A List of The Technology Companies That Make Healthcare IT Easier

I hope that a lot of developers learn just how much easier it is to build healthcare applications today than it was several years ago. The environment has completely changed and the industry is ready for a large influx of innovation/funding

The burden is still on the founding team to find good problems and understand the decision trees of healthcare industry players.

If you’re thinking about building a healthcare company or anything in the healthcare space, it’s worth knowing about these.

EMR Records Aggregation
HumanAPI
GetMedal
BloomAPI
UsePrime
ZweenaHealth

Doctrly
Carebox
GorillaHealth
NuskiHealth
PicnicHealth – If you’re developing an application and want to preview what records look like in here, I’m happy to share mine with anyone who’s trying to make an impact in healthcare/biopharma, just contact me. (kumarovski@) rhymes with oogle . com)

HIPAA Compliance
There’s a host of SDKs that revolve around spinning up HIPAA compliant applications. They’re each worth looking at.

Aptible
Catalyze
TrueVault
ClearData

Google & Amazon HIPAA Capabilities/Offerings to Developers
There’s even large Fortune 500’s playing in the space of making HIPAA compliant backends more viable for the early stage innovator.

Google’s HIPAA Offering
Amazon’s HIPAA Offering

If you’re working on healthcare’s toughest problems, feel free to reach out to me. Hope this helps.

Tools for online Marketing & Sales / Product Launch

Waitlisting People.

Pushing Product

Lead Mining

Benchmark your product site:

  • goodui.org – nail these standards before you launch. iterate, give to customers, re-do til your site meets as many of these as possible before launch.

To grab and scrape emails and put them in a google sheet:

To blast emails quickly at a rate of 1500/day.

Get a name that’s digitally kosher.

Measure the $$$ value of every backlink and incentivize your users w/ clearbit to get others to do the same.

Social Commenting Engine

Behooved by The System

castle

The more I learn how clinical trials, publicly traded pharma, IP rights,hedge funds, and how the USDA operates, the more behooved I become by the system. I feel like an old man in a castle who has barely just began to see out the tower.

Clinical Trials

We have a prolific drug industry who makes and spends billions developing drugs for people with chronic illnesses, many of which are preventible by radicalization of diet environment. (Metabolic syndrome related diseases.) We consume way too many damn carbs.

We shouldn’t be spending this much to recruit for trials for debilitatingly preventative diseases. This is a symptom of bad food policy here in the USA, courtesy of the FDA.

There exists a venture backable business model for recruiting diabetes patients. Diabetes or 9/10ths of the occurences are preventible via diet. (Trial Reach recruits for more than just diabetes.)

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Patent System as is.

We have a patent system that encourages developing drugs that interact with a small number of enzymes and molecules that we already know and understand how they operate. Low if not zero risk.

It turns out that predicting a protein’s structure from it’s amino acid chain sequence is really tough. Figuring out what each strand of ACGT’s does…..really hard and will take us a long time.

It’ll take even longer because the industry patents pathways, treatment methodologies, research tools, and assays. From my observations in the space, I conclude that this must be a paralyzing bottleneck for the industry. Maybe, I’m naiive, still cornering how this works.

Hedge Funds

All the wrong reasons to challenge the patent, but this exists as a reason.
All the wrong reasons to challenge the patent, but this exists as a reason.

Hedge funds can issue challenges to drug patent holders. I figured this out after a lot of finagling. Somehow, I doubt our incompetent SEC will pick up on this. Understanding what’s happened after the hedge fund manager sticks it to the pharma company….well that requires some sophistication. This seems to be totally and utterly illegal. I’m surprised this type of behavior is NOT considered market manipulation.

Just my two cents.

Make Twitter Great Again

Screen Shot 2016-02-08 at 15.14.31

I’ll start by saying I love twitter, but there’s some elephants in the room and they have to be slain for twitter to come out winning. I don’t think twitter can win by trying to build out new features, but by doubling down on the things that worked in the past.

The people at twitter are exceptionally intelligent, and that might be the problem, they may be too intelligent to talk to users in a way that foregoes Hawthorne Effect.

  1. Kill the Bots- I’ve talked to about 20 advertising firms. Most of them hate running ads on twitter. The bot traffic is known to be high. The impressions, worthless. Twitter could easily kill the bots, but they worry more about their stock price than the elephant in the room. There’s a cottage industry of buying likes/followers etc… This is one of the biggest issues. On Twitdom.com there’s over 2000 twitter apps. I wonder what percentage of them follow the spirit of Twitter’s terms of service? (Many of them do not.)
  2. Clamp Down on API – Clamp down on programmatic tweets. BufferApp is reasonable, but many others are not.
  3. If you don’t tweet, don’t join twitter. – The reason facebook is a great product lays in the fact that the product is dog-fooded by all its employees so aggressively. Twitter should be hiring and selecting people who regularly use twitter. I talked to two of your sales people in Vegas to talk about buying $1K worth of programmatic tweets each month at the Money 2020 conference. Both of them were lackluster and almost incapable of closing. Also, their twitter accounts were weak at best.
  4. Feedback Loop – I’ve been using twitter for several years now, had several viral tweets, and I’ve never been reached out to for feedback. They have no pervasive feedback loop especially given that most people there don’t use it. I still can’t see my tweet analytics on mobile.
  5. Fix Your Churn – The sign up and churn rate for twitter users is high. I’ve churned twitter accounts as part of an experiment. There’s no outreach from the company to find out why. The accounts looked legitimate and all had niche content cases to them.
  6. Cut Your Costs – Your open office is a cost center in the middle of one of the most expensive parts of SOMA. You paid your CFO, Anthony Noto- $76M. That’s approximately 10% of your yearly revenue in 2016. Anthony is a glorified accountant who has never worked in tech and is not worth 10% of your yearly revenue. SoMa is known for an industrial modern look, and a one-bedroom apartment there costs an average of $3,700.
    Screen Shot 2016-02-07 at 12.09.55ok
     

 

Getting Fat, What I’ve Learned

My mind is still stuck on the way our food, drug, and agriculture industry are so inexplicably tied together. It makes me wish I had studied organic chemistry more closely. Carbs/sugars are god awful.

I’ll reiterate, I’m not a biochemist. I also believe the gut is NP hard, combinatorially complex, and difficult to model. If you have corrections or comments on this article, feel free to message me. kumarovski@gmail.com

It punches me in the face every time I spend hours studying the active clinical trials on the market. I see a lot of hardcore research funding spent on attacking somewhat preventible diseases.

If you think the movie Concussion was shocking for exposing Chronic Traumatic Encephalopathy to millions of football parents and kids, wait till you see how cafeterias are fucking over the health of kids everywhere.

 
This is not a personal choice thing, this is simple biochemistry, the symptom of a highly manufactured environment full of sugars/carbs.
 
Carbohydrate consumption increases insulin and blocks the leptin signal. What’s leptin? From what I can gather, it tells your ventromedial hypothalamus that you’re full and to stop eating.
 
No Leptin, no satiety.. You’re completely screwed.
 
We’ve allowed the food industry to down regulate our dopamine.
 
We’ve stood by and done nothing to protect our children.
 
The sequence and quantity of carbohydrate consumption completely afflicts the sedentary population of the United States.
 
I know because whether drumming, trying to build web ventures, making shitty soundcloud mixtapes, and doing high throughput manufacturing design, I became fat.
 
I was a massive 215-220 pounds at my largest. Moving to California made me lose weight solely through healthier food options. I’m now “skinny-fat” at a 178 pounds. I’m about 5’10.
 
Give me any cohort of Europeans and I can easily make them gain weight. I will simply have them spend time in America.
 
You see, battling our own biochemistry is wrought with failure when we’re surrounded by an artificial environment.

Sometimes, Being Vicious is Necessary

Sometimes, being vicious is necessary.

Reddit faked comments in the early days.
Youtube & Vkontakte hosted pirated content knowingly.

In the early days, iOS apps juiced their valuations with vanity invite metrics that entailed invite-walls that juiced downloads to access full functionality of apps. (invite 50 people to use full app features). Some of these were acquired for 8 figures plus.

Paypal created a bot that bought goods on eBay and then, insisted on paying for it using PayPal.

Rentoid bought and rented the items themselves.

Dating networks seed enough fake accounts on both sides to start the demand.

AirBnB allegedly created a bot & fake email addresses that would automatically respond to posts on Craigslist.

Marc Benioff hired fake protesters to disrupt his biggest rival’s
conference and commandeered all the taxis at the event to deliver a 45-minute pitch about his own product. In another instance, he cancelled his keynote at the Oracle Conference and drew crowds to his own speech at a nearby restaurant.

For Twitter, It’s Time to Go Elephant Hunting

For years, twitter has knowingly had millions of fake users, way too many bots, and have done nothing to little about it as for fear of investors’ reactions.

When politics gets in the way of killing the elephant in the room….that’s a major way companies die slow painful deaths.

There’s 2000+ twitter apps and a cottage industry of businesses that sell fake votes, followers, likes, and accounts.

It’s time to pull out the elephant rifle and aim for the killshot.

Random Musings on Healthcare After 60 Days of Meeting with Healthcare/Pharma Folks

Notes on Digital Methodology
In the last 2 months, I added about 300 people in the healthcare/biopharma world on LinkedIn and connected with about 60 of them.

I had my assistant add people on LinkedIn with custom templated messaged. I followed up with them using mixmax and got them booked on my calendar.

Schlepping in Healthcare
I sat outside the JPM Healthcare conference in San Francisco, I wasn’t invited, and stopped anyone who would talk to me. I learned a lot from a ton of people in suits.

The line “I couldn’t help but overhearing” is a very useful line, even if deceptively positioned at trying to learn how the game works. One gentleman and his cohort of hedge fund managers offered to buy me drinks in Union Square, he liked the tactic.

Please comment, I might be wrong. 
I think it’s important to publish these observations and thoughts to find out where my gut instincts are completely wrong. I think challenging our gut is one of the most important things we can do.

Are these new innovations and technologies all that useful or or do they just a high level of appeal and positive cash flow?  
Consumer Genetic tests, Patient recorded outcomes, gathering your medical records, and attacking heart disease/diabetes are all seemingly “meh/okay” problems.

Consumer Genetic Tests
23andme is a money making business, but it’s unclear if they provide true raw unadulterated value to the world of doctors/clinicians/pharma or if it’s just the fantasy of a group of EECS-Physics folks in Silicon Valley with a good selling prop to consumers — “compare your genetic records to a corpus of white males.” ….in other words, good intentions with no positive outcome, similar to venture backed nootropics.

It’s unclear whether anything good will come of the data. 


Patient Recorded Outcomes (PRO) 
Patient recorded outcomes are susceptible to Hawthorne effect. Adherence to drugs is a fundamentally difficult problem and I don’t think humanity will solve it until we come up with a handheld pharmacokinetic test, but who knows.

I was told by an Israeli MD/Entrepreneur that for behavioral health problems, making calls to the patients yields higher honesty rates on PROs. 


Gathering Your Medical Records
Gathering your medical records and formatting them is soon going to become a very quickly commoditized industry.

I can name several companies that are doing it now. All of them very cool. I’m in the process of finding out if they can pull in genetic test data.

  • ManaHealth
  • HumanAPI
  • BloomAPI
  • PicnicHealth
  • NuskiHealth
  • GorillaHealth
Heart Disease & Diabetes
Heart disease and diabetes are mostly preventable pathologies/disease states.

The low cost- high impact antidote consists of diet and environmental changes. (Type 2 Diabetes makes up 9/10 cases and is completely preventable.)

That being said, there’s still a large addressable group of the market that is still victim to a flawed USDA pyramid that deserve high impact low cost treatment options. 

My Take on Obama’s Moonshot

tl;dr: Give scientists long term sustained cash.

I sat through Obama’s moonshot Cancer talk again. I think his sentiment is in the right place, but his scientific problem /organizational competency is completely misplaced.

Pushing large cash into this problem is unlikely to make the problem easier.

2013, POTUS pushed the BRAIN initiative.
2015, POTUS pushed the Personalized Medicine Initiative.

It’s more shit and more meetings for researchers/scientists already working hard on the problem at hand that they have to wade through. I remember meeting a bunch of people who worked for the NIH about a year ago.

(I used to work for the head of NIST’s CIRMS – Counsel on Ionizing Radiation Measurements & Standards and NIH folks used to hang around.)

To keep scientists happy and working on cancer, just keep the researchers steadily supplied with cash for years rather than jerking them around to meetings, conferences, grant proposals, and other such habdashery.

The Mythical Man Month also applies to really tough biochemistry issues.(Cough cough Cancer)

You see lots of new scientists will get hired, but then once the grants dry up, they get axed. I remember witnessing this multiple times growing up in Houston.

Kickass scientists just want persistent, long term, sustained, growing funding not large massive one time cash infusions.