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15Feb, 2018

Disney’s Smart Tactical Healthcare Play

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A few weeks ago, I had the honor and privilege to give a presentation on healthcare and how we believed EHR, IoT and Telemedicine is about to change healthcare forever.  In recent blogs, I noted that my presentation was at Walt Disney World Florida (WDW) however, nothing more.  The IoT conference was held at the Contemporary Resort next to the Magic Kingdom; I smile thinking of it.  It was in the opening year of 1971, that as child, I was riding the now famous monorail for the first time, and […]
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13Feb, 2018

Amazon, Berkshire and J.P. Morgan Chase…and Healthcare Consortiums

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In our last blog, we discussed the news of Amazon, Berkshire, J.P. Morgan Chase (JPM) and their collaboration in healthcare that was announced last week. Once the news broke, it created a great deal of follow-up discussions.  At one point, the Wall Street Journal (WSJ), reported that the news seemed to have caused some stress at JPM. The WSJ headline read: “J.P. Morgan to Banking Clients: Joint Health-Care Venture Is No Threat J.P. Morgan reassured banking clients by likening its venture with Amazon.com and Berkshire Hathaway to a group purchasing […]
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6Feb, 2018

Amazon, Berkshire and JP Morgan Chase

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I am writing this blog from the San Francisco International (SFO) Airport, after spending a few days visiting investors in technology, venture capital, and private equity firms from Silicon Valley – known for technology innovation (more on what I learned from my visit in future installments). Nearly the minute I landed, news hit that three behemoths of industry, and with legendary leadership as Bezos, Diamond and Buffet, were effectively joining forces to change healthcare first for their employees, and some hope potentially for America. For the last three days, it […]
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26Jan, 2018

IoT Health Conference -Walt Disney World, Florida

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Presentation delivered by Noel J. Guillama January 23, 2018 Good Morning everyone. Thank you for coming to hear our presentation on IoT Healthcare Collaboration and The Connected Patient of 2020. Before I get too deep, please allow me to share my perspective, as it may make a difference. I am here, not just as technology person.  I am a healthcare operator that has been responsible for care and the coordination of care for over 30,000 Medicare and Medicaid beneficiaries. I have been granted numerous patents, all around the use of […]
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19Jan, 2018

Healthcare Price Transparency Comes to America (Part 2)

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In our previous blog, Healthcare Price Transparency Comes to America (Part 1), we started a conversation on price transparency.  Today, we will discuss the findings of a recent report from Health Affairs.  The report, by the researchers from Harvard and UCLA, noted that they cannot find a previous report or research on this subject, making it potentially the first in the space.  I can confirm I have seen nothing like it.  I will add that I am sure this will not be the last time this subject is published. The […]
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18Jan, 2018

Healthcare Price Transparency Comes to America (Part 1)

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The Internet, and its natural progression to e-commerce, has transformed how we buy everything from groceries, apparel, and attaining an education, to how we purchase cars and even homes over the last 20 years. One industry has been only slightly impacted by the Internet; that industry is healthcare.  Let us be clear, we are very aware that we live in a world where Google is most of Americans’ first step in the self-diagnosis of a symptom or disease.  It is also our second step, once our physicians tell us what […]
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5Jan, 2018

2017 – Amazing Year for Digital Health Investments

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We now have quantitative data that 2017 was an amazing year for digital health investments, by the headline, “$5 billion (USD) was invested by venture capital firms into digital health in 2017.”  This was impressive, not just because of the size, but because it was DOUBLE the amount of what was invested in 2016.  Though the majority of these investments were from the U.S., some were from international companies.  These investments were only those made publicly; it excluded private investments, angel investors and those made by strategic relationships. It was […]
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21Dec, 2017

NEWS ALERT–Tax Cuts and Jobs Act of 2017 and the Impact on U.S. Healthcare 

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On December 20, 2017, the U.S Congress after material obstacles, passed what is without any doubt a historic legislation, the Tax Cuts and Jobs Act of 2017 (TCJA). President Donald J. Trump for technical budge reasons, as has been reported, is expected to execute and become law in first few days of 2018. Though the law was intended to cut taxes for U.S. Corporations and individuals, the new law has material impact on healthcare.  The big event on healthcare is the “repeal of the individual mandate” to have health insurance coverage as part of the Affordable Care Act of 2010 (ACA), […]
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11Dec, 2017

Silicon Valley and Healthcare (Part 9)

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I’d like to take a small detour with our blog series on Silicon Valley and Healthcare and talk more about Amazon indirectly, and a lot more about the recent announcement of CVS’s acquisition of Aetna. In brief, and as best as I can gather, Aetna has (approximately): 1 million medical members 3 million dental members 3 million pharmacy benefit management services members 609 million group insurance members An estimated 1.2 million healthcare professionals under contract 695,971+ primary care doctors and specialists under contract 5,712 hospitals under contract $63 billion in […]
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6Dec, 2017

Silicon Valley and Healthcare (Part 8)

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In our last blog, we ended with a question: “Can Amazon use its special skills to transform healthcare?” The answer today is “Certainly, and in a major way!”  This past weekend we were alerted by the headline from the Wall Street Journal “CVS to Buy Aetna for $69 Billion, Combining Major Health-Care Players.” I believe that this action is in direct response to the reports that Amazon is planning to make major moves in healthcare.  In particular, playing to the strengths I noted in our last blog: “logistics, supply chain […]
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