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Sensor Tower — Call of Duty: Mobile passed 250 million downloads in 8 months

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Future of virtual care conference July 1 podcast

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Amwell, MDLive, Element Science, Carbon Health, AliveCor, El Camino, ATA, GSR Ventures

This week we had the Future of Virtual Care main event. In the first session, we discussed  “Where’s the beef (utilization and effectiveness)?” Archana Dubey (Global Medical Director, HP) and Bambi Francisco Roizen (Founder & CEO, Vator) moderated the panel and  Dr. Peter Antall (Chief Medical Officer, Amwell), Priya Abani (CEO, AliveCor), Ann Mond Johnson (CEO, American Telemedicine Association), Sunny Kumar (Partner, GSR Ventures) joined the discussion. 

The “Startups disrupting!” session was emceed by Ravi Belani (Managing Partner, Alchemist Accelerator) and Adam Odessky (Co-founder & CEO, Sensely), Chelsea Rowe (Founder, GritWell) and Richard Hanbury (Founder, Sana Health) presented their companies

In the third session, we discussed “What’s the cost (and who’s paying)?” Bambi Francisco Roizen (Founder & CEO, Vator) and Archana Dubey (Global Medical Director, HP) moderated the panel and Eren Bali (Co-founder & CEO, Carbon Health), Uday Kumar (Founder, President & CEO, Element Science), Bruce Harrison (President, El Camino Health Medical Network), Charles Jones (CEO, MDLIVE) joined the discussion. 

Here are some takeaways!

15:00 Start of 1st panel and how they define virtual care 
Peter: All different modalities, provider types, innovations in how we deliver care. 
Ann: I lean towards virtual care as broad a definition as possible: telehealth telemedicine digital health, digital medicine, digital therapeutics, sometimes this is really splicing at a fine level that doesn’t lend to the conversation. And so I keep it very, very broad to be as inclusive as possible.  
Priya: Covers all manner in which a patient can interact with a patient remotely. Live video, audio, messaging, remote patient devices. 
Sunny: Broad definition – any form of substantive care delivered over an electronic communication channel. 

28:34 – What were your pre-COVID strategies and how has it shifted? 
Priya: Greater use of devices allowing users to check in on their heart without leaving home. Users sending heart data directly to physicians. We aided in-home clinical trials
33:17 – Peter Amwell – we think of the world as PC and AC; PC – Providers didn’t have a compelling reason to use virtual care, now we’re experiencing out of necessity. From 5% usage to 80-90% providers started using telehealth every day. When it settles, we expect around 50-60% telehealth. Med-management, behavioral health – they can port well telehealth. April 40k visits a day; we went up 230% volume, up providers went up 10x; utilization of providers not in our network surged 2000%.   
42:53 – Ann – variation of cost and quality pre-COVID; iniquities and disparities that occurred that was known pre-COVID, but it took a toll – 14% of Illinois is Black, and 40% of deaths were in the black community. Federal response happened rapidly. Licensure on the state level was exposed as very arcane. Telehealth did OK in a fee-for-service environment but soared in a value-based care environment. Remote monitoring is an unsung hero in all of this. 
48:03 – Sunny – massive change in behavior; we are looking for companies that are creating efficiencies for doctors to allow that physician to 2x-10x the number of patients. This will solve underlying access issues.  

51:10 – What’s possible with virtual care today that will stay virtual and not go back to in-person?
53:46: Peter – we saw the use of chatbots; it helps screen out for certain things. they’re also integrated into the provider flow; outside-of-visits nudging; If it’s a diabetic, we can interact outside of visits to improve compliance.  
55:00: Nudges are good for smoking cessation. 
55:55: Sense.ly is already putting a face, personality to chatbots. 
58:39: Clinical trials don’t stop; from a cardiology point of view, telehealth visits and routine monitoring is essential for cardiology. 
1:03: Archana – pre-Covid it was part of the payer to drive utilization; provider and payer weren’t incentivized. So COVID made going to ER a risk to the patient
1:04: Peter – the stakeholders (providers, payers, patients) have not been aligned. Payers and patients were adopting earlier; now providers are adopting from 50 visits to 5,000 visits a week. When providers move and adopt as they’re doing now. 
1:06: Sunny – virtual trials go from 1-2% of trials to now every trial to be virtually enabled. As for what can happen with virtual care and will stay, asynchronous communication with the use of chronic conditions and mental health but also with hypertension (now you can get a surrogate measure at home); but now dealing with high cholesterol – it’s a condition where you had to be in-person now is one you can do at home. 

1:13: What to expect with regulations over the next 6 months? 
Getting rid of originating sites; enabling Federally qualified health services post-COVID; make permanent HHS temporary waiver authority during emergencies; Notion that care has to be delivered locally is no longer relevant. States will also be trying to expand virtual care for the Medicaid population. 

1:20: Elaboration about nudges and remote care

1:43: Anthony from Avison-Young introduces the break – touches on real estate and healthcare

1:48: Ravi Belani’s segment and Startups Disrupting 

2:32: Start of the 2nd panel and how they define virtual care 
Uday: Virtual care is a misnomer; you’re getting care, just remote but it’s mostly diagnostic. It’s a different modality for diagnostics.   
Cindy: Virtual care is being there at the right place at the right time with the right care. It’s the total digital care delivery to a patient: synchronous, asynchronous, remote monitoring.
Bruce: Virtual care any delivery of care that is not happening in an in-person encounter; it’s phone visits, remote monitoring, etc. 

2:43: COVID’s impact on your business
Cindy: we have 1500 providers (across behavioral/medical); we had to enhance our recruitment and educate our patients/providers; Tech and EMR enhancement, patient and provider education. In March grew over 140% from the prior year. 
Uday: iRythm is a heart-monitoring patch; with COVID, it became clear with cardiologists could just shift massive numbers and service physicians. Having people come back for blood pressure checks or tests were ways hospitals could bill, but COVID exposed the cost/benefit ratio wasn’t worth going into the hospital. New gatekeeper could be a virtual tool or virtual visit to increase pre-test probability to determine whether to go in-person. **Do hospitals go back to higher billing models if virtual care volume isn’t there. 
Eren: Since end of January (patient direct from Wuhan), we put the patient in a virtual ward; there was no testing. Until testing started in March, we used virtual to separate at-risk patients from others. We then tried to get non-COVID service to be virtual and we used our physical footprint for COVID. Now we have specialties that have gone virtual: dermatology, behavioral, nutrition, but things changes every month. Customer expectation of what can be done virtually has skyrocketed. We’ve tested 60,000 people and some have been positive. 
Bruce: Volume declined 75% overnight; how do we balance fixed costs and prepare for possible surge in COVID cases. We set up Zoom immediately; when 1135 waiver was signed, we could get paid virtually. Also with legislation, it didn’t matter how secure our system was. Now we could use Zoom, Facetime or whatever. We were setting up a separate respiratory clinic; we didn’t have access to great virtual technology so we just did home visits. COVID is the true beginning of telehealth for us. 

3:07: Where are we doing this well regarding identifying higher pre-test probability patients using virtual care
Uday: It’s easier to see where we’re not doing well. This has exposed what we’ve not done well which is areas where virtual care cannot be delivered. In cardiology, diagnostics rely on good history so for us, we need that historic data. For cardiology and neurology, maybe 70-80% diagnostics can be done by history traditionally; but orthopedics – might be hard without actually seeing someone. It depends on the nature of disease taste (whether history is required or in-person physical interaction is required). Out of hospital sudden cardiac deaths rose; if you look at overall outcomes particularly for those who delayed care. 
Cindy: Virtual urgent care, we’re lowering the cost of care in aspects of ED avoidance. There’s 4 C’s in care and the fourth is “contagion avoidance” – people want virtual care to avoid becoming infected. 
Bruce: Patience satisfaction has gone up due to the access. Primary care is doing well in virtual care; but orthopedics, ophthalmology – those are specialties haven’t been incorporated into virtual care. Our virtual care visits are back down to 10% of visits.
Eren: Is virtual care the new front door, we have to think of total costs. For every visit you have to do virtual, you’d have to ask what should be virtual first. You don’t want to pay twice. 

3:24: Audience Q&A starts

Thanks to our sponsors: HPAvison YoungAdvsr Scrubbed, Alchemist Accelerator, and Stratpoint.

Image by Gerd Altmann from Pixabay 

Source: http://feeds.vator.tv/~r/vatortv/news/~3/M0mIcV9qvc0/2020-07-03-future-of-virtual-care-conference-july-1-podcast

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ProBeat: RIP YouTube TV, you’ll make a great case study

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Unbundle cable TV, they said. It will be cheaper, they said.

Google this week “updated” (its wording, not mine) the pricing of YouTube TV from $50 per month to $65 per month. The price increase for the over-the-top internet television service comes just over a year after the last increase from $40 per month. In the space of 15 months, YouTube TV’s price has jumped 62.5%. When it launched three years ago, it cost $35 per month. Put simply, YouTube TV is dead.

YouTube TV customers are cord-cutters. That means they canceled their cable TV subscription to avoid paying increasing prices for channels they do not watch. What is Google’s business strategy here? “Let’s force new channels on our hypersensitive-to-cable-TV-prices customers and charge more. They’ll love it. Oh, and let’s make sure to do it during a pandemic-induced recession.”

Every YouTube TV price increase to date has talked up additional channels. Just like before, there’s no option this time to skip the new channels and not pay the extra 30%. YouTube TV is simply another cable TV service masquerading as an over-the-top streaming service.

VB Transform 2020 Online – July 15-17. Join leading AI executives: Register for the free livestream.

I can’t think of a better example of how to completely disregard what your customers want and destroy your service. I expect there will be YouTube TV case studies galore in a few years if Google doesn’t change course. The company will have to do some serious soul-searching to resuscitate YouTube TV after this one.

Let’s say you want to pay $65 per month. Instead of YouTube TV, you could subscribe to:

  • Netflix for $9 to $16 per month.
  • Disney+ for $7 per month.
  • Hulu for $6 to $12 per month.
  • Amazon Prime Video for $9 per month.
  • HBO Max for $15 per month.
  • Apple TV+ for $5 per month.

If you wanted all six of these streaming services, your total cost would be $51 per month on the low end and $64 per month on the high end. I don’t think anyone needs or even wants this many streaming services. Either way though, it would still cost less than YouTube TV.

To be fair, YouTube TV’s main difference from these services is live sports. But that’s still no excuse for almost doubling the price in three years and pointing to new channels that users don’t want as the excuse. All YouTube TV had to do was keep charging $35 per month for sports and whatever other channels it could pull off at that price. An increase to $40 would have been acceptable (though again, not during a pandemic). An increase to $40, then $50, and then $65 is not.

I’ll stick with just Netflix. Sure, the price goes up a dollar or two every few years, but at this rate, I’ll be dead before Netflix costs $65 per month.

ProBeat is a column in which Emil rants about whatever crosses him that week.

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9 deals you can save extra on for the 4th of July

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As odd as 2020 has been, we’re more than halfway through and quickly approaching the Fourth of July if you can believe it. Many are still spending time around home, and VB Deals is bringing you great savings on 9 amazing products that are sure to make your holiday more enjoyable.

And, you can save even more at checkout with coupon codes. You can take 15% off orders of $50 or more by using code JULYFOURTH15 at checkout. Or, you can take 20% off orders of $75 or more with code JULYFOURTH20 at checkout.

evaLIGHT Plus: Personal Air Cooler


VB Transform 2020 Online – July 15-17. Join leading AI executives: Register for the free livestream.

Looking to beat the heat? The evaLIGHT Plus is an evaporative air cooler with a removable water tank and enhanced leak-proof systems. It’s easy to set up, environmentally conscious, and will cool the area in front of it within 45 square feet. Pick up your evaLIGHT Plus for only $103.19 when you use coupon code JULYFOURTH20 at checkout.

Nix Mini Color Sensor V2

The Nix Mini V2 is Photoshop’s eyedropper tool brought to life, allowing you to scan any surface and instantly match the color to more than 100,000 brand name paint colors or to sRGB HEX and CMYK, and LAB color values. The Nix Mini V2 is on sale for just $67.16 when you use coupon code JULYFOURTH20 at checkout.

Albaro Air Posture Corrector

It’s all but guaranteed that you’ve been spending more time at home lately, and with that comes more time looking down at screens. Sick of waking up with a sore back and neck? Check out the Albaro Air Posture Corrector, an innovative and effective spinal support system that uses patented air cell technology which adjusts to your unique body, changing the pressure and delivering amazingly comfortable back support. You can pick up your Albaro Air today through VB Deals for just $79.99 when you use coupon code JULYFOURTH20 at checkout.

Aduro Sport Elite Recovery Massage Gun

If you’ve been experiencing muscle pain or strain due to poor posture or overworking, take a moment to relax with the Aduro Sport Elite. This massage gun has 4 different massage heads and 6 distinct settings so you can target your aching muscle groups. Relieve soreness and tension, and even use the Aduro Sport Elite to warm up before a workout. Right now, the Aduro Sport Elite is on sale for only $63.99 when you use coupon code JULYFOURTH20 at checkout.

Sinji Flexible Borescope Camera for Android & iOS

Clogged drain? With the Sinji Borescope, you can get a closer view on hard-to-reach areas. Simply download the Sinji app on your Android or iOS device, connect the borescope via WiFi, and easily view any area with the 2 meter (6.5 foot) cable that easily snakes past any obstacle. Your wallet will thank you as the Sinji Borescope is currently on sale for an just under $30.

Jawzrsize Facial Fitness

Meet Jawzrsize, the premier facial fitness exercise product for anyone looking to slim down their face, reduce the double chin effect, and define their jawline. Jawzrsize comes with three resistance levels ranging from beginner to advanced and is on sale through VB Deals right now for $42.99, a discount of 60 percent.

MOGICS Coconut: Portable Waterproof Light

Step up your patio lighting game with the Mogics Coconut. This spherical, waterproof, self-inflating light looks amazing and changes between four lighting modes based on your preference. The Mogics Coconut is on sale right now for just $31.99 through VB Deals.

Mini UV Light Bar: Disinfect in Seconds

If you want the power of UV light disinfection on the go, check out this UV light bar. With it, you can easily disinfect surfaces in only 10 seconds! The Mini UV Light Bar lasts up to 6 hours on a single charge and is on sale for just $29.99 today, nearly 70 percent off of list price.

U-STREAM Home Streaming Studio with 10″ Ring Light & Tripod

From YouTube to Instagram, almost every online influencer with a decent following is sure to have nice, clear lighting, and now you can too with Aduro’s U-STREAM Home Streaming Studio. Create picture-perfect vlogs or podcasts with a 10” ring light, non-slip rubber grip for your phone, and an adjustable tripod. The whole kit is just $49.99 today.

Prices subject to change.

Do you have your stay-at-home essentials? Here are some you may have missed.

VentureBeat Deals is a partnership between VentureBeat and StackCommerce. This post does not constitute editorial endorsement. If you have any questions about the products you see here or previous purchases, please contact StackCommerce support here.

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