all employees to turn over documents with [EHR vendor] screenshots and other IP by the end of the week. Apparently somehow the company has managed to delete records at an unspecified customer and has caused significant damage.” Unverified, so I’ve omitted both company names. The only way I see this happening is that the tech company was using some kind of scripting and screen-scraping tool that ran amok and deleted data by mimicking user interaction, which the original vendor would not be able to detect or prevent. Cancelling meetings and seizing IP seems odd.


HIStalk Announcements and Requests

Sponsor reminder: tell me what you’ll be doing at ViVE and HIMSS22 and I’ll include you in my conference guides. You’re spending piles of money to participate in the conference, so you might as well publicize it.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

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Specialty EHR, PM, and RCM vendor ModMed acquires Klara, which offers a virtual care and collaboration platform, for $200 million. ModMed is the former Modernizing Medicine, which eliminated and conjoined some of its letters in December 2021 in hopes of “capturing the company’s mission and reflecting its modern user experience.” I’m not sure it actually worked.

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SimpleHealth, which offers subscription-based birth control prescribing services and products via a $15 annual online consultation and low-cost prescriptions, acquires birth control pill reminder vendor Emme. 

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CompuGroup Medical acquires anatomic pathology system vendor AP Easy.

Medication and computer cart manufacturer Capsa Healthcare acquires mobile computer workstation vendor Humanscale Healthcare.


Sales

  • Four companies choose Canvas Medical’s EMR and healthcare payments platform for digital health developers: Patina (primary care for adults 65+), Circulo (services for physical and behavioral health), UpLift (mental health), and Vivante (digestive health and wellness).
  • Ohio State University Wexner Medical Center will analyze claims data from LexisNexis Risk Solutions to identify the needs of underserved communities and choosing optimal service locations.
  • Vanderbilt University Medical Center chooses Biofourmis to support a study in which cancer patients will be monitored at home instead of the usual 7-10 day hospitalization following administration of an oncology drug. The system will continuously collect heart rate, temperature, oxygenation levels, and respiratory rate and will measure blood pressure every 4-6 hours, with the results presented on a notification-powered clinician dashboard.
  • Healthcare API vendor Particle Health replaces its homegrown master patient index with Verato Universal MPI.
  • NextGen Healthcare chooses Verato Universal MPI to incorporate patient matching into its Health Data Hub to integrate information from disparate EHRs.
  • The US Social Security Administration contracts with Cerner to electronically transfer disability claims information the EHRs of its customers.
  • Insurer Florida Blue, a subsidiary of GuideWell, automates prior authorization approval via AI-powered clinical reviews that are powered by Olive’s AI platform.

People

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Industry long-timer Tomas Gregorio, MBA (University Hospital) joins Wellforce as SVP of IT operations.

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Impact Advisors promotes Liam Bouchier to VP.

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Streamline Health promotes Ben Stilwell, EMBA to president and CEO of ite EValuator Solutions business, also hiring Amy Sebero (NThrive) as chief growth officer for that unit.


Announcements and Implementations

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Black Book names 50 recently funded emerging solutions that are challenging the healthcare technology status quo, evaluated by 4,000 healthcare respondents who scored 377 solutions on 18 KPIs.

The Marion County Health Department (WV) goes live on Epic. The health department first experienced Epic when WVU Medicine set up COVID-19 vaccination clinics in Marion County in early 2021.

The Hartford business paper profiles clinical data transformation platform vendor Diameter Health, which grew headcount by 25% last year and expects to hit 100 employees next year. I interviewed CEO Eric Rosow a couple of weeks ago.


Government and Politics

Politico reports that the VA’s pilot of a technology that speeds up benefits decision-making – cutting the average wait time from 100 days to 21 – is being criticized by labor unions that don’t want the jobs of 60,000 VA Benefits Administration placed at risk.

KHN reports that counties and cities that oppose COVID mitigation measures are forming their own health departments and contracting the work out to for-profit companies.


Other

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Blind people who received a “bionic eye” implant from Second Sight Medical Products from 2013 to 2019 to gain a small amount of low-resolution vision see their world go dark as the company abandons the technology and approaches bankruptcy after an exodus of its executives and a sale of its assets at auction. Second Sight’s 350 users had its technology installed at a cost of up to $500,000, many of whom complained about poor results. The company is moving on to brain implants.


Sponsor Updates

  • Availity launches Availity Essentials Plus, a low-cost subscription service that gives providers online access to more payers through its HIPAA-compliant Essentials platform.
  • Fortified Health Security hires Sarah McNulty as executive assistant.
  • Optimum Healthcare IT publishes a case study in analyzing and streamlining EpicCare Ambulatory error queues at PeaceHealth.
  • NeuroFlow creates a video describing how it helps health plans reduce the costs of care by giving them better behavioral health insights.
  • Medicomp Systems releases a new episode of its Tell Me Where It Hurts Podcast featuring CEO Dave Lareau.
  • RCx Rules recaps its 2021 success, which includes adding 25 customers and strengthening its HCC coding capabilities by adding Chart Prep Engine.
  • Netsmart launches the EveryDayMatters Podcast.
  • Meditech announces its HIMSS22 activities.
  • Nordic releases a new podcast, “How interoperability and cloud transformations can support healthcare organizations.”

Blog Posts

Black Book Research’s list of the 50 top-rated emerging health IT vendors for 2022 includes the following HIStalk Sponsors:

  • Bamboo Health
  • Enlace Health
  • Healthcare Triangle·
  • Redox
  • Symplr

Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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News 2/16/22

February 15, 2022 News 7 Comments

Top News

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The $17 billion sale of Athenahealth to a pair of private equity firms has been completed.


Reader Comments

From Elizabeth Holmes: “Re: Circadia Health. Touts how they do remote patient monitoring, but FDA’s clearance says specifically that ‘The Circadia C 100 System is not indicated for active patient monitoring.’” I emailed the company to clarify, but haven’t heard back. The website says that the touchless system issues a daily report of respiratory rate and time in bed, which seems to be in conformance with FDA’s requirement that its system not be used to monitor vital signs and is “for retrospective analysis only.” Still, the company’s website touts its capability to “prevent the 3rd leading cause of death” in managing acute respiratory distress syndrome, COPD, sepsis, and pneumonia while earning post-acute care facilities a 2% Medicare incentive payment.


HIStalk Announcements and Requests

HIStalk sponsors who are exhibiting at or attending ViVE and HIMSS22 – click the link, complete the short form, and I’ll include you in my online and downloadable guide. You may recall from last week that my poll respondents gave as their #2 reason for visiting a booth as simply knowing ahead of time the activities that will be presented there, so share your plans and maybe get more feet onto your expensively rented carpet.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

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PriorAuthNow, which offers automated, real-time prior authorization software for providers and payers, raises $25 million in funding. The company says its technology has helped Cleveland Clinic staff reduce the prior authorization process from 45 minutes to four minutes.

Kidney care company DaVita acquires transplant software vendor MedSleuth for an undisclosed sum.

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Radial Analytics, a patient care transition software startup based in Concord, MA, raises $3 million in funding.

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Automated care management company Memora Health raises $40 million, bringing its total funding to just over $50 million.


Sales

  • Community Health Systems (TN) selects remote patient monitoring and virtual care technology from Cadence.
  • Davis Health System (WV) will implement Cerner across its three hospitals beginning this summer.

People

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Azara Healthcare hires Todd Schlesinger (Jvion) as VP of sales.

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Patti Baran (Teladoc Health) joins AliveCor as SVP, Healthcare Americas.


Announcements and Implementations

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Little Rock Air Force Base Clinic (AR) will transition to the DoD’s Cerner-powered MHS Genesis system next month. The department plans on rolling out MHS Genesis at 54 facilities this year, which would see the technology deployed at more than half of all military hospitals and clinics.

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Guthrie County Hospital & Clinics (IA) will go live on Epic this weekend.

A Tegria-commissioned Harris Poll survey finds that 69% of Americans would consider switching providers to gain access to same-day appointments, convenient locations, and self-scheduling. More than half would be willing to have their first visit with a new provider conducted virtually, although only 37% of those over 65 agree.


Government and Politics

VA Acting Deputy CIO Laura Prietula tells attendees at an AFCEA Bethesda health IT event that the department has made significant improvements to its EHR data transfer processes, adding that it has standardized the majority of the high-priority datasets that are being transferred from VistA to Cerner’s Millennium and HealtheIntent platforms.


Privacy and Security

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Puerto Rico-based claims clearinghouse Inmediata will pay $1.1 million to settle a class action lawsuit filed by patients who were affected by a 2019 data breach in which the company failed to secure patient data online, enabling search engines to serve up PHI in search results. I mentioned at the time that the majority of the 1.6 million patients alerted about the breach had never heard of the company. Many received multiple notification letters, with some of those being addressed to other patients.

Avita Health System (OH) notifies patients of a network security incident last week that forced it to revert to downtime procedures.


Other

I’m not sure I noticed until reading the CHIME update below that former HIMSS President and CEO Steve Lieber has been working for CHIME as chief analytics officer since October 2021.

Sachin Jain, MD, MBA says big tech firms have accomplished basically nothing in healthcare because scale is hard to achieve, fee-for-service hasn’t gone anywhere so improving health isn’t a priority, managing healthcare means managing risk, and margins are small. He says companies like Apple need to stop tinkering around healthcare’s edges and instead buy a big health system, where they can demonstrate the benefits of technology, make the argument for value-based care, and integrate payers and providers. He says Amazon’s dabbling in the grocery business didn’t amount to much until it bought Whole Foods.

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This is an interesting thought about primary care in considering non-healthcare markets, where generalists could be squeezed out by specialists on the upper end, and on the lower end, by less-expensive substitutes who follow protocols that those experts approve.


Sponsor Updates

  • CHIME launches new media resource Digital Health Insights as a digital destination for healthcare industry professionals.
  • Ellkay will exhibit at Greenway Health’s Engage conference February 18-23.
  • The Kansas Hospital Association’s Health Services subsidiary selects ChartSpan as its exclusive chronic care management partner.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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Morning Headlines 2/14/22

February 13, 2022 News Comments Off on Morning Headlines 2/14/22

Doximity Announces Fiscal 2022 Third Quarter Financial Results

Medical social network operator Doximity announces Q3 results and that it will acquire physician on-call scheduling app vendor Amion for up to $83 million.

Announcing Radial Analytics’ $3M Round led by Initialized Capital

Radial Analytics, a patient care transition software startup based in Concord, MA, raises $3 million in a funding round led by Initialized Capital.

Vocera Announces Fourth Quarter 2021 Financial Results

Vocera announces Q4 results: revenue up 16%, adjusted EPS $0.29 versus $0.28, beating analyst expectations for both.

LifeOmic Acquires Bavard, an Enterprise-grade Conversational AI Platform

Precision digital healthcare company LifeOmic acquires Bavard, which offers AI-powered digital assistant technology.

Monday Morning Update 2/14/22

February 13, 2022 News Comments Off on Monday Morning Update 2/14/22

Top News

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Medical social network operator Doximity announces Q3 results: revenue up 67%, adjusted EPS $0.29 versus $0.07, beating Wall Street expectations for both. Shares jumped up sharply on the news, up 14% in the past 12 months versus the Dow’s 2% increase. The company’s valuation is at $16 billion, with co-founder and CEO Jeff Tangney holding 33% of shares. From the earnings call:

  • Doximity is acquiring physician on-call scheduling app vendor Amion for up to $83 million and will integrate its offering with Doximity’s secure messaging, CV, referral, and telehealth tools.
  • Chief Commercial Officer Joe Kleine will retire this fall, to be replaced with Paul Jorgensen.
  • Continuing medical education credits issued are up 25% quarter over quarter as in-person education is being increasingly replaced with online programs.
  • Job postings quadrupled year on year as physicians sought new opportunities.
  • The company’s video telehealth platform earned Best in KLAS over Microsoft Teams, Zoom, and other services.
  • Drug companies whose sales reps can’t visit doctors in person are moving to digital marketing programs and eliminating sales positions. The company says that the count of drug reps has doubled since the mid-1990s to 81,000, but it expects 10% of those reps to lose their jobs in the next couple of years.
  • CEO Jeff Tangney says that Fortune 500 companies spend 70% of their marketing budget on digital channels, while healthcare is at 23%.

HIStalk Announcements and Requests

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The fortunes that conference exhibitors spend on fancy booths, catering, glossy presentations, and tchotchkes generate a lower return than the free options – choosing and coaching your booth reps carefully and letting people know ahead of time what you’ll be doing in your expensive patch of carpet. My #1 recommendation is, as always, to confiscate the phones of those who are working the booth – humans seeking information are an irritating intrusion into their cyber-bliss.

New poll to your right or here: Does your business card or email signature list a certification or fellowship credential? I’ve stopped listing both since in my case, their value seems to accrue more to issuers who are looking for recurring revenue than for holders to prove their competence or ethics. Some are still hard to earn and maintain (CPA or PMP, for example) and I would use those if directly relevant to a current or desired job. I also don’t understand listing questionably rigorous, non-selective “executive education” on LinkedIn, especially in lieu of having earned an actual degree from an accredited school. Business card alphabet soup and sitting in front of “I love me” walls plastered with framed, yellowing certificates is a fascinating study in occupational vanity. I’m always intrigued that sales executives, CEOs, and startup founders are often light on formal education, having set a path while young in which formal education would have been a multi-year distraction from their destined accomplishments. I should run a poll asking respondents if they report to someone with less-impressive education credentials.


If your HIStalk sponsor company is spending money to participate in ViVE and HIMSS22, why not boost attention to your involvement with a free entry in my conference guides? Those links lead to forms where you tell me about what you’re doing, which I need to know in the next couple of weeks since said conferencing is imminent.


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Welcome to new HIStalk Gold Sponsor Biofourmis. The fast-growing, Boston-based global health technology company is focused on leveraging software and data science to deliver virtual care and develop novel digital therapies. Its robust care management platform, Care@Home, enables remote disease management across a range of medical conditions for acute, post-acute, and chronic care. The solution utilizes medical-grade wearables to continuously collect patient data, which is analyzed by Biovitals, Biofourmis’ highly sophisticated, clinically validated AI-powered predictive analytics engine. With support from Biofourmis’ in-house clinical care team, payers and providers can leverage the solution to predict clinical deterioration in advance of a critical event, which enables earlier interventions for better outcomes and cost savings. Likewise, the company discovers, develops, and delivers clinically validated digital therapeutics. These monotherapies or “pill plus” prescription therapeutics support payers and providers in improving patients’ lives while reducing healthcare utilization and associated costs. Thanks to Biofourmis for supporting HIStalk.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

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Vocera announces Q4 results: revenue up 16%, adjusted EPS $0.29 versus $0.28, beating analyst expectations for both. Stryker’s $3 billion acquisition of the company remains on track.


Sales

  • Northwest Primary Care (OR) implements Deviceless Remote Patient Monitoring from CareSignal, a Lightbeam Health Solutions Company.

People

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Salesforce promotes David Cousins, MS to SVP of healthcare and life sciences.

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ReMedi Health Solutions hires Scott Collins (Futura Mobility) as chief revenue officer.


Announcements and Implementations

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Virtual care and digital therapeutics company Biofourmis launches Biofourmis Care, a chronic condition management system and virtual care team for heart failure, hypertension, diabetes, lipid management, and atrial fibrillation. The service includes automated medication management for optimizing therapy.

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HIMSS22 in-person attendees who plan to voluntarily provide proof of COVID vaccination have until March 11 to use the pre-show online process of Safe Expo, which will send confirmation that allows picking up a conference badge. Attendees who used Safe Expo for HIMSS21 can use last year’s verification based on their email address, which took me a grand total of perhaps 10 seconds today (good job on that, HIMSS). The alternative is to show vaccination proof or a negative result no older than from the previous day at the onsite verification desk, which is ideal for folks who want to kick off their HIMSS22 experience by waiting in line (or “on line” for you New Yorkers).

For those who were annoyed by the HIMSS21 virtual program ambassadors (Dr. Jayne was, emphatically) they will be back for HIMSS22, adding nearly zero value with their chirpy omnipresence.


Other

In Netherlands, the government’s National Coordination Center for Patient Spreading – which hoped to address COVID-19 admission surges by distributing patients across multiple hospitals – paid $1.4 million for a real-time hospital capacity tracking system that was developed by two of the organization’s advisors. The manually updated system proved to be unreliable, to the point that seriously ill patients were being taken to hospitals that showed available beds even though they were full. The government eventually bought the software company itself in a no-bid deal.


Sponsor Updates

  • The local paper profiles Cooper University Health Care’s implementation of Nuance’s Dax ambient clinical intelligence solution.
  • EClinicalWorks releases a new podcast, “Handling Hospital Notifications with Direct Messaging.”
  • AGS Health will exhibit at the ACDIS Virtual Summit February 16-17.
  • OptimizeRx CEO William Febbo will speak at the Bank of America Annual HCIT and Digital Health Conference February 23.
  • Nordic releases a new podcast, “How interoperability and cloud transformations can support healthcare organizations.”
  • Commitment to customer success drives growth at RCxRules in 2021.
  • Surescripts congratulates DAW Systems, winner of the 2021 Surescripts White Coat Award for highest e-prescribing accuracy.
  • SyTrue caps off a year of tremendous growth in its client base, number of employees, and transaction volume.
  • Verato publishes a new report, “Achieving a 360 Degree View of the Patient: Why Accurate Patient Identity is Critical to Health System Success.”

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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News 2/11/22

February 10, 2022 News 1 Comment

Top News

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AndHealth — which offers app-based, employer-sponsored treatment, coaching, and medication management for migraine – comes out of stealth mode and raises $57 million in funding.

Investors include Francisco Partners and the AMA’s venture capital arm.

The company will launch a second service line for autoimmune diseases.

AndHealth’s founder and CEO is Matt Scantland, who co-founded and led CoverMyMeds through its $1.4 billion acquisition by McKesson in 2017.


Reader Comments

From Orion Pictures: “Re: HIMSS22. An internal document I saw lists just [unverified number omitted] people attending, which also includes at least some vendors.” I’m hesitant to publish the number that was cited because (a) it’s super low; and (b) my only HIMSS contact who would have verified its accuracy no longer works there. HIMSS claims that nearly 19,000 people – including exhibitor staff – attended HIMSS21 in person, although it sure didn’t look like that many. We’re just a month away and COVID-19 is waning a bit, so I would say everybody has already decided if they are going or not. I’ll be doing my usual daily write-ups, although I expect to be COVID-robbed of my beloved MedData scones.


HIStalk Announcements and Requests

HIStalk sponsors – submit your participation information in the ViVE and HIMSS conferences and I’ll include your company in my guide to each.


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Welcome to new HIStalk Platinum Sponsor Owl. Owl gives behavioral health organizations better data, better insights, and better outcomes with its data-driven, evidence-based solutions. Leading organizations — including Main Line Health, Amita Health, Inova Health, Polara Health, and Aurora Mental Health Center — rely on Owl to expand access to care, improve clinical outcomes, and prepare for value-based care. Owl makes measurement-based care easy to engage patients, optimize treatment, improve care, reduce clinician burden, and capture data to optimize business performance. Thanks to Owl for supporting HIStalk.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

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HealthX Ventures invests in Ideawake, which offers a platform for healthcare leaders to engage employees and their ideas for saving money and improving care via time-based challenges that are transparently tracked. I interviewed CEO Coby Skonord last fall, who summarized, “It empowers anyone at the front lines of the organization, regardless of role or title, to make their voice heard based upon the quality of their idea versus their job title.”

Nuance announces Q1 results: revenue down 7%, adjusted EPS $0.08 versus $0.20. The company’s acquisition by Microsoft remains on track for the end of the first calendar quarter.

Ascension will turn over operation of its hospital-based laboratories in 10 states to Labcorp, which will also buy the health system’s outreach lab business. Ascension will also offer patients services of pharma contract research organization Labcorp Drug Development, which the company created in 2014 with its acquisition of Covance for nearly $6 billion.

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Cloud services company 2nd Watch acquires cloud data and analytics consultancy Aptitive.

Thirty Madison, which runs online businesses for hair loss, migraines, GI problems, and allergies, will acquire Nurx, which offers female-focused online services for contraception, STI testing, HIV prevention, and dermatology. Thirty Madison says its combined businesses will bring in $300 million in revenue in 2022.

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Germany-based Ada, which offers AI-based health assessments and care, extends its Series B funding round to $120 million. The company plans to expand aggressively into the US market.

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Israel-based Scopio, which offers slide-scanning and AI analysis technology to allow peripheral blood smears to be analyzed by pathologists remotely, raises $50 million.


Sales

  • Jupiter Medical Center (FL) will deploy Vocera’s Smartbadge wearable and Edge smartphone app for team communication and collaboration. It will also implement Vocera Ease application to allow care team members to communicate with patient-designated friends and family members.

People

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Healthwise names Andy Binder, MS, MBA (HP) as COO.

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Pharmacy solutions vendor Transaction Data Systems hires Robert Ven (Intrado) as CTO.

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Socially Determined hires Paul Matsui (The Antigrav Group) as chief strategy officer and Mike Considine (TransUnion) as chief product officer.

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Sandeep Sabharwal, MBA (Accenture) joins Impact Advisors a managing partner and board member.


Announcements and Implementations

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CoverMyMeds publishes its annual Medication Access Report, with these findings:

  • 84% of patients had to delay or skip in-person healthcare visits in 2021, with primary care being the most-missed visits.
  • The percentage of patients who skipped medications because of cost rose from 36% in 2020 to 51% in 2021.
  • 84% of patients had a telehealth visit in 2021, about equally split between PCPs and specialists. Their most commonly stated reasons for choosing telehealth were COVID-19, convenience, and reduced wait time.
  • Nearly all respondents say they have electronic access to their medical records and can share it with providers.
  • Three-fourths of providers can’t see plan-specific prescription costs, deductibles, and pharmacy-specific pricing  in their EHR. Nearly all can’t see social determinants of health information.
  • Pharmacists say that the highest-value task they can’t perform on their computer system is checking prior authorization status. They also note that providers don’t usually submit prior authorization requests until the pharmacy contacts them, which delays treatment.

Ascom forms new professional services and customer success organizations to support its healthcare collaboration and communication solutions business.


Government and Politics

US Senators Bill Cassidy, MD (R-LA) and Tammy Baldwin (D-WI) form a commission that will make recommendations to Congress about updating HIPAA.

NBC News covers ONC’s December 31 deadline for certified EHR developers to provide FHIR APIs, also noting the progress that has been made in the industry’s implementation of EHRs. .

A GAO report reviews the military’s expansion of telehealth for mental health services during the pandemic, with these lessons learned:

  • March 2020 guidance allowed providers to use consumer videoconferencing technologies such as FaceTime and to offer services using their personal devices.
  • Use of telehealth reduced the stigma of seeking mental health care since in-person services required sitting in a clinic waiting room in full uniform that includes service member name.
  • Group sessions were problematic because of confidentiality concerns, the need to train providers on how to lock the virtual room to uninvited participants, and the level of computer equipment and web camera required.
  • Providers need to obtain the location and contact information of patients at high risk or with suicidal thoughts so that local authorities can be contacted to perform a wellness check if contact is lost.
  • Providers were given training on the technology, the administrative process, and the privacy requirements of conducting virtual visits.

A new report finds that 14% of 1,000 randomly selected hospitals are complying with the HHS requirement that they post their real prices online. HCA Healthcare, Ascension, and CommonSpirit Health – whose combined revenue is $120 billion — had just two compliant hospitals of their 361.


Other

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KLAS reports that some Cerner customers are forming contingency plans in reacting to company changes that include hiring a new CEO, a revenue cycle management pivot, executive turnover, and an announced acquisition by Oracle. Notes:

  • Cerner’s overall KLAS performance scores haven’t changed over five years and under three CEOs, while confidence in the company’s ability to deliver has declined.
  • Some customers attribute their success to their own efforts rather than those of Cerner.
  • CEO David Feinberg will need to improve overall customer success, break the company’s history of broken promises and nickel-and-diming, and establish its new revenue cycle product.
  • Many customers question Cerner’s choice of the old Soarian platform to develop RevElate, noting that the product is rated only in the 60s and sometimes takes customers years to use effectively. They also question how the lack of native integration will work in an industry that has mostly moved away from standalone applications.
  • Company acquisitions tend to work out well about half the time, and when they don’t, customers are twice as likely to abandon the vendor.

The Wall Street Journal notes the sudden proliferation of mashed-up CIO titles to reflect wider responsibilities beyond infrastructure and experience that becomes more customer-focused and operational. Examples: chief technology, operations, and transformation officer (CTOTO) and chief information, data, and digital officer.


Sponsor Updates

  • Healthcare Growth Partners advises NThrive in its acquisition of Pelitas.
  • Impact Advisors celebrates its 15th anniversary.
  • Symplr completes its acquisition of Midas Health Analytics solutions from Conduent.
  • Lumeon names Brittany Jones (Memora Health) senior director of business development.
  • NTT has been selected by the Arizona Health Care Cost Containment System to provide Medicaid Enterprise Systems Roadmap consulting services for Arizona and Hawaii.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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Morning Headlines 2/10/22

February 9, 2022 Headlines, News Comments Off on Morning Headlines 2/10/22

Thirty Madison and Nurx to merge, creating the leading virtual specialty care platform

Thirty Madison, a direct-to-consumer telemedicine company focused on chronic conditions, acquires Nurx, which offers women virtual care for dermatology and reproductive and sexual health.

Compliancy Group Announces Aldrich Capital Partners has committed to invest $75 million

Compliancy Group, a New York-based HIPAA compliance software and training business, secures a $75 million investment from Aldrich Capital Partners.

Tabula Rasa Healthcare to Sell DoseMeRx

Medication risk management vendor Tabula Rasa Healthcare decides to put its DoseMeRx precision dosing software, acquired in 2018, up for sale.

Morning Headlines 2/9/22

February 8, 2022 News Comments Off on Morning Headlines 2/9/22

Curve Health Raises $12M in Oversubscribed Series A

Curve Health, which helps hospitals and nursing homes coordinate and manage patient care, raises $12 million in a Series A funding round.

VisuWell raises $10.1 million, plans to nearly double workforce

Telemedicine company VisuWell raises $10.1 million in a funding round that could grow to over $12 million.

Fivos Health Announces the Spin-off of Its Cardiovascular Imaging Business into Astute Imaging

Data solutions vendor Fivos, formerly known as Medstreaming/M2S, will spin off its imaging services business as Astute Imaging, which offers pre- and post-surgery planning and follow-up tools.

Clearlake Capital-backed NThrive to acquire Pelitas

Revenue cycle management company NThrive will acquire Pelitas, which offers solutions for patient access, digital intake, and front-end RCM.

News 2/9/22

February 8, 2022 News Comments Off on News 2/9/22

Top News

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Highlights from the just-announced Best in KLAS awards:

  • Epic, Nordic, Galen Healthcare, and The Chartis Group were named as overall best.
  • Epic won Best in KLAS awards in 11 market segments.
  • Most-improved products include Infor ERP and Greenway Intergy Practice Management.
  • Epic was the top-rated physician practice vendor by far, followed by Athenahealth, NextGen Healthcare, Greenway Health Intergy, Allscripts, and EClinicalWorks.
  • Topping the overall software suite rankings was Epic, followed by Meditech Expanse, Cerner, CPSI Evident Thrive, and Allscripts.
  • Nordic led overall IT services firms, followed by Pivot Point Consulting, Bluetree Network, Experis Health, Impact Advisors, Engage, and Cerner.

KLAS also announced the global software (non-US) winners. Some highlights:

  • Nearly all respondents have adopted virtual visit technology.
  • Digital pathology is growing rapidly in Europe.
  • Top acute care EMR winners are InterSystems TrakCare EPR (Asia/Oceania), Epic (Canada and Europe), Philips (Latin America), and Cerner (Middle East/Africa).

HIStalk Announcements and Requests

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Welcome to new HIStalk Platinum Sponsor Volpara Health. The company has acquired CRA Health, LLC and Volpara Risk Pathways is its new solution. It is a complete program for identifying and managing patients who are at high risk for breast cancer. The company applies world-class knowledge and over 15 years of experience in risk and genetics to help prevent advanced-stage cancer. Volpara Risk Pathways can identify lifetime and hereditary high-risk patients in any setting, including primary care, OB-GYN, and imaging. This solution interfaces or integrates with EHRs and genetic testing labs without compromising time or workflow. Volpara Risk Pathways is more than just a score, offering guidelines, recommendations, and tools to help coordinate care for patients at elevated risk. Let Volpara Health leverage its vast experience, including performing over 2 million assessments annually, to help build or improve your high-risk program with both product and consulting expertise. Thanks to Volpara Health for supporting HIStalk.

I found this YouTube video describing Volpara Health’s intelligent cancer screening workflow.


HIStalk sponsors, your company can be listed in my conference guides simply by sending me contact and participation information, even if you are attending but not exhibiting. Fill out the forms for ViVE and/or HIMSS22


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

Revenue cycle management company NThrive will acquire Pelitas, which offers solutions for patient access, digital intake, and front-end RCM. Pelitas won Best in KLAS for patient access in 2019, 2020, and 2022.

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Data solutions vendor Fivos, formerly known as Medstreaming/M2S, will spin off its imaging services business as Astute Imaging, which offers pre- and post-surgery planning and follow-up tools. Medstreaming founders Elseaidy and Ewald de Vries will run the business.

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E-consult company AristaMD acquires Preferral, which offers referral management, analytics, and document routing software. Preferral founder and CTO Jon Gautsch will become SVP at AristaMD.

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Telemedicine company VisuWell raises $10.1 million. President and COO Gerry Andrady took on the CEO role last April after predecessor Sam Johnson was fired after being caught on video in an altercation with 18-year-old Dalton Stevens, who was was wearing a dress on their way to the high school prom.

Healthcare advisory and analytics firm Press Ganey will acquire Forsta, a customer experience and market research technology business. Press Ganey Chief Strategy Officer Darren Dworkin is a health IT industry veteran, having worked in executive roles at Cedars-Sinai, Boston Medical Center, Stanson Health, and Summation Health Ventures.

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Neura Health, a membership-based virtual clinic specializing in headache and migraine treatments, raises $2.2 million in seed funding. The company plans on collecting a massive, anonymized data set of neurological conditions and outcomes to share with researchers and pharmaceutical companies.

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Curve Health raises $12 million in a Series A funding round. The startup helps hospitals and nursing homes coordinate and manage patient care.

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I missed this during the holiday break: RWJBarnabas Health Children’s Specialized Hospital (NJ) and Pinnacle Solutions have launched Predictive Health Solutions. The new business will offer technology focused on improving patient outcomes, initially focusing on reducing appointment no-shows.


Sales

  • King’s College Hospital NHS Foundation Trust in England will go live on Epic next year.
  • Nebraska-based HIE CyncHealth selects HealthEC’s population health technology and services.
  • Community Care of North Carolina selects Bamboo Health’s Pings care coordination and notification software.

People

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Healthcare workforce optimization company Prolucent Health names Dan Owens (PatientPoint) CTO.

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Greg Miller (Talkdesk) joins Lumeon as chief growth officer.


Announcements and Implementations

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NorthBay Healthcare (CA) implements Oracle Cloud ERP and human capital management software with assistance from Alithya Group.

In Australia, cancer center Chris O’Brien Lifehouse goes live on Meditech Expanse.

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Amazon Care will expand its employer-contracted urgent and primary care services, which are offered both virtually and in-person, to 20 new cities this year.


Government and Politics

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Training issues still plague the DoD’s Cerner-powered MHS Genesis system, according to an annual oversight report from the DoD’s Office of the Director, Operational Test, and Evaluation. Nearly 75% of the report’s survey respondents consider the program’s computer-based training to be “poor,” though a new initiative to give users hands-on practice in a mock environment did see improvement. The report ultimately concludes that the system “is not yet survivable in a cyber-contested environment.”


Other

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JAMA publishes guidelines on how hospitals can meet the CMS requirement that they assess their EHR safety using the SAFER Guides, which is provided by SAFER Guides developers Dean Sittig, PhD; Patricia Sengstack, DNP; and Hardeep Singh, MD, MPH.

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Athenahealth clarifies its COVID-19 vaccination policy, telling a local paper that the vaccine will no longer be mandated for employees who don’t directly interact with customers. Unvaccinated employees, presumably those who work in the office, must provide a weekly negative test result. All employees have the option to work from home until June.


Sponsor Updates

  • Ascom signs an agreement with Champs Group Purchasing, giving its members access to Ascom’s communications workflow technology.
  • Clearwater promotes Chris Dowhan to principal consultant and Leeanne Lane to director of contracting.
  • Divurgent releases a new episode of its podcast, The Vurge, focusing on women in technology.
  • Surescripts recaps its 2021 accomplishments, including enhancements to and expanded use of its Medication History services.

Blog Posts


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These HIStalk sponsors were named as Best in KLAS. If I missed your company or if you are signing up as a new sponsor, let me know and I’ll do an addendum.

  • Arcadia.io (value-based care management services).
  • Change Healthcare (payer IT consulting services).
  • Fortified Health Security (security and privacy managed services).
  • HCTec/Talon Healthy IT Services (partial IT outsourcing).
  • Health Data Movers (HIT implementation leadership, small).
  • Impact Advisors (security and privacy consulting services).
  • Imprivata (access management).
  • InterSystems (interoperability platforms).
  • Lyniate (integration engines).
  • Meditech (acute care EMR, community hospital; home health, small; patient accounting and patient management, community hospital).
  • Nordic (overall IT services firm; HIT implementation leadership, large; revenue cycle optimization; technical services).
  • Nuance (speech recognition, front-end EMR).
  • Premier (value-based care consulting).
  • Sectra (PACS, large; PACS, small).
  • Symplr (time and attendance; clinical communications).
  • Well Health (patient outreach).
  • Wolters Kluwer (infection control and monitoring).
  • Zynx Health (clinical decision support – care plans and order sets).

Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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Monday Morning Update 2/7/22

February 6, 2022 News 2 Comments

Top News

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Premier reports Q2 results: revenue down 10%, adjusted EPS $0.73 versus $0.65, beating Wall Street expectations for both.

The pandemic caused an 18% drop in supply chain revenue, while the company’s Performance Services segment – which includes analytics software – saw a 15% revenue increase. PINC shares are up 7% in the past 12 months versus the Nasdaq’s 2% gain, valuing the company at $4.5 billion.

From the earnings call:

  • The company’s analysis of its PINC AI data finds that health system clinical employees are working 50% more hours than they did pre-pandemic.
  • Premier is addressing purchasing inefficiencies by scaling its e-invoicing and e-payables technologies with its Remitra supply chain-focused digital payments solution.
  • The company is partnering with life sciences companies on prospective research.
  • Premier will offer Qventus’s patient flow solution and develop new AI-based solutions with the company.
  • The company sees opportunities in clinical decision support, prior authorization automation, and HCC coding.

Reader Comments

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From Bob Pshaw: “Re: the HIMSS BrandHIT Marketing Summit. I just realized that this HIMSS conference, which launched in 2017 to help vendors sell stuff, seems to have died quickly and quietly. Heard anything?” The conference, which was presented by HIMSS Media in a startling display of not even pretending to be journalistically objective, seems to have lasted two iterations, one in Las Vegas and the other in Nashville. That’s not exactly a testimonial to the topic in which it claimed expertise, and neither was the inconsistent name that HIMSS used to promote it (sometimes calling it Brand HIT, others BrandHIT, sometimes both in adjacent sentences). I assume HIMSS Media still runs its Media Lab, which sells marketing services, content, webinars, and basically paid access to HIMSS members.


HIStalk Announcements and Requests

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Poll respondents show a preference for self-scheduling via a webpage rather than an app. Mario brings up the point that contactless appointments don’t triage based on patient need and are therefore problematic, while Rebecca notes that her least-favorite scheduling option is when the practice just tells her when to show up without asking first.

New poll to your right or here: Which factor would most entice you to seek information from a conference booth exhibitor?

Listening: Bartees Strange, who joyously follows his ear in veering from hard-charging rock to melodic hip-hop and making it all sound good.


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Welcome to new HIStalk Platinum Sponsor Enlace Health of Columbus, OH. The Connected World of Enlace empowers payers, providers, and patients to participate together in an economically sound environment. Enlace Health solves healthcare from the inside out, fixing healthcare at its core. The Enlace solution is the only end-to-end infrastructure that bridges the gap between the current, chaotic system and an orderly healthcare world. Enlace always meets clients where they are, creating solutions based on need and maturity in value-based care. Enlace is Sustainable Healthcare. Delivered. Thanks to Enlace Health for supporting HIStalk.

I found this introductory video for Enlace Health on YouTube.


Thanks to the following companies for recently supporting HIStalk. Click a logo for more information.

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Webinars

February 9 (Wednesday) 1 ET. “2022 – Industry Predictions and Medicomp Roadmap.” Sponsor: Medicomp Systems. Presenters: David Lareau, CEO, Medicomp Systems; Jay Anders, MD, chief medical officer, Medicomp Systems; Dan Gainer, CTO, Medicomp Systems. The presenters will provide an update on the health IT industry and a review of the company’s milestones and insights that it gained over the past two years. Topics will include Cures Act implications, interoperability, AI, ambient listening, telehealth-first primary care, chronic care management, and new Quippe functionality and roadmap.

Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

Shares in the Global X Telemedicine and Digital Health ETF (EDOC) dropped 10% in the past month versus the Nasdaq’s 11% loss. Digital health stocks have been on a tear lately, “tear” being the kind that pours from the eyes of investors who have watched their former high-flying companies auger into the hard ground of reality, especially those that took the SPAC back door. Private equity seems better suited lately to make startups successful compared to taking those companies public prematurely to ride an investment wave-slash-bubble, so we may see more companies exiting public markets after short, unsuccessful visits there.


Sales

  • ChartWise Medical Systems selects SyTrue’s Natural Language Processing Operating System to mine structured and unstructured chart data into its NotePath AI-based chart review system.

People

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Terri Sanders, MPH, formerly chief marketing and communications officer of HIMSS, joins Kivvit as managing director.


Announcements and Implementations

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Labcorp launches OnDemand, which allows consumers to buy lab tests online and either collect samples at home or at its patient service centers. Competitor Quest offers a similar service, which is also marketed through Walmart. Physicians approve the tests behind the scenes in both cases, in Labcorp’s case via PWNHealth, for which Labcorp absorbs its $6.50 fee in the test purchase price.


Other

Ventilator manufacturer Vyaire Medical warns users of certain models to turn off the HL7 communication option after customers reported that the devices “unintentionally ceased ventilation during clinical use and require rebooting to resume ventilation.”


Sponsor Updates

  • EClinicalWorks publishes a new customer success story, “How Records in Prisma Overcame a Language Barrier.”
  • Fortified Health Security publishes its “2022 Horizon Report: The State of Cybersecurity in Healthcare.”
  • OptimizeRx will present at BTIG’s MedTech, Digital Health, Life Science & Diagnostic Tools Conference February 15, and SVB Leerink’s virtual Global Healthcare Conference February 17.
  • Olive announces the five winners of its Hack for Health developer contest.
  • Frost & Sullivan has recognized Wolters Kluwer Health with its 2021 North American Company of the Year Award.
  • Kyruus announces results from 2021, including expanding its customer base by 25 new healthcare organizations and expanding its online scheduling platform, among other achievements.
  • Talkdesk appoints Tom Reilly (Cloudera) to its board.
  • Vocera’s clinical communication and workflow solutions are now available for procurement through the NHS Shared Business Services Patient/Citizen Communications and Engagement Framework.
  • Well Health announces its 2021 Well Health Award Winners.
  • Arcadia publishes an analysis of data involving COVID-19 patients who were hospitalized and discharged from US hospitals in 2020.
  • Zen Healthcare IT President and co-founder Marilee Benson has been selected to join The Carequality Advisory Council and the HIMSS Interoperability and HIE Committee.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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