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23May, 2018

President Trump and Prescription Drugs (Part 1)

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Over the years, this blog has concentrated primarily on how healthcare is being changed by technology.  There are two tectonic forces that we believe are changing healthcare today and they are: digitization of healthcare and consumerism.  This combination, driven by the force of three technology savvy generations, is in fact the only thing that will change healthcare.  This change has begun and we will continue to see it transform over the next five to seven years, something that has not happened in over 70 years of conversation about healthcare reform. […]
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9May, 2018

Healthcare Transformation: Walmart & Humana (Final)

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In our last couple of blogs, we have expressed our excitement about a potential deal between Walmart (WMT) and Humana (HUM).  The latter, a company I have known very well for 20 years, as they are a dominant player in my home market in South Florida.  I have had contracts with Humana for most of my 25 years in healthcare, and a company I founded and grew to modest size is part of Humana today. I think a combination of Walmart and Humana is like none other I have seen […]
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12Apr, 2018

Healthcare Transformation (Part 2): Walmart & Humana

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In our last blog, we left off with the recent announcement that Walmart (WMT) was looking to acquire Humana (HUM) teasing that this combination could be different. Over the last year, we have frequently discussed what combination of merging companies we thought were not going to work, for example, our series on “Silicon Valley and Healthcare.”  The series broke down what Silicon Valley companies could or could not do in healthcare. I also wrote about the announcement that Amazon, Berkshire and J.P. Morgan Chase (JPM) were going to partner to […]
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5Apr, 2018

Healthcare Transformation: What could it look like?

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When we first began this blog, we wanted to discuss the things that we see that could, and most likely will, transform healthcare.  We are a healthcare technology company, and while technology is part of our DNA, it’s not all of it.  The other part of our DNA deals with facilities, systems, processes, and consumerization issues in healthcare. Those consumerization issues relate to patient/consumer control of their own health data; at the very least, to see and share that collective information with other caregivers.  We carry that philosophy literally in […]
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21Feb, 2018

“U.S. health-care spending to climb 5.3% in 2018” and Beyond (Part 1)

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The U.S. Government Department of Health and Human Services and the Office of the Actuary in the Centers for Medicare and Medicaid Services (CMS) released their annual National Health Expenditures Projections for the period of 2017-26. I must admit, since I have been in healthcare, I have looked forward to two annual reports from CMS.  One of the reports is the actual cost expenditures for the previous two years usually looking back 10 years retrospectively.  The 2016 report is the latest year reviewed and was just reported in December of […]
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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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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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