Category Archives: News Health

We are the center of Healthcare’s future

This blog post is part of the ‘Think Further’ series sponsored by Fred Alger Management. For more “Think Further” content, please visit

There is a perfect storm brewing, one that will drastically reshape Healthcare. The change will come more slowly than many hope but far faster than anyone imagined. For too long healthcare has treated the patient as an object rather than a person. Treatments have been focused on symptoms and not causes.

In the US, healthcare accounts for around 18% of the economy. Costs continue to escalate at a rate than outstrips the growth in earnings of consumers. Yet the health outcomes from all this spending put us in the middle of the pack of nations. Healthcare is a tax on the competitiveness of the US economy and companies can’t escape this tax by continuing to pass a greater portion of healthcare costs on to their employees. Healthcare needs a reset and that reset is coming. We are entering the era of consumer-driven retail healthcare.

A Tipping Point is coming

Consumers (aka Patients) have been the outsider in the Healthcare system. Healthcare companies have traded information about patients and not with patients. But a tipping point is coming.

The past seven years have seen a confluence of change and the pace is accelerating.

The Economy

The recession in 2008/9 and it’s lingering after effects together with escalating healthcare costs drove employers to revamp employee health benefits. The net impact was a larger portion of health costs shifted on to the shoulders of individuals and families. This shift continues today. It can be argued that the recession has done more than anything to drive change in healthcare.

Legislation and Regulations

The Federal Government has driven massive change through the Recovery Act and the Affordable Care Act. This, coupled with Presidential Executive Orders to make increasing amounts of government data available in machine-readable form, has created massive entrepreneurial opportunities to put previously dormant data to new uses in healthcare.

We are now entering a new phase where policy and regulation is driving change based upon quality outcomes and “alternative payment models.”


Quantified Self: the ability to measure almost every aspect of ourselves and the emergence of this in the consumer mainstream, as wearables, drastically changes the balance of power in Healthcare. Now consumers are generating information about their lives at a volume that dwarfs the volume of information that any individual physician or healthcare organization holds about them.

Consumers trusting their data to the cloud and the evolution of “Big Data” is revealing new insights as a result of data analysis that previously was impossible, or uneconomic, to carry out.

We are already seeing this trend in pharma where there appears to be a shift from finding the miracle drug to composing drug cocktails that are tuned to an individual patient’s genetic profile.

Consumers in the driving seat

These tectonic shifts are circling healthcare and driving unstoppable change. Physician incentives are aligning around quality and effectiveness. This is driving a shift in focus from episodic care to preventative care.

As physicians are increasingly rewarded based on outcomes they are becoming more open to new ways of caring for their patients. Wellness and prevention programs are becoming more important and new care delivery models, such as telehealth will become increasingly common.

As consumer bear a larger portion of health costs and have greater visibility in to the total cost of their care they are becoming more amenable to the use of retail clinics and other retail health solutions.

One area of uncertainty is around the emerging health insurance marketplaces. Outside the largest self-insured employers there is a scenario that sees employers choosing to pay penalties and provide their employees with money to make their own choice for healthcare in the marketplace. This could see consumers have more control over their health insurer. This in turn could see the average duration of a contract increase. A growing group of consumers would have the power to choose the insurance plan that works for them. This could drive a flight to quality and service. This in turn could increase the pressure on insurers to focus on wellness and prevention.

What does the future hold?

We are just starting to see glimpses of the future of healthcare. Over the next five to ten years we can expect these trends play out with greater impact.

The release of open health data has stimulated a vibrant entrepreneurial economy in healthcare. As consumers move to the center of healthcare they will look for applications and services they can trust to help them throughout their health journey. These applications and platforms will help them consolidate their information from many different sources. Helping them reconcile and correlate multiple and disparate data sources. These platforms will not just consume data. They will also enable consumers to share data with whomever they trust. We are already starting to see this happen. The industry is moving towards a developer friendly platform known as FHIR – Fast Health Interoperability Resource framework. All parts of healthcare are actively embracing FHIR to solve interoperability challenges. It is not just the traditional Electronic Medical Record Vendors that are evaluating FHIR. We are seeing all sectors of the industry and other innovators embracing FHIR.

FHIR is potentially the most important development to cut across all areas of healthcare. With consumers able to aggregate their data from consumer devices and merge it with healthcare data, the tipping point is upon us. The healthcare system will be forced to embrace and accept the consumer as a partner. This is the most significant change that is primed to disrupt healthcare.

HIPAA – the Achilles heel of Healthcare

HIPAA: The Health Insurance Portability and Accountability Act of 1996 has long been used by the industry to prevent the sharing of information. Even with the patient themselves. The Office of Civil Rights at the US Department of Health and Human Services has made it clear that the patient has a right to their own data, in electronic format. This is the industry’s Achilles heel. The Patient is the ONLY person across the healthcare system that has the right to their health information. As Interoperability becomes more real, the patient will truly move to the center and be able to choose their trusted partners in their health journey, choosing who they trust with their data compiled from inside and outside the traditional healthcare system.

Patient empowerment is truly the blockbuster application in health care that will shape the industry for the foreseeable future.

Mark Scrimshire

IT and Health Data Ninja

Mark is currently HHS Entrepreneur-in-Residence assigned to CMS to update BlueButton for Medicare Beneficiaries by creating a Data API using HL7 FHIR.  Mark is also CTO and Co-Founder at a powerful free tool that helps you collect, organize and securely share your health information.  Manage your own health records today.  Medyear: Less Hassle, Better Care.

Stay up-to-date: Twitter @ekivemark

The views expressed in this post are my own.

#BlueButton on #FHIR – Escapades as an Entrepreneur-In-Residence at CMS – #Health2STAT

Entrepreneur-In-Residence at CMS

Building the next generation of BlueButton Platform for Medicare Beneficiaries. I am building BlueButton on the open source HL7 FHIR Platform. This will create a RESTAPI with standard structured Data formats that will enable 50+ Million beneficiaries to connect their health information to the applications, services and research programs that they trust.

This evening I was presenting about my work at #Health2Stat in Bethesda (Thursday August 20th, 2015).

Here is the presentation from the evening:

BlueButton on FHIR - Welcome to the Consumer-Powered Health Revolution

A Great series of Tweets from @Farzad_MD about the @ONC_HealthIT Strategic Plan

Farzan Mostashari provided great leadership at the Office of the National Coordinator for Health IT. He recently moved on to found Aledade. Today he gave us a recap of the importance of the ONC’s Strategic Plan for Health IT that was released today.

Great assessment Farzad!

Mark Scrimshire
Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Stay up-to-date: Twitter @ekivemark
Disclosure: I began as a Patient Engagement Advisor and am now CTO to Personiform, Inc. and their platform. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want.  Manage your own health records today. Medyear: Less hassle. Better care.

#health2stat at the Barking Dog in Bethesda

I am here at the Barking Dog in Bethesda for #health2stat. More info here:

As always we have a great line up of speakers and intriguing topics in a series of 5 minute lightning talks.

  • Health STAT Speakers August 7, 2014

    Palladian Partners is pleased to announce the list of speakers for the upcoming Health 2.0 STAT event on Thursday, August 7, 2014, at The Barking Dog in Bethesda. Registration is now open! To register, visit the Health 2.0 STAT meetup site.

    Plan to join us this Thursday, August 7th, to hear a rapid-fire series of short presentations from five Health 2.0 leaders. The presentations will be followed by a panel style Q&A session, led by a moderator, who will facilitate and explore a range of topics. This evening’s event will feature talks about health informatics and patient engagement, leveraging technology to engage patients in their health.

    1. Juan Pablo Segura, 1eq
    Juan Pablo Segura is obsessed with how the Internet of Things can improve the way we interact with our healthcare. His company, 1eq, is focused on reimagining how technology can be used to manage prenatal care through its product – Babysteps. He has also been named a Healthcare Transformer by the Startup Health Academy in New York City and he writes frequently on different technology topics in the space through his company’s blog.

    2. Brendan McAdams, Expertscape
    While tremendous effort has been invested in making data accessible to the various constituents in the healthcare system, it remains a difficult undertaking to find a highly qualified medical expert or institution when a patient has been diagnosed with a serious condition, and those resources that do identify and rank medical expertise are based upon flawed and/or biased methodologies. Expertscape (…­) is the first comprehensive, objective tool to help patients and others identify and evaluate medical expertise by the very specific disease and geography that is important to them. The system uses its patented, big data methodology and algorithms to analyze and quantify the NIH’s PubMed database, enabling the healthcare consumer to research and select medical expertise and institutions for a second opinion or treatment.
    Brendan McAdams serves as the Managing Director of Expertscape, and is based in Baltimore. He is a 30-year marketing and sales executive focused on consumer-directed solutions for health plans, health systems and Accountable Care Organizations.

    3. Wendy Rubinstein, NLM/NCBI
    Medical professionals need accurate genomic medicine information at the point of care.
    NCBI has the data.
    You make the app.

    4. Daniel Johnston, MD, MPH, LTC, US Army
    In 2012, the Department of Defense charged Daniel T. Johnston, MD, MPH, with creating an online wellness platform that would enable the agency to assess, manage and improve the health of active duty Soldiers and Army civilians. Johnston led a project with Sharecare to build ArmyFit: a platform maximizing digital engagement and fostering behavioral change through tailored content and interactive tools. During this presentation, attendees will learn how the Army is utilizing data-driven applications to monitor and improve population health and program effectiveness at the installation level, as well as optimize development of health policy and resource allocation.

    6:00pm – 6:30pm Registration and Networking
    6:30pm – 7:15pm Presentation
    7:15pm – 7:30pm Q&A
    7:30pm – Additional Networking

    As always, we want to make sure to give thanks to our sponsors,Palladian Partners, Altarum, Aquilent, and WebMD. Because of their support, we have been able to continue creating some really informative events, as well as, offer some great appetizers and beverages for all that attend the Meetup.

    You can follow us on twitter @DCHealth2_0

[tag health]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
email: mark
Stay up-to-date: Twitter @ekivemark
Disclosure: I began as a Patient Engagement Advisor and am now CTO to Personiform, Inc. and their platform. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today. Medyear: The Power Grid for your Health.