- Healthcare: What Version Are We On Now? Health 2.0, 3.0, 4.0? (Getting Better)
- Health 2.0: Patients as Partners (Business Week)
- Management guru Tom Peters likes Health 2.0, Wennberg, PLM, Millenson, but not the medical establishement (The Health Care Blog)
- Top 50 Health 2.0 Blogs (ACUMEME)
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- Short Selling Health 2.0? (eHealth)
- Business Week Highlights 24 Health 2.0 Players (Crossover Health)
- Bringing Health 2.0 to doctors (The Health Care Blog)
- Convergence of Health 2.0 and medical home? (HealthBlawg)
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- OrganizedWisdom Interview with Health 2.0 Conference Co-founder Indu Subaiya (Organized Wisdom Blog)
- Hospitals hit by economic downturn (The Health Care Blog)
- Number of US Health 2.0 Consumers Now at 60 Million (RRW)
- Health 2.0 Companies Seek To Improve Medication Management(ASHSP)
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Since our founding a little over a year ago, eDrugSearch.com has prided itself on being a trusted search engine for U.S. consumers seeking medications from international pharmacies. We’ve gotten some nice attention for this achievement and have attracted a loyal base of users.
Now, we’re ready to become something more — specifically, the leading social network for prescription drug consumers.
Why a social network for online drug buyers? Prescription drug consumers have shown significant interest in social networks on general health sites, indicating — we think — an unmet demand for a niche community. Drug consumers relish the opportunity to share their experiences with one another. These individuals are increasingly turning to each other, and other data points on the Web, rather than simply relying on pharmaceutical company advertising (or a rushed doctor’s appointment) for their information.
The Health 2.0 movement, which we strongly embrace, is all about empowerment and making more informed decisions. The eDrugSearch.com Community will help our members to make choices that save them money, and keep them safe, when buying drugs online.
I encourage you to sign up and try out the site, because that’s the best way to explore the new features. But to give you an idea of the capabilities we’ve added, eDrugSearch.com members are now able to:
- Rate and review pharmacies. Members can rate and contribute candid reviews of participating pharmacies, providing firsthand accounts of their experiences.
- Rate and review drugs. Members can share their experiences with specific medications, sharing information on efficacy, side effects and value.
- Track medications. Members can monitor the latest news, member comments, and price changes for the medications they take regularly.
- Make friends and join groups. Members can add to their knowledge of specific conditions and medications by forming interest groups and adding friends.
- Ask the community. Members can ask questions of the community and rate the answers received.
- Earn drug discounts. By participating in the eDrugSearch.com Community, members earn points that soon will be redeemable for drug discounts at participating pharmacies.
On a regular basis, we plan to highlight features of the eDrugSearch.com Community, as well as some of the more notable member-generated content, on this blog. But don’t wait for our updates — join up now!
- Top Health 2.0 Web Apps (RWW)
- Media In Medicine: The Big Guns Are On It (The Story of Healing)
- One that passed the test (Learn to Live)
- HEALTH 2.0 Accelerator (The Health Care Blog)
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Obviously, we’ve got some big changes going on … which we’ll be announcing to the world shortly. In the meantime, please take a couple of minutes to sign up to explore the all-new eDrugSearch.com. We think you’ll be impressed by what you find.
Unity Stoakes is co-founder and president of OrganizedWisdom Health, a new specialized search engine that is “on a mission to organize the world’s best health wisdom.” Unity will be in attendance at the Health 2.0 Connecting Consumers and Providers conference, which will take place March 3-4 in San Diego.
This is our sixth published interview in our series leading up to the event. So far, we’ve talked with Scott Shreeve of Crossover Health , Ed Silverman of Pharmalot, Fard Johnmar of HealthcareVox, Jane Sarasohn-Kahn of Think-Health and the Health Populi blog, and Matthew Holt and Indu Subaiya, the organizers of the event.
Here’s our interview with Unity:
Q: In our talk with Scott Shreeve, he offered an expansive definition of Health 2.0. Matthew Holt’s definition has been a bit narrower. What’s your definition of “Health 2.0″ and what’s your take on the viewpoints of Scott and Matthew?
A: There are a number of expansive definitions for Health 2.0, but we define Health 2.0 to be simply about a new wave of innovation in health care as a result of changing trends in technology, consumer empowerment, and growing entrepreneurialism at a time when the health care system is spiraling out of control. These converging trends have created an environment for entrepreneurs, start-up companies, innovative thinkers, health professionals, and consumers to rethink how to solve today’s biggest health care challenges. Health 2.0 is about coming up with new ideas and rethinking what’s possible.
We agree with most aspects of both Scott Shreve’s and Matthew Holt’s definitions for Health 2.0, but ultimately we take a much more general viewpoint on the definition because it is really just about innovation. The Internet, social media, and Web 2.0 greatly impact what is going on with Health 2.0, but ultimately these are just elements associated with a hyperactive period of imagineering, rethinking, testing and change we are seeing as a result of innovation.
Q: How does a specialized search engine like OrganizedWisdom fit within the Health 2.0 movement?
A: OrganizedWisdom Health was conceived just before Health 2.0 was an actual defined term; however, we were one of a small group of start-ups thinking of new ways to solve some of today’s health care challenges. At the core of the OrganizedWisdom philosophy is the belief that there are powerful ways to leverage collaboration, community, and new technologies to help people get access to better health information, products and services. We believe greatly in the power of integrating great technology with the expertise and wisdom of experts. Algorithms can only get us so far in helping people navigate the complex world of health care. That’s why we rethought the concept of health search and layered collaboration technologies, community and expert guides and physician guided health advocates onto great search technology.
As an organization we see the Health 2.0 movement as very important because it is helping show younger entrepreneurs, as well as the health care establishment, that new solutions are possible and that change will happen. We are proud to help be a part of this movement and plan to do whatever we can to help support other innovators in the space. It will be the cumulative effect of all of these new ideas and companies that will truly transform health care. Not just one or two companies.
Q: Maybe it’s because we, too, have a specialized search engine that relies on Web 2.0 technology — but it seems to me that coverage of Health 2.0 focuses more on social networks than on search engines. Do you agree with that? And if so, how do search engines get more attention within the community?
A: I think this goes to the question of (and confusion of) “What is Health 2.0″. Many still think of Health 2.0 as being synonymous with “social media”, but as I mentioned we see it really as a way to describe this new wave of innovation in health care. Over the coming months and years we will see so many different types of products and services be developed that will be truly transformative. It will take time, but everyone will realize that this isn’t about the Internet or social media, or even search for that matter. It is about finding new solutions for a system that is truly broken. It is about helping people more easily manage their health care. It is about creating transparency and finding ways to drive prices down. It is about helping people be healthier.
Q: Fard Johnmar has argued that Health 2.0 can’t really qualify as a “movement” until the various Health 2.0 startups begin cooperating in some formal structure, such as an advocacy group. Do you agree, and if so, in what form would you like this to take?
A: We believe it already is a movement in the sense that there is an undercurrent, or wave, of innovation occurring today. There are start-ups from Israel to New York working on these issues today. Entrepreneurs weren’t focusing on health care in the same way 5 years ago. We do agree that the time has come for our own advocacy group that will bring us together, help us share ideas, support each other, and lobby for change where necessary in regulations that don’t make sense in today’s world. It is great to see Health 2.0 conferences like Matthew Holt and Indu Subaiya’s events, or the recent meet-ups that have been taking place on the East Coast. Let’s remember, it is still very early and things are already moving a lot faster than they have in decades.
Q: What aspects of the Health 2.0 movement will have the biggest impact on the pharmaceutical industry, and on drug consumers? Can the Health 2.0 movement help bring down prescription drug prices for U.S. consumers? If so, how?
A: It’s likely that whatever we predict here will be wrong; however, it is certain that transparency in pricing will have a tremendous impact on the bottom line for pharmaceutical companies. Information will help bring down prices in a significant way as people learn that many drugs are simply a commodity and there are great savings to be had with generic drugs as an example. Additionally, is likely that the era of mass marketing pharmaceutical drugs will dwindle and these companies will learn to leverage new technologies to reach only specific people. The same way that many companies from other sectors are abandoning TV advertising, we will start to see the Pharma Industry do the same as they learn how to contribute value rather than purely sell brands.
Q: Besides your own company, what are the two or three most exciting examples of Health 2.0 companies that are currently online, and why?
A: We are big fans of our friends at Sermo because they are helping bring physicians into the world of Health 2.0 at a very rapid pace. The products that Change: Healthcare are working on could bring new transparency to pricing which is exciting to see. And there are several other online services we can’t talk about yet that we think will change everything. But most of all we are excited for what we have yet to see because we know there are hundreds if not thousands of innovative people working away in basements and garages right now who are going to help change the face of health care.
Q: How do you believe Health 2.0 will ultimately impact the current hot-button issues in healthcare — the large number of uninsured, the inefficiencies of the current system, and the high cost of care?
A: Absolutely prices will come down which will help the insured and non-insured alike. It seems the fundamental problem is that costs at absolutely every level of the health care system have spiraled out of control and we are all paying for it now. Health 2.0 isn’t going to solve this overnight. We have many years and a great deal of innovation to go. In the meantime, our goal is to make sure that OrganizedWisdom Health serves as an online advocate for every American whether they are insured or not.
In anticipation of the Health 2.0 “Connecting Consumers and Providers” conference in March, we are excited to announce that we are conducting a series of interviews with some of the top figures in the Health 2.0 movement (as well as some skeptics and other industry observers) for publication on the eDrugSearch Blog. Our intent is to run one interview per week between now and the end of February, for a total of 12 interviews.
Our goal is to extend awareness and discussion of Health 2.0 to a new audience — those who visit the eDrugSearch Blog either as prescription-drug consumers, Healthcare 100 bloggers, or others who may not to this point have gotten directly involved in the Health 2.0 conversation.
For our first interview, we talk with Scott Shreeve, MD, of Crossover Health and Lemhi Ventures. Scott, an avid blogger and co-founder of Medsphere (which he later left), has been a leading advocate of Health 2.0 as a key to addressing many of the frustrations of the current healthcare system.
Here’s our discussion with Scott:
Q: How do you define Health 2.0?
A: The definition I still favor is:
New concept of healthcare wherein all the constituents (patients, physicians, providers, and payers) focus on healthcare value (outcomes/price) and use competition at the medical condition level over the full cycle of care as the catalyst for improving the safety, efficiency, and quality of health care.
Even this core definition (January 24, 2007) of the term is not inclusive of another aspect of the term — it is encompassing of both the enabling technology PLUS the attendant healthcare reforms which must take place.
Health 2.0 is most appropriately described as an underlying movement within healthcare. So we not only need technology tools that make pricing transparency possible, but we need legislation that mandates this information be available to consumers. The technology informs us of what is possible, legislation defines how to make it happen, and the market ultimately determines what happens. It is the synergistic give and take which gives the movement momentum.
Q: On the Health 2.0 wiki, you argue for a more expansive definition of Health 2.0 than some others, such as Matthew Holt. Holt describes it as the application of Web 2.0 innovations to healthcare, whereas you argue that the term should represent something more — a movement to overhaul the way healthcare is delivered. Are these differences in definition important?
A: Words absolutely matter. My entire blog is dedicated to defining, redefining, or refining specific aspects of the health care delivery system. I start every blog with a definition, not only as a signature uniqueness to my blog, but also as an indicator that words (definitions) actually matter. I am surprised that Matthew, a solid policy thinker, would artifically limit the reach of Health 2.0 by saying,
Health 2.0 is a just a term that groups together the healthcare use of Web 2.0, which is in itself just a term for easy (& cheap!) to create and easy to use software that encompasses search, wikis, blogs, video, online communities, mash-ups and all the other stuff …it’s just a description of recognizable technologies that are an advance on the first generation of web tools. This has nothing to do with ‘outcomes’, ‘quality’, and ‘health reform’ and I guarantee you that Michael Porter (he had heard of it) hasn’t even heard the term.
While I am good personal friends with Matthew, he is dead wrong on this artificial definitional limitation. Health 2.0 will have everything to do with outcomes, quality, and health reform because it is the enabling and underlying technology that will make it possible. See a followup article on Health 2.0 by two other policy thinkers — Sarahson-Kahn and Klepper for validation.
Q: Who do you think will ultimately win this argument over the definition of Health 2.0, and why?
A: My open source background taught me alot about how arguments like this are won — they are won in the marketplace as people choose to adopt or not to adopt things based on the value (intrinsic, extrinsic, etc) that the item brings to them. So I am Darwinistic about this — let the best, most comprehensive, appropriate, real, and functional definition win. I believe if you asked Matthew now, he would have to admit that Health 2.0 is being adopted faster, is much bigger, and the appetite for more types of these innovations is more intense than he ever imagined (as demonstrated by the high powered Health 2.0 conference held in San Francisco; they increased the hotel conference size three times ). As a result, I believe you have to argue for a more expansive definition, and move away from “its just web technology applied in health” myopia.
Q: Do the major corporate players in the current healthcare system — insurance companies, pharmaceutical companies, and hospital systems — have more to gain or to fear from the Health 2.0 movement as you define it?
A:Healthcare is broken — talk to anyone. Everyone is throwing their hat in the mix to fix it — presidential candidates, large multinational companies, non-traditional health care players, infrastructure companies, and your grandma who is buying her pills over the internet. The major entities you mention — payers, players, and providers — have a lot to gain but also some things to lose in the new paradigm.
- First, the future of healthcare is centered in value (outcomes / price) and payors are going to have toe a completely new line around transparency, healthcare value they provide to their members, and the administrative / financial systems that drive care have to improve dramatically. Payers who can’t/won’t adapt will be undercut by nimble Health Plan 2.0 companies who will erode their market share.
- Secondly, pharma should benefit tremendously in its ability to have access to providers and patients in totally unpredicted ways. They will become the new voyeurs — paying for permission to observe large social networking sites of physicians, patients, and other providers settings. But they will have to also be much more transparent on their reporting of clinical trials, their pricing mechanisms, and their involvement in the medical-industrial complex.
- Finally, hospital systems are going to be exposed in ways that will initially be painful but ulimately will be their key differentiation — cost, quality, and access. Everything from straight pricing information, to quality reporting, to customer service, to outcomes data will be posted online and immediately accessible to anyone. There will be some pain, as the vaunted practice variation sees the light of day.
I believe the collective experience will be one of “some pain, prior to the gain”. Overall, however,transparency will prove transformative.
Q: Healthcare has been a major issue in this year’s presidential election, and yet I can’t recall any candidate discussing Health 2.0 technologies and how they may change the debate. What are your thoughts about the government’s role in healthcare?
A: I am not worried about any specific reference to Health 2.0 by the candidates as they are several cycles behind the curve on the latest innovations. However, I believe they have talked abundantly about the reform side of Health 2.0 which must include universal coverage, new models of healthcare financing, and the drive to improve quality, cost, and access. The government will continue to be a tremendous influence, hopefully not a driver, of healthcare in the future.
I believe the government’s proper role is to set the regulatory and perhaps even some of the financial framework for how care is delivered and how it is provided. Then, in my opinion, they need to get out of the way. The initial problem with capitalism is that the invisible hand of the market is often perceived as steady and capricious, but over time it typically bears out to be the best model of delivering every type of good. As an economist, I believe in this principle of free markets.
However, I realize that our current construct does not work and that American values dictate that healthcare should be a right. If this, in fact, is the will of the American people then we need to quit kidding ourselves and just put in a system where healthcare is a right and that if you are able to afford additional services, you should get additional benefits. This creates a two-tiered system, which I believe is unavoidable when healthcare is treated as a right (which I believe most people agree with until they have to pay the bill for someone else through taxes, subsidies, or rationing). The government will continue to be heavily involved, which then colors the entire healthcare reform debate with the darkest hues of red and blue.
Q: How do you believe Health 2.0 will ultimately impact the current hot-button issues in healthcare — the large number of uninsured, the inefficiencies of the current system, and high prices for treatment and prescription drugs?
A: I will try to take those one at a time:
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1. Uninsured.I am don’t believe that Health 2.0 is going to impact this issue — this is a policy decision. Once the policy has been set, then Health 2.0 can be applied to this agenda.
2. Inefficiencies. Health 2.0 will be a major player here to create a much more inclusive “system” (in quotes because we really don’t have a system but a bunch of uncoordinated stops along the way). Health 2.0 engages people who have been disenfranchised (patients), disconnected (providers/patients), and discombobulated (payers/regulators). It is all about information, all about sharing, and all about connecting.
3. High Drug Costs. Health 2.0 will help streamline the approval process, the clinical trials process, and the self reporting process. Also, evidence based medicine can be more quickly and widely applied through the dissemination of information that Health 2.0 can quickly achieve through blogs, wikis, email blasts, and other forms of electronic informational blitzkrieg. Drugs do cost alot of money to create, but there are efficiencies in multiple areas that can be gained through the smart application of Health 2.0 technology.
Q: What aspects of Health 2.0 should be of particular interest to the pharmaceutical industry today?
A: Big Pharma is drooling at the mouth regarding Health 2.0. Picking up on one aspect, would be the previously mentioned opportunity to voyeuristically peer into large social networked sites of physicians, patients, and other providers to see how they are responding, reacting, and ruminating on different drugs, prescribing patterns, side effects etc.
One of the coolest companies I have seen in this area is Patients Like Me which has developed essentially a real time reporting engine whereby all these patients (1,500+ and counting), are reporting their off label use of the medication, different dosing regimens, and all the associated symptomology in a way that would cost drug companies tens of millions to get — now they can have access to this information at a fraction of original cost. There are dozens of other examples.
Q: What aspects of Health 2.0 should be of particular interest to prescription drug consumers?
A: Health 2.0 is all about empowerment, about information sharing, and about helping people make informed decisions based on having information. One of my favorite prescription drug examples is how transparency eliminates disparities. I mean — seven miles from each other the pricing difference is astounding. Guess what happens when you start comparing medical procedures in this way. What about looking beyond pricing, and comparing quality of medical services in this way? What about comparing outcomes in this way? Again, the power of information in the hands of the consumers is an unbelievable force for change within the new Health 2.0 paradigm.
Q: Do you still practice as an emergency physician? If not, do you miss it?
A: Unfortunately, the demands of starting Medsphere and now my current roles have precluded me from continuing to practice traditional medicine in my chosen specialty of emergency medicine. However, I have also seen my profession as a platform for my chosen profession — igniting a revolution in the delivery of healthcare.
I do miss some very satisifying aspects of my practice (great interactions with patients, ability to solve problem, knowing that your individual skills can save lives, and the great teamwork of the other healthcare providers), but I certainly do not miss other aspects (bad interactions with patients, inability to solve problems, knowing that my skills were not enough to save lives, the challenges of working within a broken system, the liability environment, etc). I have been able to reconcile my decision by the passion I feel for resolving one of the largest problems we face as a nation. I also believe my very unique background has provided me with a vista, a vision, and a verve to go after fixing these problems.
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