Adrian Greystoke

Our evidence-based model produces cost savings and tremendous member value, at scale across hundreds of thousands of members. Some of our great minds behind the model presented at MIT this week. #evidence #wellbeing #digitalhealth #costmanagement #healthequity

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Interesting to see that digital health funding is relatively stable. Only a couple of exits. I think we'll see more deals like DarioHealth's acquisition of Twill, since from a sales perspective, the narrower the solution, the more difficult it is to acquire customers. This difficulty has nothing to do with the quality of offerings, but with the data management and administrative complexity on the customer side.

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#InTheNews At HLTH USA recently, Carrum stood out amongst scores of digital health companies, thanks to our single-minded focus on lowering the cost of specialty care while improving quality. Carrum Founder and CEO Sach Jain spoke with Arundhati Parmar, Editor-in-Chief of MedCity News, about launching value-based substance use treatment — and how we’re doing it differently. “The area of substance use is full of fraud and abuse because 1), there are organizations that are not well set up, but it’s an episode that pays a lot of money and whether the member is actually getting better or not, they are discharged, and after a few days, weeks they come back and then you do the whole thing all over again,” Jain charged. “So this is called washing machine model — wash and repeat — and then you keep on making money on the same patient. So by identifying the organizations that first of all have the right quality of care for these episodes and then making them accountable for the care they’re delivering, that’s what makes this model sustain sobriety.” Read more: https://lnkd.in/gj2khpAQ #hlth2024 #hlth #substanceuse #valuebasedcare #carrumhealth

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Can't wait to join Alice Murphy at HLTH Inc. for this juicy conversation today! In an era of advancing artificial intelligence, the realm of mental health support is witnessing a convergence of traditional therapy and AI-powered chatbots. As these digital companions become increasingly sophisticated, offering 24/7 availability, personalized interactions, and data-driven insights, a provocative question emerges: Could #AI chatbots ever rival or replace human therapists? Looking forward to discussing more with providers, pharma, AI experts and more: https://lnkd.in/gXkcXw-j

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It's a great day at Noom! I'm so happy to announce two new solutions today at the HLTH conference -- each expanding access to GLP-1s. ** Solution 1: Noom Med with SmartRx, in partnership with Waltz Health, drives 4.1x more ROI for employers who seek to cover GLP-1s versus the most common alternative, based on a recent third-party actuarial analysis. ** Solution 2: Noom Weight with GLP-1Rx is a workforce-friendly, budget-conscious solution for employers who do not cover GLP-1s today but would like to provide an effective obesity solution while enabling access to low-cost, non-branded GLP-1s. After spending months and months learning from the market, we have put together two programs that will finally help employers and payers with GLP-1s. Read the full coverage at Fierce Healthcare. https://lnkd.in/gUrvtDJG

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When it comes to manual processes, every company in healthcare insurance benefits has a tipping point. Here’s how to avoid reaching yours so you can focus on scaling. ____ For low-code solutions that will take pressure off Core IT, visit Integrate.io

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How can your health plan digitally engage members with consumer-grade experiences that rival out-of-industry CX leaders? Check out Kathleen McQuade Ellmore's session at League Connect to learn how! #memberengagement #digitalengagement #medicare

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What an insightful conversation on the path to consumer-grade engagement in healthcare! We couldn't agree more that healthcare organizations that want to excel need to be authentic and trustworthy. They need to have the right data and technology in place, a single source of truth to enable the engagement that consumers expect today that will also allow them to scale and continue to deliver the moments that matter in the future. 𝘛𝘩𝘦 𝘦𝘹𝘱𝘦𝘤𝘵𝘢𝘵𝘪𝘰𝘯𝘴 𝘧𝘳𝘰𝘮 𝘤𝘰𝘯𝘴𝘶𝘮𝘦𝘳𝘴 𝘢𝘯𝘥 𝘤𝘶𝘴𝘵𝘰𝘮𝘦𝘳𝘴 𝘸𝘪𝘭𝘭 𝘬𝘦𝘦𝘱 𝘰𝘯 𝘪𝘯𝘤𝘳𝘦𝘢𝘴𝘪𝘯𝘨, 𝘦𝘴𝘱𝘦𝘤𝘪𝘢𝘭𝘭𝘺 𝘢𝘳𝘰𝘶𝘯𝘥 𝘵𝘩𝘦 𝘮𝘰𝘳𝘦 𝘱𝘦𝘳𝘴𝘰𝘯𝘢𝘭𝘪𝘻𝘦𝘥 𝘥𝘪𝘨𝘪𝘵𝘢𝘭 𝘦𝘯𝘨𝘢𝘨𝘦𝘮𝘦𝘯𝘵. 𝘚𝘰, 𝘢𝘯𝘺 𝘪𝘯𝘷𝘦𝘴𝘵𝘮𝘦𝘯𝘵 𝘪𝘯 𝘵𝘩𝘢𝘵 𝘴𝘱𝘢𝘤𝘦 𝘪𝘴 𝘱𝘳𝘰𝘣𝘢𝘣𝘭𝘺 𝘨𝘰𝘪𝘯𝘨 𝘵𝘰 𝘩𝘢𝘷𝘦 𝘢 𝘩𝘪𝘨𝘩 𝘳𝘦𝘵𝘶𝘳𝘯 𝘰𝘯 𝘪𝘯𝘷𝘦𝘴𝘵𝘮𝘦𝘯𝘵. 𝘛𝘩𝘦 𝘫𝘰𝘶𝘳𝘯𝘦𝘺-𝘣𝘢𝘴𝘦𝘥 𝘢𝘱𝘱𝘳𝘰𝘢𝘤𝘩 𝘸𝘪𝘭𝘭 𝘴𝘰𝘳𝘵 𝘰𝘧 𝘣𝘦𝘤𝘰𝘮𝘦 𝘵𝘩𝘦 𝘯𝘰𝘳𝘮, 𝘮𝘰𝘮𝘦𝘯𝘵𝘴 𝘵𝘩𝘢𝘵 𝘮𝘢𝘵𝘵𝘦𝘳 𝘢𝘯𝘥 𝘸𝘪𝘯𝘯𝘪𝘯𝘨 𝘵𝘩𝘰𝘴𝘦 𝘮𝘰𝘮𝘦𝘯𝘵𝘴 𝘣𝘦𝘤𝘰𝘮𝘦𝘴 𝘵𝘩𝘦 𝘯𝘰𝘳𝘮. - Jigar Shah, SVP & Chief Marketing Officer, Blue Shield of California 𝘐𝘵 𝘩𝘢𝘴 𝘵𝘰 𝘣𝘦 𝘩𝘺𝘱𝘦𝘳-𝘱𝘦𝘳𝘴𝘰𝘯𝘢𝘭𝘪𝘻𝘦𝘥, 𝘢𝘯𝘥 𝘸𝘦 𝘢𝘳𝘦 𝘨𝘦𝘵𝘵𝘪𝘯𝘨 𝘵𝘩𝘦𝘳𝘦. 𝘐𝘵 𝘤𝘰𝘮𝘦𝘴 𝘥𝘰𝘸𝘯 𝘵𝘰 𝘢𝘳𝘮𝘪𝘯𝘨 𝘵𝘩𝘦 𝘤𝘰𝘯𝘴𝘶𝘮𝘦𝘳 𝘸𝘪𝘵𝘩 𝘵𝘩𝘦 𝘪𝘯𝘧𝘰𝘳𝘮𝘢𝘵𝘪𝘰𝘯 𝘵𝘩𝘦𝘺 𝘯𝘦𝘦𝘥 𝘵𝘰 𝘮𝘢𝘬𝘦 𝘵𝘩𝘦 𝘤𝘩𝘰𝘪𝘤𝘦𝘴 𝘢𝘵 𝘦𝘷𝘦𝘳𝘺 𝘴𝘵𝘦𝘱 𝘰𝘧 𝘵𝘩𝘦 𝘸𝘢𝘺, 𝘢𝘯𝘥 𝘵𝘩𝘢𝘵’𝘴 𝘯𝘰𝘵 𝘫𝘶𝘴𝘵 𝘸𝘩𝘦𝘯 𝘵𝘩𝘦𝘺 𝘢𝘳𝘦 𝘣𝘦𝘪𝘯𝘨 𝘢 𝘱𝘢𝘵𝘪𝘦𝘯𝘵, 𝘪𝘵’𝘴 𝘵𝘩𝘦 𝘦𝘷𝘦𝘳𝘺𝘥𝘢𝘺 𝘤𝘩𝘰𝘪𝘤𝘦𝘴. - Kathleen McQuade Ellmore, Co-Founder & Managing Partner, Engagys LLC that Redpoint Global Inc. has the pleasure to partner with. 𝗟𝗶𝘀𝘁𝗲𝗻 𝘁𝗼 𝘁𝗵𝗲 𝗳𝘂𝗹𝗹 𝗰𝗼𝗻𝘃𝗲𝗿𝘀𝗮𝘁𝗶𝗼𝗻, 𝟮𝟱 𝘄𝗲𝗹𝗹-𝘀𝗽𝗲𝗻𝘁 𝗺𝗶𝗻𝘂𝘁𝗲𝘀: https://lnkd.in/eSSsPSrs #patientcentricity #patient360 #patientengagement #healthIT

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📰 Goddess Gaia's Founding General Partner Priya Oberoi has published a new Forbes article to discuss Flo Health Inc.'s new raise and its status as the first European FemTech to achieve unicorn status. 🦄 Flo is a period-tracking app which has reached unicorn status following its $200 million Series C raise. However, Flo's success has brought to surface structural issues within the VC ecosystem and FemTech sector.   🛠 The app was founded by Dmitry and Yuri Gurski, two male entrepreneurs from Belarus. Overall, the company lacks women in leadership and decision-making roles and is also largely funded by male-dominated VCs. In such, the app has been criticised for failing to fully grasp the complexities of women’s health and the needs of women. 💰 The inequalities present in Flo’s rise are emblematic of larger systemic issues in the venture capital world and the FemTech space where female and minoritised individuals receive a fraction of available resources. This has most notably been attributed to the homogeneity of decision-makers within the VC ecosystem making it more challenging for female and minoritised founders to break through and secure funding.   ❤️ While Flo’s success is undeniable, there must be a more diverse and inclusive approach to FemTech investment. Goddess Gaia Ventures remains Europe's only dedicated women's health fund. For FemTech to truly thrive, the VC landscape needs a serious makeover with more diversity, more equity, and a lot more women in leadership positions to ensure that the people making decisions actually understand the issues they’re addressing. 🏆 At the end of the day, what really matters isn’t the gender of the founder, but whether the product works and improves the lives of its users (clinically validated products backed by robust research and data). Flo's success is a win for women's health as any step towards closing the gender heath gap is a step in the right direction. Forbes FemTech Lab FemTech India Femtech Insider Femtech World Women of Wearables (wearables, health tech & femtech) United Nations Population Fund (UNFPA) TIME Fast Company Federal Trade Commission World Economic Forum Sifted Alice Pelton National Bureau of Economic Research Anna-Sophie Hartvigsen Ida Tin Read the full article here: https://lnkd.in/deWeKhSN #HealthCare #Womenshealth #HealthcareInnovation #VentureCapital #VC #ImpactInvesting #FemTech #Innovation

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Here’s your recap of last week’s health IT news 🗞️ Notable partnerships 🤝 • Kaiser Permanente is partnering with Innovaccer to incorporate their population health and AI platform        • MUSC Health adopted Andor Health’s ThinkAndor in its ED to reduce wait times and “leaving without being seen” rates.      • Upperline Health is partnering with Navina to improve clinical workflows and improve the accuracy of patient histories.      • Intermountain Health deployed Nuance Communications DAX Copilot, an AI ambient scribe solution.      • PA Clinical Network is partnering with Guidehealth  to improve outcomes and care quality while improving physician efficiency. Product updates 👩🏼‍💻 • Klara released a new patient intake product for athenahealth users.    • Baton Health released Universal Primary Source, giving users access to hundreds of primary source databases for credentialing.    • InsightRX released InsightRX Apollo, an analytics platform that provides insights on clinical performance.    • Trovo Health launched with a $15 million seed round, offering specialty-specific AI combined with clinical experts to help practices add to their capabilities.    • Quest Diagnostics acquired PathAI’s diagnostic laboratory business (PathAI Diagnostics) to improve Quest’s oncology services.    • GenHealth.ai launched its Automated Prior Authorization platform.    • Veradigm® is partnering with MedEvolve, Inc. to make its suite of products available to Veradigm users.    • CLEW announced availability of a newly FDA-approved patient surveillance platform. Posts we enjoyed 👏 • Eric Topol, MD shared a compelling piece reviewing the state of research on AI in medicine. In short, we’re seeing our first early evidence that AI can reduce mortality as a research endpoint, but large language models are not yet the panacea we’ve been promised. (https://lnkd.in/e6hK-4mr)    • Nikhil Krishnan of Out-Of-Pocket shared a deep dive on Stedi, which converts X12 EDI into JSON-based APIs for healthcare tech developers. (https://lnkd.in/eqS9V5zW) --- Want to stay in the loop? Sign up for the Elion Briefing to get all of the latest healthcare tech news delivered to your inbox 📬 👉 https://bit.ly/49z6AUW

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Our recent session on "Accelerating Companies in Care with Payers" was a deep dive into the world of payers. Chris Bennett of Wonderschool, Julia Cohen Sebastien of Grayce and Rebecca Egger of Little Otter shared invaluable insights into successful go-to-market strategies and how to effectively engage different types of payers, including employers, governments, consumers, and healthcare. To learn more, visit: https://lnkd.in/gm4eEnaJ

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Health tech companies reported strong Q3 2024 earnings, driven by expanded offerings, rapid adoption of AI tools, and increased client demand. Here’s a recap of key updates: - Hims & Hers: A telehealth platform offering personalized treatments across mental health, sexual health, dermatology, primary care, and weight management. Q3 revenue jumped 77% to $401.6M, net income was $75.6M, and subscribers grew 44% to 2M. The company plans to launch a generic liraglutide in 2025 and raised its 2024 revenue forecast to $1.46B-$1.465B. - Doximity: A networking and workflow platform for medical professionals providing tools like telehealth, scheduling, and AI assistants. Revenue increased 20% to $136.8M, with AI tools leading growth and 1M prompts used in Q2. The company raised its 2024 guidance to $535M-$540M in revenue. - Waystar: A healthcare payment and revenue cycle management company serving 30,000+ clients across care settings. Revenue grew 22% to $240M, driven by rapid client adoption after a competitor’s cyberattack. The company raised 2024 revenue guidance to $926M-$934M and expects 2025 revenue near $1B.

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Want a meaningful use case for #GenAI in the #postacutecare sector? Meet Forcura's newest feature... #boom #homehealth #hospice #patientcare #intake #healthcaretech #AI

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HIStalk Interviews Lauren Patrick, CEO, Healthmonix – HIStalk - HIStalk In a recent interview, Lauren Patrick, CEO of Healthmonix, shared insights on navigating the complexities of healthcare analytics. With a focus on quality and cost metrics, Healthmonix supports providers in transitioning to value-based care by integrating diverse data sources. Patrick emphasized the importance of meaningful metrics that resonate with physicians to drive change. As the industry grapples with interoperability challenges, leveraging AI to analyze outcomes is becoming crucial. The future of healthcare analytics lies in creating comprehensive patient profiles to enhance care delivery. #HealthcareIT #ValueBasedCare #DataIntegration #HealthcareAnalytics #Interoperability #AIinHealthcare #QualityMetrics ai.mediformatica.com #mips #about #analytics #healthcare #capgemini #healthcareanalytics #histalk #mssp #philadelphia #training #digitalhealth #healthit #healthtech #healthcaretechnology @MediFormatica (https://buff.ly/4ewC4gZ)

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Prior auth is about to change dramatically, and adapting will cost health insurers $16.2B. Yesterday, we explored the history of prior auth and how we ended up with the frustrating system we have today. Now, let's look at the imminent regulatory changes. Here's what you need to know and how you can brace for impact: → There’s broad bi-partisan support for radically restricting insurers’ ability to conduct prior auths 1. The House of Representatives has passed bipartisan legislation demanding sweeping prior authorization reform. [1] 2. Texas, Michigan, and Louisiana have already enacted similar laws. 3. 30 more states are in the process of drafting their own legislation. → The financial impact The Congressional Budget Office estimates that complying with these new laws will cost insurers $16.2 billion. Insurers will be required to: 1. Universally adopt electronic prior authorization (ePA) 2. Maintain 24-hour response times 3. Publicly release data on all prior authorization metrics 4. Implement gold carding programs for certain providers 5. And a slew of other restrictions The industry response? Major insurers like UnitedHealthcare, Aetna, and Cigna are already preparing. They're proactively slashing their prior authorization requirements and racing to implement universal electronic prior authorization. 𝗧𝗵𝗲 $𝟭𝟲𝗕 𝗾𝘂𝗲𝘀𝘁𝗶𝗼𝗻: 𝗛𝗼𝘄 𝗰𝗮𝗻 𝗶𝗻𝘀𝘂𝗿𝗮𝗻𝗰𝗲 𝗰𝗼𝗺𝗽𝗮𝗻𝗶𝗲𝘀 𝗽𝗿𝗲𝗽𝗮𝗿𝗲? It’s going to cost a lot. There’s no getting around it. But by centralizing your prior authorization data, you can avoid the worst of it. Here's why: - Public data releases require a centralized repository of all your prior auth metrics. - Universal ePA adoption needs a centralized system to manage incoming requests. - Gold card programs require centralized tracking of provider performance. - Ensuring 24-hour response times necessitates centralized monitoring. Once you centralize your data, you unlock a world of possibilities. The big one? Automation. McKinsey estimates that with today's technology, 75% of prior auth can be automated. [2] Here’s what this will unlock for insurers facing these new laws: → Responses in minutes, not days → Public data releases with a click of a button → Gold Card programs that run themselves → Vast majority of auth requests handled without human intervention The pendulum is swinging back towards providers, but payers can adapt and thrive with the right approach. By centralizing data and embracing automation, you can slash costs, ensure compliance, and emerge stronger.

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Next week I am moderating a panel at #HLTHUSA to explore how investors are evolving from passive check-writers to active partners, incubators, and co-founders, particularly in healthcare innovation. Join me and John Noseworthy, M.D., Payal Agrawal Divakaran, Tilak Mandadi and Mary Beth Navarra-Sirio as we discuss the delicate balance between hands-on involvement and maintaining entrepreneurial autonomy, while examining how investors measure impact beyond financial returns.

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Data shows that many health plans are still in the very early stages of applying a member centric approach across the enterprise 🐣 Join Kathleen McQuade Ellmore, Co-Founder and Managing Partner at Engagys LLC and John Nash, Chief Marketing and Strategy Officer at Redpoint Global Inc. for a complimentary webinar on 𝗧𝗵𝗲 𝗠𝗲𝗺𝗯𝗲𝗿-𝗖𝗲𝗻𝘁𝗿𝗶𝗰 𝗕𝗹𝘂𝗲𝗽𝗿𝗶𝗻𝘁: 𝗣𝗲𝗿𝘀𝗼𝗻𝗮𝗹𝗶𝘇𝗲, 𝗛𝗮𝗿𝗺𝗼𝗻𝗶𝘇𝗲, 𝗮𝗻𝗱 𝗢𝗽𝘁𝗶𝗺𝗶𝘇𝗲 𝗘𝗻𝗴𝗮𝗴𝗲𝗺𝗲𝗻𝘁 & 𝗢𝘂𝘁𝗰𝗼𝗺𝗲𝘀. 𝗤𝘂𝗲𝘀𝘁𝗶𝗼𝗻𝘀 𝘄𝗲 𝘄𝗶𝗹𝗹 𝘁𝗿𝘆 𝘁𝗼 𝗮𝗻𝘀𝘄𝗲𝗿:       🚧 What are some of the barriers to achieving true member centricity?       💌 How to leverage strategy and digital technology to personalize the member experience?       📐 Why are testing and measuring essential for scaling your business? 𝗪𝗮𝗻𝗻𝗮 𝗷𝗼𝗶𝗻? 𝗙𝗼𝗹𝗹𝗼𝘄 𝘁𝗵𝗲 𝗹𝗶𝗻𝗸 𝗶𝗻 𝘁𝗵𝗲 𝗰𝗼𝗺𝗺𝗲𝗻𝘁𝘀 💬

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🌟 Join Me for DisruptABA™: Revolutionizing Autism Care with NADR! 🌟 I’m thrilled to present Disrupting the 3 C’s: Revolutionizing Clinical Care, Cultural Shifts, and Cost Efficiency with NADR, The Provider’s Platform at DisruptABA™ this Saturday morning! Don’t miss out on this opportunity to explore how the National Autism Data Registry (NADR) is transforming the field of ABA through structured data insights and quality metrics, enabling providers to deliver more impactful, efficient, and sustainable care. 🔍 What You’ll Learn: 1️⃣ Clinical Care: NADR’s structured process measures that enhance treatment decisions and outcomes. 2️⃣ Cultural Shifts: The role of NADR’s structure measures in driving accountability and consistency in ABA. 3️⃣ Cost Efficiency: How NADR’s resource use and benchmarking optimize resources and strengthen payer negotiations. 👉 Register here: https://lnkd.in/gqf_B_As #AutismCare #DisruptABA #ValueBasedCare #ClinicalOutcomes #HealthcareInnovation #NADR #DataDrivenCare #ABA #AutismCommunity #HealthcareQuality #CostEfficiency #Disrupt

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Lee Shapiro with 7wireVentures and I are both passionate about driving more investment in integrated care. For Healthcare Business Today, we shared our thoughts about why including oral health in overall health care technology and investment is integral to creating more unified care and achieving better patient outcomes. Read more of our perspectives on the importance of increased investment for integrative care solutions, and why we believe the time is now for digital health investors to jump on the medical-dental care bandwagon. #oralhealthVC #digitalhealthinvesting

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