health systems

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The health data transparency movement is birthing a new generation of startups

In the early 2000s, Jeff Bezos gave a seminal TED Talk titled “The Electricity Metaphor for the Web’s Future.” In it, he argued that the internet will enable innovation on the same scale that electricity did.

We are at a similar inflection point in healthcare, with the recent movement toward data transparency birthing a new generation of innovation and startups.

Those who follow the space closely may have noticed that there are twin struggles taking place: a push for more transparency on provider and payer data, including anonymous patient data, and another for strict privacy protection for personal patient data. What’s the main difference?

This sector is still somewhat nascent — we are in the first wave of innovation, with much more to come.

Anonymized data is much more freely available, while personal data is being locked even tighter (as it should be) due to regulations like GDPR, CCPA and their equivalents around the world.

The former trend is enabling a host of new vendors and services that will ultimately make healthcare better and more transparent for all of us.

These new companies could not have existed five years ago. The Affordable Care Act was the first step toward making anonymized data more available. It required healthcare institutions (such as hospitals and healthcare systems) to publish data on costs and outcomes. This included the release of detailed data on providers.

Later legislation required biotech and pharma companies to disclose monies paid to research partners. And every physician in the U.S. is now required to be in the National Practitioner Identifier (NPI), a comprehensive public database of providers.

All of this allowed the creation of new types of companies that give both patients and providers more control over their data. Here are some key examples of how.

Allowing patients to access all their own health data in one place

This is a key capability of patients’ newly found access to health data. Think of how often, as a patient, providers aren’t aware of treatment or a test you’ve had elsewhere. Often you end up repeating a test because a provider doesn’t have a record of a test conducted elsewhere.

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Ghana’s Redbird raises $1.5M seed to expand access to rapid medical testing in sub-Saharan Africa

For patients and healthcare professionals to properly track and manage illnesses, especially chronic ones, healthcare needs to be decentralized. It also needs to be more convenient, with a patient’s health information able to follow them wherever they go.

Redbird, a Ghanaian health tech startup that allows easy access to convenient testing and ensures that doctors and patients can view the details of those test results at any time, announced today that it has raised a $1.5 million seed investment.  

Investors who participated in the round include Johnson & Johnson Foundation, Newton Partners (via the Imperial Venture Fund) and Founders Factory Africa. This brings the company’s total amount raised to date to $2.5 million.

The health tech company was launched in 2018 by Patrick Beattie, Andrew Quao and Edward Grandstaff. As a founding scientist at a medical diagnostics startup in Boston, Beattie’s job was to develop new rapid diagnostic tests. During his time in Accra in 2016, he met Quao, a trained pharmacist in Ghana at a hackathon whereupon talking found out that their interests in medical testing overlapped.

Beattie told TechCrunch that while he saw many exciting new tests in development in the U.S., he didn’t see the same in Ghana. Quao, who is familiar with how Ghanaians use pharmacies as their primary healthcare point, felt perturbed that these pharmacies weren’t doing more than transactional purchases.

They both settled that pharmacies in Ghana needed to imbibe the world of medical testing. Although both didn’t have a tech background, they realized technology was necessary to execute this. So, they enlisted the help of Grandstaff to be CTO of Redbird while Beattie and Quao became CEO and COO, respectively.

L-R: Patrick Beattie (CEO), Andrew Quao (COO) and Edward Grandstaff (CTO). Imge Credits: Redbird

Redbird enables pharmacies in Ghana to add to their pharmacy services rapid diagnostic testing for 10 different health conditions. These tests include anaemia, blood sugar, blood pressure, BMI, cholesterol, Hepatitis B, malaria, typhoid, prostate cancer screening and pregnancy.  

Also, Redbird provides pharmacies with the necessary equipment, supplies and software to make this possible. The software —  Redbird Health Monitoring — is networked across all partner pharmacies and enables patients to build medical testing records after going through five-minute medical tests offered through these pharmacies.

Rather than employing a SaaS model that Beattie says is not well appreciated by its customers, Redbird’s revenue model is based on the supply of disposable test strips.

“Pharmacies who partner with Redbird gain access to the software and all the ways Redbird supports our partners for free as long as they purchase the consumables through us. This aligns our revenue with their success, which is aligned with patient usage,” said the CEO.

This model is being used with more than 360 pharmacies in Ghana, mainly in Accra and Kumasi. It was half this number in 2019, which Redbird has since doubled despite the pandemic. These pharmacies have recorded over 125,000 tests in the past three years from more than 35,000 patients registered on the platform.

Redbird will use the seed investment to grow its operations within Ghana and expand to new markets that remain undisclosed.

In 2018, Redbird participated in the Alchemist Accelerator just a few months before launch. It was the second African startup after fellow Ghanaian health tech startup mPharma to take part in the six-month program. The company also got into Founders Factory Africa last April.

According to Beattie, most of the disease burden Africans might experience in the future will be chronic diseases. For instance, diabetes is projected to grow by 156% over the next 25 years. This is why he sees decentralized, digitized healthcare as the next leapfrog opportunity for sub-Saharan Africa.

“Chronic disease is exploding and with it, patients require much more frequent interaction with the healthcare system. The burden of chronic disease will make a health system that is highly centralized impossible,” he said.Like previous leapfrog events, this momentum is happening all over the world, not just in Africa. Still, the state of the current infrastructure means that healthcare systems here will be forced to innovate and adapt before health systems elsewhere are forced to, and therein lies the opportunity,” he said.

But while the promise of technology and data is exciting, it’s important to realize that health tech only provides value if it matches patient behaviors and preferences. It doesn’t really matter what amazing improvements you can realize with data if you can’t build the data asset and offer a service that patients actually value.

Beattie knows this all too well and says Redbird respects these preferences. For him, the next course of action will be to play a larger role in the world’s developing ecosystem where healthcare systems build decentralised networks and move closer to the average patient.

This decentralised approach is what attracted U.S. and South African early-stage VC firm Newtown Partners to cut a check. Speaking on behalf of the firm, Llew Claasen, the managing partner, had this to say.

“We’re excited about Redbird’s decentralised business model that enables rapid diagnostic testing at the point of primary care in local community pharmacies. Redbird’s digital health record platform has the potential to drive significant value to the broader healthcare value chain and is a vital step toward improving healthcare outcomes in Africa. We look forward to supporting the team as they prove out their  business model and scale across the African continent.”


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5 startup theses that will transform the 2020s

I wrote a call to action for the tech community to dive deeper into the future of innovation this coming decade. Where are some of the hot spots going to come from though? Below, I have assembled a very loose set of five clusters broadly categorized into “wellness,” “climate,” “data society,” “creativity,” and “fundamentals” that offer some scaffolding for understanding what’s about to come this decade and how and any entrepreneur — really, any citizen — can start to build progress.

Take these ideas as inspirational — they aren’t limits, nor should the borders of these categories be seen as anything but liminal. I know in the daily cavalcade of news, it can be hard to feel inspired by the future. But do be! There is so much more coming this decade, that we may look back at the 2010s as the dark ages of innovation.

“Wellness”

Photo by Ian Forsyth/Getty Images

First, there is a cluster around “wellness.” That sometimes gets elided to just “mental health” and reduced to a prescription bottle, but this area really encompasses so much more than that. How do we build humanistic societies with strong social fabrics that enliven, enrich, and build meaning for our lives?

Yes, we’ve seen strong demand for wellness apps like Calm and Headspace. Exercise hardware like Peloton, Mirror and others along with platforms particularly around group classes have been a huge mainstay during this pandemic era. Mental health treatment itself is getting a makeover as startups reinvigorate the in-person therapist and psychiatrist visit as well as think about new models of delivering mental health services virtually. Even LSD is starting to make headways as a potentially useful tool, and psychedelics are going to be an interesting area to watch in the coming years.

All those areas still are ripe for innovation, yet, how do we go deeper and start to address the root causes of anguish and despair?

Take work, for instance. How do we make workers feel more secure and meaningful in a remote world where gig work makes up an increasing fraction of all employment? The precariousness of labor has a direct effect on wellness, and it’s going to take a much greater leap than a reclassification battle like in California this election cycle to make work “work” for all people. What can we do around stability of pay whether from employment or maybe programs like universal basic income to give people a sense of ownership over their destinies?

How do we start to create the bonds of neighborhoods and communities that hold people together and offer solace in times of despair? Part of this is improving the average town and making it more human-centric (that’s like 20 startups right there), but it also includes constructing more vibrant and expressive virtual worlds where we can find online neighborhoods that are safer than the dumpster fires we find on the web today.

Then there’s the health system in general. While America deservedly receives huge criticism for its overpriced and under-insured system, health systems worldwide face incredible pressures to improve efficiency. How do we make care better, more personalized, and more open? How do we reduce costs while ensuring that care is accurate and delivered expeditiously? There is huge work to be done to make health a key component.

To increase wellness for individuals, we need to increase wellness for our societies, building systems that are designed for the humans that inhabit them. Flexibility with security, engagement with individuality, expression with support. Our existing systems are already antiquated — and we haven’t come up with anything better.

This cluster is about asking “How does the world make us feel?”

“Climate”

Image Credits: Jacobs Stock Photography (opens in a new window) / Getty Images

The second cluster has to do broadly with the Earth, climate, crisis, and resilience. Climate change is real and not going away, and quite literally billions of people are going to feel its effects in the coming decades. Rising tides, massive hurricanes, power outages, wildfires, droughts and more are going to become part of our daily news vernacular.

Resiliency is not something that any one technology can offer, but innovation has huge potential to allow more of our systems to adapt to the changing nature of our world today.

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Tyto Care raises $50 million as it looks to buy and build new services during COVID-19 demand surge

Tyto Care, the provider of a home health diagnostic device and telemedicine consultation app, said it has raised $50 million in a new round of funding.

The round was led by Insight Partners, Olive Tree Ventures, and Qualcomm Ventures, according to a statement, and brings the startup’s total capital raised to more than $105 million.

The funding comes just as Tyto has seen a dramatic surge in demand brought on by the global response to the COVID-19 pandemic. Tyto Care’s toolkit is being used as a telehealth diagnostic solution that was already seeing three times sales growth in 2019 alone.

Last year, the company inked a deal with Best Buy and works with most of the major telemedicine providers, including American Well, Teladoc and others.

Previous investors Orbimed, Echo Health, Qure, Teuza and others also participated in the new financing, the company said in a statement.

With the financing, Tyto Care is well-positioned to both buy and build new tools based on its existing diagnostics platform, as well as expand its home health testing kit into new areas.

Companies like Scanwell Health are providing at-home diagnostic tests for things like urinary tract infections, and Tyto Care chief executive Dedi Gilad definitely sees options for new products around different kinds of at-home tests, the Tyto Care founder said in an interview.

All of this new capital comes with surging demand where Tyto Care’s telehealth technology is being used by every hospital in Israel to provide remote examinations of quarantined and isolated patients infected with COVID-19. Other hospital networks are also turning to the company’s diagnostics tools for similar applications, the company said.

The remote medical exams can protect health providers from exposure to SARS-Cov-2, the virus that causes COVID-19, and enables uninfected patients to get an examination of their basic health remotely, without needing to go to a medical facility.

“Over the past two years, Tyto Care has increased momentum faster than ever before and is playing a leading role in changing how people receive healthcare. Telehealth is heeding the call of the COVID-19 pandemic and we are proud that our unique solution is aiding health systems and consumers around the world in the fight against the virus,” said Gilad, in a statement. “This new funding comes at a pivotal moment in the evolution of telehealth and will enable us to continue to transform the global healthcare industry with the best virtual care solutions.”

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