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VA Vows to Join the API Movement

March 8, 2018
by David Raths
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‘Lighthouse Lab’ to provide app developers access to API for VA data sets
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As part of a larger federal government push on patient data access, the U.S. Department of Veterans Affairs announced the launch of a “beta” version of its Lighthouse Lab, which offers software developers access to tools for creating mobile and web applications to help veterans better manage their care, services and benefits. 

“One of my top five priorities is to modernize our systems, and the announcement of the Lighthouse Lab supports VA’s move toward adopting commercial off-the-shelf products,” said VA Secretary David Shulkin, in a prepared statement. Shulkin is scheduled to discuss medical care for veterans, as well as changes and innovations at the department as a keynote speaker on the last day of the HIMSS conference.

“Lighthouse represents VA’s commitment to providing a digital experience in line with what veterans are getting from the private sector by rapidly bringing cutting-edge solutions into VA that can help us accommodate our Veterans’ unique needs,” he added.

Considered the “front door” to VA’s vast data stores, Lighthouse is the department’s application programming interface management platform. VA is seeking a small, initial-user group to begin building the Lighthouse Lab developer community. Participation will include helping to test APIs, building out documentation, developing governance standards and testing developer support workflows. 

Lighthouse’s architecture supports VA’s move toward adopting commercial off-the-shelf products and innovative acquisition approaches, such as micro-purchasing agreements with a $3,500 threshold for technology solutions that can be rapidly deployed to veterans. 

To that end, VA is releasing three initial micro-purchasing request for proposals (RFP) on the Lighthouse Github repository, and expects awards will be decided by the end of March. Micro-purchasing awards allow VA to increase the number of contracts awarded to small businesses and diversify the development ecosystem at VA. Later this spring, VA will issue the next Lighthouse RFP. 

Also at HIMSS, CMS Administrator Seema Verma announced her agency’s MyHealthEData initiative to give patients more control of their medical data. Shulkin applauded CMS’ effort and the launch of Blue Button 2.0, a software developer-friendly API that enables Medicare beneficiaries to connect their claims data to applications, services and research programs.  “We partnered on the original Blue Button and are partnering on Blue Button 2.0,” Shulkin said. “This will further allow a patient to access and share their health-care information, which will be of great value to veterans and other citizens.” 
 

 

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Report: At-Risk Medicare Seniors the Next Apple Watch Target?

January 18, 2019
by Rajiv Leventhal, Managing Editor
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Apple is engaging in discussions with multiple private Medicare insurers about subsidizing the cost of the Apple Watch for at-risk people over 65 years old, according to a CNBC report.

This week’s report, from health tech reporter Christina Farr, noted, “The insurers are exploring ways to subsidize the cost of the device for those who can't afford the $279 price tag, which is the starting cost of an older model.”

The latest version of the Apple Watch—the Series 4—was launched in September, and as officials of the tech giant stated at the time, brings “advanced activity and communications features, along with revolutionary health capabilities, including a new accelerometer and gyroscope, which are able to detect hard falls, and an electrical heart rate sensor that can take an electrocardiogram (ECG) using the new ECG app.” This version retails for at least $399.

According to the CNBC report, “Apple has paid a visit to several of the largest insurers in the market, as well as some smaller, venture-backed Medicare Advantage plans. The people declined to be named as the discussions are still private.”

The watch’s electrocardiogram function and fall detection capabilities particularly make it appealing and valuable for seniors; about 19 million seniors, and growing, are enrolled in a Medicare Advantage plan, which are private health plans that receive government payouts for providing services to seniors—about $10,000 per member, on average, Farr’s report noted.

According to Apple, the new Series 4 Apple Watch intermittently analyzes heart rhythms in the background and sends a notification if an irregular heart rhythm such as AFib is detected.  It can also alert the user if the heart rate exceeds or falls below a specified threshold.

And, the Apple Watch’s fall detection function utilizes a next-generation accelerometer and gyroscope, which measures up to 32 g-forces, along with custom algorithms to identify when hard falls occur, the company has stated.

To this end, data from health technology company HealthMine shows that 21 percent of Medicare Advantage beneficiaries use a fitness/activity/steps tracker; and 70 percent currently use digital tools, with a blood pressure monitor being used by 50 percent of beneficiaries.

In this realm, Apple is working with other major insurers as well. It was recently announced that UnitedHealthcare Motion, an employer-sponsored wellness program, is telling its participants they can get a free Apple Watch if they meet the insurer’s daily walking goals over a six-month period. For this initiative, program participants can use the Apple Watch to see how they are tracking against the program’s three daily goals—frequency, intensity, and tenacity—helping integrate physical activity and engagement with their health plan.

Industry observers have already begun to offer some reaction to CNBC’s story. In Farr’s report, Bob Sheehy, the CEO of Bright Health, an insurance start-up with a Medicare Advantage plan, and the former CEO of United Healthcare, spoke to the idea of seniors potentially avoiding expensive care visits by leveraging the device. “Avoiding one emergency room visit would more than pay for the device," said Sheehy.

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PerfectServe Acquisition of Telmediq Consolidates Secure Communication Platforms

January 17, 2019
by David Raths, Contributing Editor
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Combined companies have more than 500,000 clinical users across 250 hospitals, 27,000 physician practices and post-acute care organizations

PerfectServe, a provider of cloud-based clinical communication and collaboration solutions, has acquired competitor Telmediq, a secure communications platform provider for health settings.

Knoxville, Tenn.-based PerfectServe said it plans to support both solutions going forward, taking advantage of each platform’s cloud-based, service-oriented architecture to integrate complementary features.

Telmediq is deployed across 300 healthcare organizations and 80,000 users. It offers a call center solution, nurse mobility, advanced alert and alarm management capabilities, and mass notification functionality. Combined, PerfectServe and Telmediq have more than 500,000 clinical users across 250 hospital sites and 27,000 physician practices and post-acute care organizations. 

PerfectServe said the acquisition is an important step in its effort to build a care team collaboration platform that unifies the entire care team across the continuum, from inpatient, to outpatient, to patients at home. “Our vision is to build a platform that is separate from, transcends, and is fully integrated with the EHR and all other point-of-care technologies,” said Terry Edwards, president and CEO of PerfectServe, in a prepared statement. “The goal is to make it easy for clinicians to overcome persistent care coordination challenges that have existed in the industry for years.”

The Telmediq acquisition follows an investment last year in PerfectServe by private equity firm K1 Investment Management.

 

 

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Research: By 2023, 5M Consumers will be Remotely Monitored by Providers

January 15, 2019
by Rajiv Leventhal, Managing Editor
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Wearables, including health trackers and remote patient monitoring devices, are set to become “must-haves” in the delivery of healthcare, with an annual spend on these devices reaching an estimated $20 billion by 2023, according to new research.

The exploration into mobile devices, and more broadly digital health, conducted by Juniper Research, also noted that assistive “hearables,” or connected hearing aids made available via healthcare providers, as well as directly to customers at varying price models, will mean this sector generates revenues of over $40 billion by 2022. Together, healthcare spending in the wearables market is projected to reach $60 billion by 2023, according to the report.

The research found that adoption of healthcare wearables will be driven by improvements in remote patient monitoring technology, in addition to increased adoption by medical institutions. Juniper forecasts that 5 million individuals will be remotely monitored by healthcare providers by 2023.

The research also forecasts that the advanced ability of AI (artificial intelligence)-enabled software analytics to proactively identify individuals at risk of their condition worsening will witness increased confidence among medical practitioners and regulators with regard to sensor accuracy.

As wearables become part of patients’ treatment plans, manufacturers will seek to adjust their business models and generate revenues from devices being monitored. An example of this would be selling data produced by the devices to insurance providers, the researchers noted. Juniper forecasts that service revenues of this nature will reach $855 million by 2023.

However, data privacy and consent will continue to be a significant barrier. Improving healthcare systems, such as using AI-enabled software analytics, is contingent on patient data being anonymized. Some insurance providers are changing the dynamics; in order to be covered, they require a data feed from the policyholder’s device, the researchers explained.

Research author Michael Larner stated, “It is vital that patients are made aware of how their personal data will be used. If not, making wearables a ‘must-have’ to provide personalized care or receive medical insurance risks a backlash from patients and heightened regulatory scrutiny; stalling the effectiveness of remote monitoring.”

To this end, in a recent study published in Health Affairs, researchers looked at new digital health solutions—both consumer-facing and provider-facing—and concluded that while there is real collective potential in these solutions to address significant healthcare challenges, to date, there simply have not been studies that evaluated effectiveness in terms of reducing cost or improving access to care. Furthermore, clinical effectiveness studies with a high level of evidence were uncommon, according to this research.

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