Why Medicare for All Will Not Cure What Ails the Hahnemann

ASEEM R. SHUKLA | August 20, 2019

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The impending closure of Hahnemann University Hospital is a local tragedy.  Eliminating a 170-year old institution is certain to exaggerate the daily travails of the economically disadvantaged inner-city population that Hahnemann serves as a safety-net hospital.  The closure is also a national tragedy. Hospitals are the towering, visible monuments of our healthcare system, and closings imply that something insidious ails that very system—that all is not well.

Spotlight

Vida Health, Inc.

Vida is a next generation continuous care platform for both consumers and businesses, combining a consumer mobile app, an enterprise care platform offering on demand 24/7 solutions for chronic conditions. Vida platform runs in the cloud, captures real-time data from 100+ devices and apps, and integrates back to the employer, payer, and provider. 133 million people in the U.S. live with a chronic condition, 70% of the $3T healthcare spend in the U.S. goes to preventable chronic conditions.

OTHER ARTICLES

Future of Telehealth Reimbursement: Offering Medicare Telehealth Services?

Article | May 24, 2021

While many United States healthcare providers are returning to their in-person offices, many others are digging in to offer hybrid telehealth or exclusive telehealth practices moving forward. Understanding the future of telehealth reimbursement is then a pivotal issue. As a hub for telehealth consultants and trainers, the Telebehavioral Health Institute (TBHI) is receiving daily requests for assistance from behavioral health groups and independent practitioners seeking to position themselves for telehealth expansion optimally.

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4 Key Factors Influencing the Effectiveness of Health Tech Messaging

Article | January 29, 2021

COVID-19 has sped up the adoption of healthcare technology solutions by healthcare providers. This has unexpectedly brought a peak in opportunity for health tech companies to achieve important business, demonstrating your innovations. However, it is very challenging and competitive as bigger health tech companies pivot and new health tech start-ups keep coming into the healthcare market. This also makes the healthcare technology market an increasingly competitive space. Thus, all health tech companies need to depend more on effective health tech messaging for their business purpose and credibility. This will help them bring their targeted clients on board for the long-term. Health tech Messaging Challenges Faced by Marketers Nowadays, the process of marketing products online is a combat sport. With every passing year, it is becoming more challenging for health tech marketers to beat the algorithms, build the audience, and ultimately win the hearts of the customers through effective health tech messaging. Digital health leaders are coming up with amazing technology innovations that can revolutionize the healthcare industry. Electronic medical records (EMR) software, medical billing software, medical practice management software, electronic claims software, medical database software, medical research software, medical diagnosis software, medical imaging software, telemedicine software, etc. are some of the examples of amazing technology innovations and latest healthcare technologies. But, things fall apart when it comes to marketing through effective health tech messaging. The following are some of the health tech messaging challenges faced by marketers. • Communicating the purpose and value of your business and the products effectively to clients • Making the clients understand the credibility of the technology products and your business • Product positioning • Lack of clear healthcare marketing strategy • Bad marketing advice • Lack of effective and compelling marketing content • Failing to understand the client/buyer persona • Failing to understand the brand pillars, • Ignorant of effective use of various messaging channels, and much more Why Does Effective Health Tech Messaging Matter? From the introduction part, you might have already understood the power of a good health tech messaging strategy. If you do not have a unified marketing strategy, you will end up merely alienating potential customers; they may end up in confusion about the purpose of your health tech brand. Moreover, without an effective health tech messaging strategy, you may become incoherent to your audience. But the real impact of a cohesive and good health tech messaging strategy will surely go beyond everything we have talked about already and empower your business in all aspects. Different marketing materials, whether they are social media posts, emails, podcasts, videos, or something else, your health tech messaging strategy will guide you in determining what to focus on and what tone to be used. If you are planning a social media campaign or writing blogs and articles, you will know the attention-grabbing ways of speaking to your customers. This is possible only if you have a defined messaging strategy. Customer service teamwork also becomes more effective and easier, when you have a good health tech messaging strategy. Educating the customer is easier when you speak to them in a tone and language that you know they will understand. Doing it consistently makes you win the customer. How Health Tech Messaging Can Work for Reaching Healthcare Decision Makers It is not an easy task to engage healthcare decision-makers in hospitals, insurance providers, health systems, and private practices. These high-powered directors, managers, and executives are busier than ever. This makes the process of health tech marketing difficult. Apart from overwhelming job responsibilities, these healthcare professionals are also inundated with ads, emails, and phone calls. So rather than sending them messages randomly, it is important to help your prospects when they are free from their daily disruptions and have time. Here, an effective health tech messaging strategy can help you reach out to decision makers easily. Health tech messaging strategy lays out various health tech marketing techniques, tricks, or tactics. These health tech messaging techniques or methodologies are helpful in the three stages of your health tech client journey: awareness, consideration, and decision making stages. Through all these stages of health tech massaging, you help or influence health tech decision makers to recognise they have a problem, consider a solution, and finally they take the decision to purchase your product. 4 Factors Influencing the Effectiveness of Health Tech Messaging Performing your brand messaging haphazardly is not going to take you anywhere in reaching out to people, who need your products. Instead, you should slow down yourself a bit and build a compelling health tech messaging strategy. Test it, launch it, and learn from it. If you are strategic, you are truly going to drive your mission despite the noise that is existing on the internet today. Here are four important factors that will help you make your health tech messaging strategy effective and compelling. Understanding Your Targeted Audience You have a better idea of who you are and what you offer. Now you need to know who your audience is, which is equally important in building health tech messaging strategy. Throughout the process of messaging, it is vital to keep your ideal buyer in mind. So, you will only create messages that will resonate with the needs, interests, motivations, and pain points of your potential clients. The things you want to know about your targeted clients are called buyer/client persona. Buyer Persona It is better to create a buyer persona that tells who your customer and what their goals are. Buyer persona also will help you align your brand with your customers. According to HubSpot, a buyer persona can be a semi-fictional representation of your potential customers based on real data and market research and about your current customers. Knowing who your messages are aimed at is important in developing a successful health tech brand messaging strategy. Before you go any further, buyer persona makes you know: • Who you are marketing to • What they care about and value • The sort of language they use and will respond to • Geographical location • Educational and income levels • Psychographics and behavioral patterns, etc. Focusing on Your Differentiating Factors from Competitors To figure out your differentiating factors from the competitors is as important as you understand your place in the market. You will have to assess the differences and similarities between the products and services you offer and your competitors’ offerings. Also, compare the targeted audience of you and your competitors. Understanding your competition, you face from the market, will get you a clear image of your brand and what health tech message you may have to send out to your targeted audience. Just remember that each of the health tech brands can have only one message; it needs to be unique. Due to the competition, messages can be too similar, but it should not make your customers get confused about your business. Thus, communicating your uniqueness to your audience is a very important factor. In this regard, conducting some competitor analysis may help you a lot. Making your Value Propositions Obvious You can influence how people perceive your brand if you could successfully communicate the values of your business. Values are principles or mission that guide all actions of brands. Storytelling can be effectively used to illustrate the values of your brand. Success stories from Salesforce and Microsoft’s Story Labs are examples. These stories can be on things such as empowering small businesses or improving the world through technology. It creates loyalty when you make your clients feel they are part of something that is going to change the world for the better. It is very helpful to start your health tech messaging process with your value prop because it is the core of what you do and who you are. Your value prop explains both the emotional and functional benefits your service or products provides. This means the value people get out of your products. Communicating the values of your company is considered strong health tech messaging only when it specifies how your brand is going to solve a problem and why should people choose your product. Using Multiple Technology Channels for Brand Messaging In general, digital health tech messaging has to be pinpointed. The spray and pray method will not work to bring in inbound leads. However, if you want to reach out to health tech audience with your health tech messaging, you should be there on all the channels they are on. Here are a few examples of channels, which can be used to reach out to people effectively with your health tech messaging process. Digital Ads If digital ads are used effectively for health tech messaging, you can reach out to your target audience easily. When digital ads are used correctly, you can pinpoint the audience through audience targeting and keywords. Moreover, through ad channels, you can reach out to people who otherwise would not have ever known about your products. However, if you are not using digital ads effectively, you will lose money without any results. Social Media Most people are active on some sort of social media channels. Many of these people use these channels either for networking or educating themselves in their field. This is the reason why you should concentrate on social media platforms for effective health tech messaging in a way that encourages interaction and feedback. Along with establishing a strong relationship with your prospects, you can also use social media platforms to build brand awareness through health tech messaging process. Emails Emails are the fruitful medium for effective health tech messaging. You can build brand awareness through seeding emails regularly. It will work as a bookmark than a selling point. Potential clients will remember the good interaction you had with them through emails when they have a problem in the future. Along with these channels, other channels such as videos, websites, blogs, articles, podcasts, etc. also can be used for effective health tech messaging. These multiple channels, where most of your potential clients are present, are selling points for your health tech products or helps in lead generation for healthcare technology products. To sum up, what matters more in health tech messaging and marketing is projecting your values, differentiating factors, knowing A to Z about your targeted audience, and meeting them on the channel, where they are present. Your health tech brand message is something that makes you dwell in the minds of people. Thus, how you are perceived matters a lot. Start building your brand today by sending out effective health tech messages to your potential clients. Frequently Asked Questions How does health tech messaging help? Heathtech messaging helps you to improve your business by making your potential clients understand what you are and what you do. Brand awareness of your products is done through effective health tech messaging. What is the best health tech messaging method? The best health tech messaging method is to project your business values in all the marketing campaigns you do. It should specify what your customers can expect from your products and services and what changes it will make in society. How does technology help in healthcare? Technology helps healthcare to avail all patients the best treatment available and make them satisfied and engaged. Also, technology helps healthcare industry to innovate treatments and revolutionize the entire practice in the healthcare sector. Why is technology important in healthcare? For achieving optimum patient satisfaction and engagement, technology is important in healthcare. Also, technology plays a role in improving the healthcare system and saving the lives of people.

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Innovation Insight for Healthcare Provider Digital Twins

Article | September 4, 2020

A digital twin is a digital representation of a real-world entity or system. The implementation of a digital twin is a model that mirrors a unique physical object, process, organization, person or other abstraction. For healthcare providers, digital twins provide an abstraction of the healthcare ecosystem’s component characteristics and behaviors. These are used in combination with other real-time health system (RTHS) capabilities to provide real-time monitoring, process simulation for efficiency improvements, population health and long-term, cross-functional statistical analyses. Digital twins have the potential to transform and accelerate decision making, reduce clinical risk, improve operational efficiencies and lower cost of care, resulting in better competitive advantage for HDOs. However, digital twins will only be as valuable as the quality of the data utilized to create them. The digital twin of a real-world entity is a method to create relevance for descriptive data about its modeled entity. How that digital twin is built and used can lead to better-informed care pathways and organizational decisions, but it can also lead clinicians and executives down a path of frustration if they get the source data wrong. The underlying systems that gather and process data are key to the success for digital twin creation. Get those systems right and digital twins can accelerate care delivery and operational efficiencies. Twins in Healthcare Delivery The fact is that HDOs have been using digital twins for years. Although rudimentary in function, digital representations of patients, workflow processes and hospital operations have already been applied by caregivers and administrators across the HDO. For example, a physician uses a digital medical record to develop a treatment plan for a patient. The information in the medical record (a rudimentary digital twin) along with the physician’s experience, training and education combine to provide a diagnostic or treatment plan. Any gaps in information must be compensated through additional data gathering, trial-and-error treatments, intuitive leaps informed through experience or simply guessing. The CIO’s task now is to remove as many of those gaps as possible using available technology to give the physician the greatest opportunity to return their patients to wellness in the most efficient possible manner. Today, one way to close those gaps is to create the technology-based mechanisms to collect accurate data for the various decision contexts within the HDO. These contexts are numerous and include decisioning perspectives for every functional unit within the enterprise. The more accurate the data collected on a specific topic, the higher the value of the downstream digital twin to each decision maker (see Figure 1). Figure 1: Digital Twins Are Only as Good as Their Data Source HDO CIOs and other leaders that base decisions on poor-quality digital twins increase organizational risk and potential patient care risk. Alternatively, high-quality digital twins will accelerate digital business and patient care effectiveness by providing decision makers the best information in the correct context, in the right moment and at the right place — hallmarks of the RTHS. Benefits and Uses Digital Twin Types in Healthcare Delivery Current practices for digital twins take two basic forms: discrete digital twins and composite digital twins. Discrete digital twins are the type that most people think about when approaching the topic. These digital twins are one-dimensional, created from a single set or source of data. An MRI study of a lung, for example, is used to create a digital representation of a patient that can be used by trained analytics processes to detect the subtle image variations that indicate a cancerous tumor. The model of the patient’s lung is a discrete digital twin. There are numerous other examples of discrete digital twins across healthcare delivery, each example tied to data collection technologies for specific clinical diagnostic purposes. Some of these data sources include vitals monitors, imaging technologies for specific conditions, sensors for electroencephalography (EEG) and electrocardiogram (ECG). All these technologies deliver discrete data describing one (or very few) aspects of a patient’s condition. Situational awareness is at the heart of HDO digital twins. They are the culmination of information gathered from IoT and other sources to create an informed, accurate digital model of the real-world healthcare organization. Situational awareness is the engine behind various “hospital of the future,” “digital hospital” and “smart patient room” initiatives. It is at the core of the RTHS. Digital twins, when applied through the RTHS, positively impact these organizational areas (with associated technology examples — the technologies all use one or more types of digital twins to fulfill their capability): Care delivery: Clinical communication and collaboration Next-generation nurse call Alarms and notifications Crisis/emergency management Patient engagement: Experiential wayfinding Integrated patient room Risks Digital Twin Usability Digital twin risk is tied directly to usability. Digital twin usability is another way of looking at the issue created by poor data quality or low data point counts used to create the twins. Decision making is a process that is reliant on inputs from relevant information sources combined with education, experience, risk assessment, defined requirements, criteria and opportunities to reach a plausible conclusion. There is a boundary or threshold that must be reached for each of these inputs before a person or system can derive a decision. When digital twins are used for one or many of these sources, the ability to cross these decision thresholds to create reasonable and actionable conclusions is tied to the accuracy of the twins (see Figure 2). Figure 2: Digital Twin Usability Thresholds For example, the amount of information about a patient room required to decide if the space is too hot or cold is low (due to a single temperature reading from a wall-mounted thermostat). In addition, the accuracy or quality of that data can be low (that is, a few degrees off) and still be effective for deciding to raise or lower the room temperature. To decide if the chiller on the roof of that patient wing needs to be replaced, the decision maker needs much more information. That data may represent all thermostat readings in the wing over a long period of time with some level of verification on temperature accuracy. The data may also include energy load information over the same period consumed by the associated chiller. If viewed in terms of a digital twin, the complexity level and accuracy level of the source data must pass an accuracy threshold that allows users to form accurate decisions. There are multiple thresholds for each digital twin — based on twin quality — whether that twin is a patient, a revenue cycle workflow or hospital wing. These thresholds create a limit of decision impact; the lower the twin quality the less important the available decision for the real-world entity the twin represents. Trusting Digital Twins for HDOs The concept of a limit of detail required to make certain decisions raises certain questions. First, “how does a decision maker know they have enough detail in their digital twin to take action based on what the model is describing about its real-world counterpart?” The answer lies in measurement and monitoring of specific aspects of a digital twin, whether it be a discrete twin, composite twin or organization twin. Users must understand the inputs required for decisions and where twins will provide one or more of the components of that input. They need to examine the required decision criteria in order to reach the appropriate level of expected outcome from the decision itself. These feed into the measurements that users will have to monitor for each twin. These criteria will be unique to each twin. Composite twins will have unique measurements that may be independent from the underlying discrete twin measurement. The monitoring of these key twin characteristics must be as current as the target twin’s data flow or update process. Digital twins that are updated once can have a single measurement to gauge its appropriateness for decisioning. A twin that is updated every second based on event stream data must be measured continuously. This trap is the same for all digital twins regardless of context. The difference is in the potential impact. A facilities decision that leads to cooler-than-desired temperatures in the hallways pales in comparison to a faulty clinical diagnosis that leads to unnecessary testing or negative patient outcomes. All it takes is a single instance of a digital twin used beyond its means with negative results for trust to disappear — erasing the significant investments in time and effort it took to create the twin. That is why it is imperative that twins be considered a technology product that requires constant process improvement. From the IoT edge where data is collected to the data ingestion and analytics processes that consume and mold the data to the digital twin creation routines, all must be under continuous pressure for improvement. Recommendations Include a Concise Digital Twin Vision Within the HDO Digital Transformation Strategy Digital twins are one of the foundational constructs supporting digital transformation efforts by HDO CIOs. They are digital representations of the real-world entities targeted by organizations that benefit from the advances and efficiencies technologies bring to healthcare delivery. Those technology advances and efficiencies will only be delivered successfully if the underlying data and associated digital twins have the appropriate level of precision to sustain the transformation initiatives. To ensure this attention to digital twin worthiness, it is imperative that HDO CIOs include a digital twin vision as part of their organization’s digital transformation strategy. Binding the two within the strategy will reinforce the important role digital twins play in achieving the desired outcomes with all participating stakeholders. Building new capabilities — APIs, artificial intelligence (AI) and other new technologies enable the connections and automation that the platform provides. Leveraging existing systems — Legacy systems that an HDO already owns can be adapted and connected to form part of its digital platform. Applying the platform to the industry — Digital platforms must support specific use cases, and those use cases will reflect the needs of patients, employees and other consumers. Create a Digital Twin Pilot Program Like other advanced technology ideas, a digital twin program is best started as a simple project that can act as a starting point for maturity over time. Begin this by selecting a simple model of a patient, a department or other entity tied to a specific desired business or clinical outcome. The goal is to understand the challenges your organization will face when implementing digital twins. The target for the digital twin should be discrete and easily managed. For example, a digital twin of a blood bank storage facility is a contained entity with a limited number of measurement points, such as temperature, humidity and door activity. The digital twin could be used to simulate the impact of door open time on temperature and humidity within the storage facility. The idea is to pick a project that allows your team to concentrate on data collection and twin creation processes rather than get tied up in specific details of the modeled object. Begin by analyzing the underlying source data required to compose the digital twin, with the understanding that the usability of the twins is directly correlated to its data’s quality. Understand the full data pathway from the IoT devices through to where that data is stored. Think through the data collection type needed for the twin, is discrete data or real-time data required? How much data is needed to form the twin accurately? How accurate is the data generated by the IoT devices? Create a simulation environment to exercise the digital twin through its paces against known operational variables. The twin’s value is tied to how the underlying data represents the response of the modeled entity against external input. Keep this simple to start with — concentrate on the IT mechanisms that create and execute the twin and the simulation environment. Monitor and measure the performance of the digital twin. Use the virtuous cycle to create a constant improvement process for the sample twin. Experience gained through this simple project will create many lessons learned and best practices to follow for complex digital twins that will follow.

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Hangover Alcohol Syndrome

Article | December 8, 2020

Ha, ha, ha, it’s me, alcohol hangover syndrome. Oh no, it feels like I have a fire burning through my head, that cannot be put out. What a pain, the hang-over. I can't get up. My eyes are red and blurred. I feel sick and body is tired. My body aches like French fries sizzling in scalding hot oil. Ouch, what a pain it is. Ouch is not a strong enough expression. So I Scream! Damn is the toe nail fungus vomiting too, I am sick. Screaming; oh no my head cannot handle it, it spinning and blazing like fire. My eyes are red, like a red eyed dragon. Well you are feeling the side effects of drinking excessive amounts of alcohol, referred to as intoxication - hang-over. Alcohol is labeled as the gateway to addiction and may lead to other drugs. The Lancet Medical Journal advises alcohol increases the risk of hypertension, stroke and heart attack. Alcohol intoxication is the result of high consumption of alcohol increase in the blood stream. The higher the amount of alcohol within blood stream the more impaired you become. According to statistics of 2015 an average of 6 people die each day due to alcohol poisoning or drinking so much that the body become overwhelmed. The body resistance to alcohol intoxication poison aligns in the critical or essential areas of the brain that control heart rate and breathing causing the heart rate and breathing to shut down and can lead to death. Frequent intoxication can inhibit ones' ability to think, focus, health, work, communicate, behavior and relationships. Frequent intoxication also influences one to become isolated, trying not to disclose habits by lying about drinking to family, friends or associates and even hiding alcohol in some cases whether it be at home or work. Hazardous harm of alcohol poison to the body begin as a craving for alcohol. This chain reaction is similar to the body becoming tired and fatigue and demands sleep which you cannot control, you must get sleep or pass out. Groans are similar to a choking frog that cannot control it voice. The craving or urge to drink may be triggered by internal or external factors. Attention and insight or consciousness to what triggers urge to drink is an advantage to assist in controlling the (ABV) alcohol beverage volume consumed. Mentioned in the beginning intoxication poison is not pleasurable and intoxication is unhealthy, so has this habit of excessive drinking become an uncontrollable addiction? My rap song is you are hooked and chorus is: Unforgettable, Unforgettable, Unforgettable You have made me your number one love You take me with you like a shadow You hold me with such a grasping hold of touch I am yours and you live just to be with me! Risk Factors of Alcohol Toxic obstacle of future damage Reality is a hard hitter and a definite strike out Consequences and penalties exist! Many times with a toast, alcohol is the toaster to recognize an individual are group of individuals. Toast with alcohol can lead the way to consumption of more alcohol. There is a chicle that friends don’t let friends drink drunk. Well when the friend is seeing through eyes of alcohol themselves who become the helper? Drinking and drinking is a serious violation of the law. Risk factors are costly, expensive and devastating. Risk factors include but are not limited to: DUI- (Driving under the influence) Driving under the influence of alcohol is prohibited by law and punishable by law. Consequences for illegally operating a vehicle while under the influence of alcohol can range from imprisonment, fines, community service and limited operating driving privileges. These factors are enforced under Misdemeanor Offense based on the merits, history of the first time offense. If the BAC (Blood Alcohol Concentration) is above .08 consumption while driving a vehicle one can be arrested. DWI- (Driving while intoxicated) Driving while intoxicated is also prohibited by law and is punishable by law. DUI and DWI are related and both are violations that have penalties. Multiple DUI’s are DWI’s fines can range from $2000 0r more, are or imprisonment depending on state which the violation occurred. The violation is governed under Gross Misdemeanor or felony. Factors include subject pass history, accidents and drug use. Related obligations imposed are rate of operating a vehicle insurance increase, storage and towing fees, attorney fees, DUI classes, restitution, possible criminal and court fees, scarred background record, possible driver license suspension or driver license being revoked. Accidents- According to National Institution on Drug Abuse report “Drinking and driving can add up to tragic ending. In the U.S. about 4300 people under the age 21 die each year from injuries caused by underage drinking, more than 35 percent in car crashes.” Relationships- Relationships are a valued connection, resource, positive interaction, communication and socially are viewed as binding or a bond. When a relationship becomes troubled an uncomfortable strain effects the stability of comfort and sometimes trust. Drugs for instance can cause damage to a good relationship with family, friends and acquaintances. Relationships should be positive, supported and loving. Jail- A sentence for punishment of an unlawful crime. Risk Factors of Alcohol Divorce – Divorce can carry the burden of a setback. Change is transition and sometimes stressful. An individual can feel pressure and seek relief that may eventually lead to depression anxiety or harmful opioids without medical advice. License Suspension- A period of time which a valid driver license privilege is suspend temporary. Financial Burden- Fines, fees, loss of driver privilege and other costly expenses create financial burden or loss of income that may be saved or distribute differently. Health Issues- Quote your health is wealth has merit and valuable. Your health matters and chemical dependency addiction impairs the body system with side effects such as strokes, hypertension, seizers, respiratory problems and heart failure. Employment- EAP (Employment Assistance Program) EAP is an employment assistance agency providing services to assist in personal, financial and work related occurrences. Court Ordered Rehabilitation – The risk factors associated with alcohol related court can be positive. The individual who takes advantage of this opportunity could overcome alcohol addiction and improve his or her behavior to become a more productive citizen. This also helps one to rebuild their lives. Alcohol rehabilitation also allows people to heal from addiction and dependence issues. Most people prefer alcohol rehabilitation programs to avoid a Criminal sentencing and to get their lives back on track. Risk factors can work out very well for one and help one redeem his or her positive life back. Children Neglect- Family and especially children struggle and suffer as they learn to live without your guidance. Being absent in your children life signal a lack of love and trust for them. They begin to doubt themselves despite your habit of addiction. Grief – Regret and self-emotional punishment for the injury, harm or death inflicted upon another while impaired by the use of alcohol (Drinking and driving) Don’t drive and drink is a safety factor that should not be ignored!

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Spotlight

Vida Health, Inc.

Vida is a next generation continuous care platform for both consumers and businesses, combining a consumer mobile app, an enterprise care platform offering on demand 24/7 solutions for chronic conditions. Vida platform runs in the cloud, captures real-time data from 100+ devices and apps, and integrates back to the employer, payer, and provider. 133 million people in the U.S. live with a chronic condition, 70% of the $3T healthcare spend in the U.S. goes to preventable chronic conditions.

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