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Disruption in Health Care

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How leading firms are disrupting health care DISRUPTION IN HEALTH CARE MARKETINSIGHTS LEARN MORE | Visit AHA.org/center Some of America’s largest companies have made it their business to disrupt health care. And in 2019, six firms — Amazon, Apple, CVS Health/Aetna, Google/Alphabet, Walgreens and Walmart — took significant steps to im- prove efficiency and make high-quality care more accessible. The moves they made are significant not because of their scale or size, but because they appear to be early indicators of the companies’ longer-term ambitions in health care. The ramifications of these moves are likely to be felt in 2020 and beyond. aha.org/center/disruption LEARN MORE | Visit AHA.org/center 2020 FORESIGHT Keep an eye on whether Amazon expands insurance offerings to its vast customer base or develops an Amazon Prime health care program. Amazon‘s moves hint at future strategy RESHAPING HEALTH INSURANCE: Amazon began offering new health plans as a precursor to a much larger rollout that eventually could be offered to all Amazon for 2020 to its workers in Connecticut, North Carolina, Utah and Wisconsin. The employees and perhaps customers. 1 new plans were developed under the joint venture Haven Healthcare, which Amazon is funding, along with JPMorgan Chase and Berkshire Hathaway, in an effort A MACHINE LEARNING MOVE: Amazon rolled out its Textract machine- to cut health costs and improve quality. learning service, which automatically extracts selected text and data from 4 documents like insurance claims and medical charts. The service uses artificial DRAWING CLOSER TO CONSUMERS: In its first major health care company intelligence (AI) to identify text or data without clinician intervention. acquisition since buying PillPack, Amazon purchased online symptom checker 2 Health Navigator. The company offers online tools to help consumers check BETTING ON BLOCKCHAIN: Amazon Managed Blockchain, a service that en- symptoms to help with remote diagnoses and locate the most appropriate care ables health care organizations and those in other fields to create and manage setting. Amazon plans to offer Health Navigator to employees as part of its Amazon 5 scalable blockchain networks, launched in May. The service helps create and Care clinics. manage secure blockchain networks that can scale to support thousands of applica- tions running millions of transactions. ● VIRTUAL CARE PILOT LAUNCHES: Amazon Care, a virtual primary care pilot program, gave some of Amazon’s Seattle area employees and their families 3 quicker access to care without the need for appointments. Many see the pilot LEARN MORE | Visit AHA.org/center 2020 FORESIGHT As Apple gathers experience and data from its current studies, it may gain a significant market advantage for its personalized Apple Watch device and apps. Apple expands consumer access to health records MAKING HEALTH RECORDS MORE ACCESSIBLE: After achieving promising NEW RESEARCH APP LAUNCHES: Working with leading medical institu- results in a study with UC San Diego Health Apple Health Records users, Apple tions, Apple launched a new health research app that allows Apple Watch 1 gave nearly 5 million University of California Health network patients the ability 3 users to volunteer to provide health-related data collected by both the Watch to download their medical data onto their Apple smartphones. The patients now can and the Apple Health app. Apple began three health studies to examine whether the access medications, lab results and other vital information from third-party apps like Apple Watch can monitor hearing, women’s health, heart health and mobility. ● those that monitor glucose and track fertility. Working with the Department of Veter- ans Affairs, Apple also began offering millions of U.S. veterans the ability to access their health records through the tech giant’s health records feature on the iPhone. More than 400 provider organizations, laboratory networks and electronic health records (EHRs) vendors now use the iPhone’s health records feature. PERSONALIZING THE APPLE WATCH APP: Apple teamed with Aetna to develop a personal Apple Watch app designed to help improve the health 2 and well-being of Aetna members. The Attain app lets users set personalized goals, track activity levels and recommends healthy behaviors and actions. LEARN MORE | Visit AHA.org/center 2020 FORESIGHT With its acquisition of Aetna now com- plete, CVS Health will become a much more powerful force in disrupting health care. CVS Health transforms consumer experience BETTING BIG ON HealthHUBS: After piloting three HealthHUB locations in discount on CVS Health brand products, plus access to a 24/7 pharmacist helpline. Houston, CVS Health announced it would expand the concept to 1,500 of its 1stores across the U.S. within three years. HealthHUB locations dedicate more ADDRESSING SOCIAL DETERMINANTS: CVS Health and the Aetna Founda- than 20% of stores to health services that include durable medical equipment, sup- tion expanded their work on social determinants of health by leveraging CVS’ plies and various new product and service combinations. 4 Destination: Health platform. The initiative with the Aetna Foundation includes new partnerships, tools and investments designed to address social factors that have AN EARLY STEP INTO IN-HOME DIALYSIS: CVS Health in July announced a negative impact on health. In one move, Aetna is teaming with Unite Us, a social plans for a clinical trial of its new home dialysis system. CVS’ HemoCare care coordination platform, to increase access to social supports for dual-eligible 2 Hemodialysis system trial for the administration of home hemodialysis will members. The companies also are exploring other ways to integrate their platforms, involve up to 70 patients at 10 sites. including potentially in CVS Health retail clinics. ● SPECIAL DELIVERY: In a move many considered a response to Amazon Prime and the company’s acquisition of PillPack, CVS Health expanded its 3 CarePass program nationwide. The CarePass program benefits include free one- or two-day delivery on most prescription medications and purchases and a LEARN MORE | Visit AHA.org/center 2020 FORESIGHT Google’s partner- ships with providers and other health care organizations bear watching as HIPAA challenges emerge over how patient data are used. Google partners with providers to expand into health care A DIGITAL DIAGNOSTICS PARTNERSHIP: Mayo Clinic in Rochester, Minn., AN AI-POWERED PARTNERSHIP: Suki, a voice-enabled digital assistant pow- entered into a 10-year strategic partnership with Google to have the tech giant ered with AI, began a partnership with Google’s cloud computing business 1 streamline its digital operations. The organizations are trying to spur new inno- 3 that will help the startup rapidly expand its use cases from clinical documen- vations for care delivery at the health system and beyond. Mayo will leverage Goo- tation to include data queries, ordering, prescribing and billing. This could help free gle’s AI and machine-learning capabilities to advance its digital diagnostics, augment up physicians to focus more on direct patient care. Google will integrate Suki into its its ability to conduct medical research, and improve treatment precision and clinical Cloud Partner Advantage Program, giving the startup access to the cloud computing outcomes. division’s tech and AI services. ACQUIRING FITBIT: Alphabet, the parent company of Google, announced that BUILDING A PREDICTIVE ANALYTICS PLATFORM: Google applied for a pat- it would buy wearable fitness activity tracker maker Fitbit for $2.1 billion. Fitbit ent for a deep-learning system that aggregates EHR data into a timeline that 2 founder and CEO James Park said that with Google’s resources and platform, 4 can be used to predict potential adverse events. The system consists of three his company would be able to accelerate innovation in wearable devices, scale faster parts: a computer memory bank that can aggregate EHR data from vast numbers and make health more accessible to everyone. of patients; a computer that executes deep learning on those records in a standard- ized data structure format; and a clinical interface that displays relevant facts from a patient’s history and predicts future clinical events. ● LEARN MORE | Visit AHA.org/center 2020 FORESIGHT With a growing number of financial challenges, 2020 will be a pivotal year in determining whether Walgreens can be key health care disruptor going forward. Walgreens reshapes its health care strategy STRATEGY SHIFTS FOR IN-STORE CLINICS: After garnering huge interest PARTNERING ON SENIOR CARE: Humana and Walgreens expanded their over its earlier move to enter the walk-in clinic business, Walgreens Boots Alli- joint venture of delivering senior health clinics to more locations. The retailer 1 ance in October said it would close nearly 160 of its in-store health clinics that 3 and the payer made the decision after piloting a program in the Kansas City the company ran itself, while keeping 220 clinics that are run by local health systems. market. The expansion includes three more Partners in Primary Care centers in The decision was seen as a cost-cutting move as the company continued to evaluate Walgreens stores, each staffed by a board-certified physician and supported by care its health care strategy. teams that include registered nurse “care coaches,” behavioral health specialists and social workers. ESTABLISHING MEDICARE SERVICE CENTERS: In a new multiyear partner- ship, Walgreens Boots Alliance and UnitedHealth Group’s health insurance unit EXPANDING ITS DIGITAL MARKETPLACE: Walgreens expanded its Find 2 said they would open 14 Medicare service centers inside Walgreens stores in Care digital marketplace with new tools from Propeller Health and Dexcom to five metropolitan areas in January 2020. The centers will enable customers to learn 4 help individuals manage respiratory and metabolic diseases. Walgreens cus- more about Medicare, meet with service advocates to discuss their UnitedHealth- tomers now can sign up to receive Dexcom G6 CGM and Propeller’s inhaler sensor care plan benefits and enroll in the plans.
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