COPE: 56336-PB Is Apple Stealing Healthcare fo Optoety?
Bryan M. Rogoff, OD, MBA, CPHM
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Oveview:
Healthcae Technoogy Optoety
History & Obesity Competitive Short-Term
Body Mass Index Landscape Strategies
Diabetes Announcements Hypertension & Data Long-Term
CV Disease Acquisitions Strategies
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY
It is a health condition 20% or more above you ideal weight What is it? NIH defines as having too much body fat that has a negative effect on health
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY
Leading cause of mortality morbidity, What is it? disability, healthcare utilization and healthcare costs in the United States. Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY
More that 1/3 of U.S. adults have obesity. Non-Hispanic blacks 48.1% What is it? Hispanics 42.5% Non-Hispanic Whites 34.5% Non-Hispanic Asians 11.7%
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY
There is no significant relationship however there is a trend: Higher income women are less likely to What is it? have obesity lower income. Those with college degrees are less likely to have obesity.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Dietary
Excessive Junk Food Causes: Processed Food Sugary / Sweet Drinks
Soy Products (Obesogens)
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Dietary
Excessive Junk Food • Termed coined in 2006 • Endocrine disrupters • Do not directly cause obesity, Processed Food Causes: but increase sensitivity to gaining weight. Sugary / Sweet Drinks • Changes how a person’s fat develops; Increases fat storage Soy Products (Obesogens) capacity Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Dietary
Lack of Fiber in diet
Not washing fruits & veggies Causes: (Pesticides = Obesogens)
Imbalance of gut Bacteria
Excessive Omega-6 Fatty Acids
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Healthcae: OBESITY Non-Dietary
Sedentary Lifestyle
Lack of sleeping / Over- Causes: Sleeping
Anxiety / Depression
Vitamin D deficiency
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Non-Dietary
Sedentary Lifestyle • Under conditions of regular sun exposure, dietary intake is of
Lack of sleeping / Over- minor importance. Causes: Sleeping • Naturally only in a few foods: fish-liver oils, fatty fish, mushrooms, egg yolks, and liver. Anxiety / Depression • Fortified milk products and other fortified foods such as Vitamin D deficiency breakfast cereals and orange juice
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Non-Dietary
Sedentary Lifestyle • Promotes calcium absorption in the gut and maintains adequate serum calcium Lack of sleeping / Over- Causes: Sleeping • Other roles: modulation of cell growth, neuromuscular and immune function, and reduction Anxiety / Depression of inflammation
Vitamin D deficiency Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Non-Dietary
Sedentary Lifestyle • Corticosteroid medications can reduce calcium absorption and
Lack of sleeping / Over- impair vitamin D metabolism. Causes: Sleeping • Weight-loss drug orlistat & cholestyramine can reduce the absorption of vitamin D Anxiety / Depression • Phenobarbital & phenytoin increase the hepatic metabolism Vitamin D deficiency of vitamin D to inactive compounds and reduce calcium absorption
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Non-Dietary
Chronic Dehydration
Plastic Containers (Bisphenol- Causes: A - obesogen)
Eating too quickly / Improper Chewing
Medications
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Healthcae: OBESITY Body Mass Index
Screening tool to indicate whether a person is underweight, overweight, obese or a healthy weight for their height, but not accurate enough to be used Ho? as a diagnostic tool. Age-independent and the same for both sexes. BMI may not correspond to the same degree of body fat in different populations due to different body proportions.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Body Mass Index
The higher the BMI, the greater the risk of some diseases, including high blood pressure, coronary artery disease, stroke, osteoarthritis, some cancers, Ho? and type-2 diabetes. Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Body Mass Index
Formula: - Weight (kg) / Height (m)2 -(Weight (lbs.) x 703) / Height (inches)2 Ho?
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Body Mass Index
BMI is accepted as a reliable indicator of total body fat but it does have some limits. It may overestimate body fat in athletes and others Ho? who have a muscular build. It may underestimate body fat in older persons and others who have lost muscle mass.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Body Mass Index
Skinfold calipers are more accurate for measuring body fat if the person using the calipers has been properly trained. Ho? However this type of testing isn't as accurate in people who are very obese. It can't be used to measure the dangerous, deep belly fat, which isn't just under the skin.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
1962
1962 2018
United States obesity rate is 13%!
45% of U.S. adults are overweight! Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
1995
1962 2018
United States consumption of fast-food TRIPLED since 1977!
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
1997
1962 2018
James Cameron’s Titanic becomes highest grossing film.
The Dow Jones closes about 8,000 for the first time! The Notorious B.I.G. is killed in drive-by shooting.
United States obesity rate climbed to 19.4%!
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
2004
1962 2018
United States’s obesity rates reach 24.5%!
World Health Organization estimates at least 400 million adults are obese.
Women obesity rate is higher than men
The Boston Red Sox win the World Series!
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
2007
1962 2018
United States obesity rate climbs to 26.6%!
Barry Bonds breaks Hank Aaron’s Home Run record (756th)!
Dow Jones Industrial Average breaks 14,000! Nancy Pelosi becomes the 1st female Speaker of USHOR! Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
2008
1962 2018
United States obesity rate climbs to 33.8%!
WHO claimed 1.5 Billion adults (20 years and older) were overweight!
200 Million Men Obese / 300 Million Women Obese!
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
2009
1962 2018
Research links sugar consumption to the rising obesity
trend. Dr. Robert Lustig lectures on the Evils of Sugar in a 90
minute YouTube video which has over 3 Million views.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
2010
1962 2018
U.S. obesity rates reaching catastrophic levels at 35.7%!
Study: Financial Cost of Obesity direct obesity related medical expenses in America are $160 billion per year! Estimated indirect costs $450 billion per year!
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
2010
1962 2018
U.S. government effort to improve the health of Americans
by reducing obesity - Healthy People 2020
The initiative aimed to lower obesity rates to 14.5% among
youth and 30.5% among adults by 2020. Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
2012
1962 2018
Of all countries, the U.S. has the highest rate of obesity! 74.1% of people are overweight & 30% of those are obese!
70% of diagnosed heart disease cases are linked directly
to obesity, according to the American Heart Association
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
2016
1962 2018
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
2017
1962 2018
U.S> obesity rate is nearly 40% of adults & 19% of youth!
One in ten preschoolers aged 2-5, one in five children aged 6-11 and one in five adolescents aged 12-19 is
considered obese.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY
Sex Hormone Imbalance Increased Free Fatty Acids Mechanical Stress
Metabolic Syndrome
Insulin Resistance
Hypertension Sleep Apnea
Dyslipidemia
Osteoarthritis
Hormone Dependent Tumors Shortness of Breath Lower Back Pain
Type 2 Diabetes DISABILITY Cardiovascular Disease MORTALITY Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY
Sex Hormone Imbalance Hormone Dependent Tumors
• Less exercise, toxin absorption plus increased weight increases stress.
• Hormone production is then taken over by the adrenal gland.
• Cortisol (stress hormone) is then made from available progesterone; depleting the balancing hormone of estrogen.
• Prolonged cortisol leads to bone fractures, muscle depletion, decreases in strength & energy, lowers libido & decreases immunity. DISABILITY
MORTALITY
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY
Sex Hormone Imbalance Hormone Dependent Tumors
• This leads to the reduction of SHBG (sex hormone binding globulin, a protein that binds estrogen levels and keeps them out of circulation).
• Estrogen levels go up & become active, and stimulate the growth of breast cancer cells.
• Overweight or obese women have a 30-50% greater risk of postmenopausal breast cancer than leaner women.
• There is a strong link between obesity & breast cancer! DISABILITY MORTALITY
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Metabolic Syndrome
Insulin Resistance Increased Free Fatty Acids
• Insulin is produced by the pancreas that regulates the concentration of glucose in the blood.
• Insulin stimulates synthesis of fatty acids and glycogen, promotes mitochondrial function, improves microcirculation and induces cell proliferation.
• In obesity, there is a chronic and low grade inflammation that is involved in the pathogenesis of several chronic diseases. DISABILITY
MORTALITY
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Metabolic Syndrome
Insulin Resistance Increased Free Fatty Acids
• Inflammation is required for organ remodeling, tissue repairing, wound healing and immunity against infections.
• Obesity-associated inflammation starts in adipose tissue and liver with elevated macrophage infiltration and expression of pro-inflammatory cytokines.
• Inflammation inhibits the insulin signaling activity in adipocytes and hepatocytes through several mechanisms. DISABILITY MORTALITY Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Metabolic Syndrome
Insulin Resistance Increased Free Fatty Acids
Islet Beta-Cells Liver & Kidney
Insulin Secretion Insulin Clearance
Hyperinsulinemia
Insulin Resistance DISABILITY
MORTALITY
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Metabolic Syndrome
Insulin Resistance Increased Free Fatty Acids
• Insulin resistance is a prerequisite for the development of type-2 diabetes, and is associated with hypertension and dyslipidemia!
• FFA-induced insulin-resistance is compensated by FFA-mediated over- secretion of insulin in obese, healthy individuals.
• In pre-diabetic individuals, this compensation fails and the consequence of FFA induced insulin resistance will be type-2 diabetes. DISABILITY MORTALITY
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Metabolic Syndrome
Insulin Resistance Increased Free Fatty Acids
• This is why only ~50% of all obese, insulin resistant individuals, namely those who are unable to compensate, will develop type-2 diabetes during their lifetime.
Type 2 Diabetes DISABILITY
MORTALITY
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Metabolic Syndrome
Insulin Resistance Increased Free Fatty Acids
Type 2 Diabetes
• Approximately 90% of all cases of diabetes worldwide are type-2.
• Symptoms include: frequent urination, intense thirst and hunger, weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal, male sexual dysfunction, numbness and tingling in hands and feet.
• Diabetic Retinopathy affects blood vessels in the retina which causes vision loss, the leading cause of vision impairment and blindness among working- age adults. DISABILITY MORTALITY Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Metabolic Syndrome
Insulin Resistance Increased Free Fatty Acids Hypertension
• Free Fatty Acids induced insulin-resistance also reduces endothelial production of nitric oxide through protein kinase C (a family enzymes that are involved in controlling the function of other proteins) dependent activation of NAD(P)H oxidase (membrane-associated enzyme that catalyzes the production of free radicals)
• This activation results in increased production of ROS (reactive oxygen species) which causes oxidative stress.
• Oxidative stress precede the development of hypertension.DISABILITY MORTALITY
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Metabolic Syndrome
Insulin Resistance Increased Free Fatty Acids Hypertension
• Reactive oxygen species (ROS) enhances afferent arteriolar tone and reactivity of the tubulo-glomerular feedback in the kidney and relaxation of nitric oxide responses.
• Nitric oxide deficiency decreases vasodilatation and promotes the development of hypertension.
DISABILITY MORTALITY
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Metabolic Syndrome
Insulin Resistance Increased Free Fatty Acids Hypertension
Hypertension
• Blood pressure is the force exerted by the blood against the walls of the blood vessels.
• Normal: Less than 120/80 mm Hg
• Elevated: Systolic between 120-129 and diastolic less than 80
• Stage 1: Systolic between 130-139 or diastolic between 80-89 DISABILITY
MORTALITY
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Metabolic Syndrome
Insulin Resistance Increased Free Fatty Acids Hypertension
Hypertension
• Stage 2: Systolic at least 140 or diastolic at least 90 mm Hg
• Hypertensive crisis: Systolic over 180 and/or diastolic over 120, with patients needing prompt changes in medication if there are no other indications of problems, or immediate hospitalization if there are signs of organ damage.
DISABILITY MORTALITY Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Metabolic Syndrome
Insulin Resistance Increased Free Fatty Acids Hypertension
Hypertension
• Risk factors include:
• Age: The prevalence of hypertension was 29.0% and increased with age: age group 18–39, 7.5%; 40–59, 33.2%; and 60 and over, 63.1%.
• Ethnicity: Higher among non-Hispanic black (40.3%) than non-Hispanic white (27.8%), non-Hispanic Asian (25.0%), or Hispanic (27.8%) adults.
• Size and weight: Being overweight or obese is a key risk factor. DISABILITY
MORTALITY
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Healthcae: OBESITY Metabolic Syndrome
Insulin Resistance Increased Free Fatty Acids Hypertension
Hypertension
• Sex: The lifetime risk is the same for males and females, but men are more prone to hypertension at a younger age, while rates tend to be higher rate in women at older ages.
• Existing health conditions: Cardiovascular disease, chronic kidney disease, and high cholesterol levels.
• Smoking and alcohol use, physical inactivity salt-rich diet, poorly managed stress and family history. DISABILITY MORTALITY
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: LANDSCAPE
It started in 2007 with AthenaHealth went public!
Why? Proved that healthcare is viable sector for SaaS companies!
Sold to physician businesses & doctors to accept off-premises software!
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: LANDSCAPE
AthenaHealth achieved the ratios of customer-acquisition costs to long-term Why? value like other SaaS sectors! ALSO… Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: LANDSCAPE
The recession lost 8.8 Million U.S. jobs, yet healthcare employment grew 7.2%!
Why? In 2009, the HITECH Act gave doctors & hospitals ~$26 Billion to adopt EHRs.
AND…
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: LANDSCAPE
The PPACA required enormous amounts of data to create market efficiency, more Why? consumer-oriented products & services, AND evidence-based clinical care!
Move from fee-for-service care TO outcome-based care!
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
Big tech are entering the healthcare industry causing major shifts!
Who? $3 TRILLION industry
More advanced, AND convenient experience for healthcare professionals and patients!
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
The need for healthcare is rising, while there is a shortage of doctors and other Who? professionals! Global healthcare spending is expected to reach $8.7 TRILLION by 2020!
Diabetes is expected to affect 642 Million people by 2020! Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
U.S. population of 65 & older in 2060 is 98.2 Million! (23.6% of the population)
Who? Tech + Healthcare = Profits
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
Who?
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
2012-2017
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
Invested in Grail, a cancer detection startup.
Amazon Echo being tested as home healthcare tool.
Aiming to enhance distribution of medical supplies. Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
Partnered with Berkshire Hathaway & JP Morgan to form an independent healthcare company for 1.2 million combined employees.
Partnered with Merck to create Alexa skills.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
Watson Health Technology
IBM Cloud used for healthcare provider billing solutions.
Partnered with AMA to bring structure & best practices from fee-for-service to value-based care models.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
Most active tech company investing in healthcare!
Focus: Tackle age-related diseases.
Invested: Oscar Health & Practo Technologies
Co-Founded: Calico Life Sciences & Lift Labs.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
Invested: Clover Health (insurance company), Fulcrum Therapeutics (gene therapy) and SpyBiotech (vaccine development). Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
Invested in therapeutics: Stem Cell Transplantation (Magenta Therapeutics), Bacterial Infections (Spero Therapeutics) & Cancer Immunotherapies (Arcus Biosciences & Forty Seven).
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
Verily Life Sciences (Google’s Research Subsidiary) creates tools that uses health data to improve healthcare via analytics tools, interventions, research, and more.
Acquired Senosis Health - An app developer uses smartphone sensors to monitor health signals.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
Working with Nikon’s subsidiary Optos on Working with Moorfields Eye Hospital in detecting diabetic retinopathy. UK to improve eye disease research & assist ECPs in assessing the risk of a Working with Alcon & Novartis to combat patient’s eye problem. presbyopia by using contact lenses to help focus vision. (DELAYED) Google’s focus to use AI for: Alcon contact lens to monitor glucose. Eye Disease, Diabetes, Heart (Tears are not reliable source of monitoring glucose) Disease, Parkinson’s Disease
Partnered with Dexcom & Onduo for & Multiple Sclerosis! virtual diabetes management program. (Hardware, software & coaching)
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
September 2017 during Apple’s Keynote event Apple’s CEO Tim Cook stated, ”Health care is big for Apple’s future!”
Apple is capitalizing their best practice of “User Experience” and translating to patient experience with their control of both hardware & software. Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
“When you look at most of the solutions, whether it’s device, or things coming up out of Big Pharma, first & foremost, they are done to get the reimbursement (from the insurance provider.)”. Not thinking about the patient. So if you don’t care about reimbursement, which we have the privilege of doing, that may even make the smartphone market look small.”
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
1962 2013 2018
Apple filed a patent for a “wellness registry.”
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
1962 2014 2018
Apple launches HealthKit, which allows developers to create apps to interact with the Health App in iOS. HealthKit manages measurements such as: the amount of water consumers drink, UV exposure, and time sitting. Epic EHR was one of first companies to support HealthKit.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
1962 2015 2018
Apple enters the medical sector with ResearchKit. ResearchKit is an open source framework for building apps to enroll participants and conduct clinical studies by recruitment, scale data and streamlining informed consent. Patients can perform activities with the iPhone sensors to generate data. Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
1962 2016 2018
Apple launches CareKit, an open-source framework where developers can build apps that let consumers manage their own health. Consumers can regularly track their symptoms and medication, and share the information with their care team to monitor progress.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
1962 2016 2018
Apple hires Stephen Friend, MD (President & Co-Founder of Sage Bionetworks( to work on health projects. Apple hires Rajiv Kumar, MD (Pediatric Endocrinologist at Lucile Packard Children’s Hospital at Stanford University). He implemented HealthKit to manage diabetic patients.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
1962 2016 2018
Apple acquired Gliimpse, a health data start-up where consumers could manage and share their own medical records and information. Gliimpse collected the “breadcrumbs of health data” and pulled them all together in one platform.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
1962 2016 2018
Apple wanted the AI of Gliimpse that interpreted medical records and breaks them down and codes them in standardized languages. This code would make Apple products interact with hospital systems. Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
1962 2016 2018
Apple hires 2 more MDs. Rick Bloomfield, MD from Duke University who was the first to integrate HealthKit & Epic to track blood pressure and weight for cancer & cardiac patients. Mike Evans, MD from St. Michael’s Hospital in Toronto who became known from his YouTube channel from prescribing Apple Watch app for hypertension.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
1962 2017 2018
Apple acquired Beddit, a sleep tracking company to integrate with the Apple Watch wearable. The data from Beddit will sync to iPhone’s Health app. Apple hires Sumbul Desai, MD from Stanford and created ClickWell, a telemedicine program.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
1962 2017 2018
Apple started working with Health Gorilla, a medical data hub, to add diagnostic data to the iPhone’s Health app. Health Gorilla gives physicians a complete view of patient’s health history collect blood work data & lab tests from hospitals and imaging centers.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
1962 2017 2018
Apple acquired Lattice Data, Inc., which a “dark data” start-up. Data that is collected but not analyzed for insights or decision making is considered, “dark.” 90% of data that is collected from sensors never gets used. Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Technoogy: The Big Tech
1962 2017 2018
Lastly, Apple acquired SensorMotoric Instruments, a German company that designed eEye Tracking Glasses. It calculates eye movements and gaze from corneal reflections by infrared sources. Used for Augmented Reality.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Optoety: STRATEGIES
Traditionally focused: reimbursements, provider networks & disruptive technology.
Rising cost-of-care and lower Shot-tem reimbursement is a zero-sum game. No legislation where optometry cannot practice wellness.
Refer to nutritionists, dietitians & exercise specialists.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
Optoety: STRATEGIES
Negotiate with tech companies to manage care, obtain the subjective data that objective data cannot obtain. Log-tem Negotiate with medical plans to monitor wellness.
Provide additional value to patients with wellness, wearables & telemedicine.
Is Apple Stealing Healthcare from Optometry? COPE: 56336-PB
THANK YOU! Bryan M. Rogoff, OD, MBA, CPHM [email protected]