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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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6Mar, 2018

“U.S. health-care spending to climb 5.3% in 2018” and Beyond (Part 2)

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We ended the first part of this blog “U.S. health-care spending to climb 5.4% in 2018” and Beyond on healthcare cost projections though 2026, with doubts about what many would say are bleak projections.  Unfortunately, we believe it is nearly impossible for healthcare cost not to exceed the projections of CMS, as there is no way they won’t exceed the 20% of GDP before 2026.  In this blog, we will detail some of the reasons why the financial and demographical wave we are in is bigger than what most think. […]
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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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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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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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