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Mark Cuban’s Suggestion to Do Regular Blood Tests

Posted on April 24, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’ve been really intrigued by the tweets from Mark Cuban and the response from many to his tweets from those in the healthcare IT community. Here’s a summary of the 3 tweets which ignited the discussion:

  1. If you can afford to have your blood tested for everything available, do it quarterly so you have a baseline of your own personal health
  2. create your own personal health profile and history. It will help you and create a base of knowledge for your children, their children, etc
  3. a big failing of medicine = we wait till we are sick to have our blood tested and compare the results to “comparable demographics”

My friends Dan Munro and Gregg Masters have both been writing a lot about the subject, but there are many others as well. They’ve been hammering Mark Cuban for “giving medical advice” to people when he’s not a doctor. I find these responses really ironic since many of the people who are railing against Mark Cuban are the same people who are calling for us to take part in the quantified self movement.

What I think these people who rail against Mark Cuban want to say is: Don’t misunderstand what Mark’s saying. More testing doesn’t always improve healthcare. In fact, more testing can often lead to a lot of unneeded healthcare.

This is a noble message that’s worthy of sharing. However, I think Mark Cuban understands this. That’s why one of his next tweets told people to get the tests, but don’t show the results to their doctors until they’re sick. In fact, Mark even suggests in his tweets that the history of all these tests could be beneficial to his children and their children. He also calls it a baseline. Mark’s not suggesting that people get these blood tests as a screening for something, but as a data store of health data that could be beneficial sometime in the future.

How is Mark Cuban storing the results of a bunch of blood tests any different than him storing the results from his fitbit or other health sensor?

One problem some people have pointed out is that if you’re doing these blood tests as a baseline, then what if the blood tests weren’t accurate? Then, you’d be making future medical decisions based on a bunch of incorrect data. This is an important point worth considering, but it’s true of any health history. Plus, how are we suppose to make these blood tests more accurate? If the Mark Cuban’s of the world want to be our guinea pigs and do all these blood tests, that’s fine with me. Having them interested in the data could lead to some breakthroughs in blood testing that we wouldn’t have discovered otherwise.

Along with improving the quality of the data the tests produce, it’s possible that having all of this data could help people discover something they wouldn’t have otherwise seen. Certainly any of these possible discoveries should go through the standard clinical trial process before being applied to patients broadly. However, researchers only have so much time and so many resources to commit to clinical trials. Could all the data from a wide swatch of blood tests better help a research identify which research or clinical trials are worth pursuing first? I think so.

For me it all goes back to the wide variety of health sensors that are hitting the market. A blood test is just a much more powerful test than many of the health sensors we see on the market today. So, the warning to be careful about what you read into all these blood tests is an incredibly important message. However, with that fair warning, I don’t see any problem with Mark’s suggestion. In fact, I think all of the extra data could lead to important discoveries that improve the quality of the tests and what measurements really matter.

This Week in Health Innovation and The Coming Mobile Health Startup Revolution

Posted on April 5, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

After the great experience many of us had at the Dell Healthcare Think Tank event, Gregg Masters asked if Shahid Shah (my partner in Influential Networks) and I would take part in an online interview he does called This Week in Health Innovation. This is one element of the Health Innovation Broadcast Consortium that Gregg and a few others have put together. We had a great 30 minute conversation about some of the major trends we saw happening in healthcare IT and then we even went into an overtime discussion for another 10 minutes. The time flew by in our discussion, but I think there were some really good nuggets shared in the interview. You can listen to the full interview in the embed below.

Listen to This Week in Health Innovation on Blog Talk Radio

I was also recently asked to do a guest blog post for the NYEC (New York eHealth Collaborative) blog. First, I have to say that I love that their blogging. Second, as many of you know, I’ve been participating in the Digital Health Conference in NYC that the NYEC puts on every year. It is a really great event.

With that background, I think that many of my readers will enjoy my guest post titled “The Coming Mobile Health Startup Revolution.” This is really coming, but I don’t think it’s going to come as most current mobile health people expect. A long series of incremental technology advancements have us prepped for an explosion of innovation in healthcare. I just hope that the healthcare structure doesn’t slow it down.

88 New ACO Organizations – What Does That Mean?

Posted on July 24, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

It has been a really interesting couple months for those interested in ACO’s (Accountable Care Organizations) and healthcare. I love how Gregg Masters of ACO Watch called the ACO the “Child of the ACA (Accountable Care Act).” He even declares the SCOTUS supreme court ruling as a big battle won for the ACO. I certainly can’t disagree with him when it comes to the government ACO initiatives. The loss of ACA would definitely hamper much of the government’s work on ACOs. Although, he also acknowledges that ACA is still up in the air pending the Presidential election. ACA is directly in the republican cross hairs.

Politics aside, the ACO program is going forward. CMS recently named 88 new Accountable Care Organizations (ACOs) that will take part in the Medicare Shared Saving Program (Originally it was 89 ACOs, but one organization dropped out).

You can see the full list of ACOs on the press release linked above, but I really like this image that The Advisory Board Company put together that shows the location of the various ACOs across the US (click image twice for full size):

I think this represents a pretty good distribution across the country. However, there are a few things that I find a bit disturbing about the organizations participating in the government ACO programs. The first is that many healthcare organizations that you think would be perfect fit for an ACO aren’t participating. Kaiser and IHC come to mind. I’ve heard that both organizations are very interested in ACOs, but not the government ACO programs. I think this is a bad sign for the government sponsored ACO programs.

The second is that only five of the ACOs applied for the version of the Medicare Shared Savings Program where they have a chance to earn a higher share of any savings, but they’ll also be accountable for any losses if the cost o the care increases. You might take a look back at my ACO Risks and Reward post. These five organizations have gone all in with the ACO program. With that said, I wonder why only five of them chose to participate in it? Shouldn’t we want more organizations to have some accountability and responsibility if they don’t improve care and lower costs?

As I have pointed out before, the ACO movement is happening and is not likely to slow down. Even if ACA or other government legislation is repealed, the move to ACOs is going to happen. With that knowledge and some of the comments above, it makes me wonder if the government should be the one funding an ACO initiative. Will their involvement help or hurt the overall ACO movement?

I’ll be interested to see how it goes for these new ACOs. As we’ve seen with EHR and meaningful use, we’ll have to be careful to filter through the messages coming out of CMS about the success or failure of the ACOs. As they progress we’re going to have to reach out to the ACOs and hear the first hand stories. If you’re an organization that’s participating, we’d love to hear your thoughts in the comments.