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Blockchain thoughts. AR in the lab. Walmart patent.
CB Insights celebration

Block buster

I'm doing some research for our upcoming blockchain + healthcare research briefing.

A few things I've noticed:

1) Most companies applying blockchain technology to healthcare correctly identify many of the problems of the healthcare system that should be solved (e.g. "blockchain can enable interoperability and price transparency"). However, most of these companies don't address the fact that many of the "bugs" in the healthcare system are deliberate, and existing institutions have a vested interest to not fix them. It's not a technology problem in most instances.

The real question is whether blockchain technology can enable new models that actually incentivize stakeholders to WANT to join a system that promotes interoperability (which is where token models might become interesting in the future).



2) Companies are trying to hop into a fully decentralized system immediately. This is unlikely to happen right now – the hand-off from a decentralized to a centralized system will be extremely bumpy + people that deliver good care are not going to want to jump into completely unproven models. Plus, more importantly, data standards have not yet proliferated in healthcare – you can't execute things like smart contracts if people aren't adhering to the same standards. A sizable portion of administrative labor in healthcare is dedicated to moving information from point A to B in a format understood by both parties (like a phone call or fax, god forbid.) Until this is fixed we need projects with some amount of centralization to at least handle coordination.

If the above sounds like gibberish, we updated our "What Is Blockchain?" explainer with smart contracts, decentralized ledgers, and more.



3) A lot of the initial consumer-facing applications have been focused on wellness tokens and paying people to exercise. I'm not sure I understand why you need a digital currency for this, or why a consumer wouldn't prefer USD or any fiat currency which is less volatile and more usable. I also think companies that attempt this as a business will fall into the same wellness trap issue where ALREADY healthy people end up using the system much more than people who were previously unhealthy.



That being said, the number of blockchain-based consumer applications with actual users is nominal so even having users is impressive.

The full blockchain healthcare briefing will happen on Thursday the 27th at 1 PM, make sure to sign up.

For expert research clients, we looked at 7 other projects bringing blockchain to healthcare. See them here.



Pharmville

One of the blockchain applications we're cautiously optimistic about is traceability in the pharma supply chain thanks to new regulations from the Drug Supply Chain Security Act. But before you can understand how blockchain can help, you have to understand how the supply chain works.

We broke down the pharmaceutical supply chain, the players, and the flow of money in our new research brief. Check it out.



Stay healthy,

Nikhil
@nikillinit

P.S. if you have any interesting blockchain + healthcare pieces to read, send 'em my way.

Deal Spotlight

Apprentice.io raised $8M for an augmented reality (AR) platform for pharma/biotech labs. The company uses smart eyewear to record actions, give instructions, and provide telepresence support.



As we've talked about before, AR + new user interface (gesture, voice, etc.) are particularly good for healthcare where you're in hands-free environments quite a bit. Additionally, video recordings provide auditability and reproducibility for procedures, experiments, etc.

AR as a whole is going to rapidly see use cases take off as AR-specific hardware starts entering the markets and software developer platforms become better (e.g. Apples ARKit, Google's ARCore, etc.). There's a lot of low-hanging fruit that can be solved with pretty simple augmented reality solutions before getting to the more ambitious solutions that involve patients. Pharma manufacturing is a good example. 

The immediate utility is also a great foot in the door for larger ambitions. Those recorded video banks are also super valuable to apply machine vision to and find new use cases later, with easy distribution of new applications once a lab is already on the platform. Start with fixing a simple problem, expand usage later as the tech gets better.
Patent Spotlight

Our patent database unearthed Walmart's recent filing for a patent to capture biometrics (heart rate, temperature, grip strength, etc.) from shopping carts.

This shopping cart can detect the exact moment my heart flutters upon seeing Ben & Jerry's "Americone Dream."


The patent mostly talks about using this to see when customers might need help, or seeing if a collection of customers heart rates go up which might indicate and accident or spill. The patent does talk about potentially alerting employees to an emergency medical situation.

I don't think this shopping cart is going to revolutionize healthcare, but it's interesting to see Walmart finding ways to potentially create nudges for people within the store (maybe even to its in-store clinics). One of the benefits of bringing healthcare to everyday areas is that you can use small nudges as reminders to get care, which might conveniently be on site. 

See the full patent write up here. 

CB Insights Hits
 

What Is Blockchain Technology?

Few people understand what it is, but Wall Street banks, IT organizations, and consultants are buzzing about blockchain technology. It's hard to remove blockchain from Bitcoin, so we'll start with Bitcoin as we work to understand this technology's potential. See the explainer.
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7 Startups Bringing Blockchain To Healthcare (Expert Intelligence)

Blockchains and distributed ledgers are being piloted across the healthcare value chain. We take a look at some of the startups to watch in the space. See the startups.
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The Way Drugs Are Sold & Distributed Is Opaque, Inefficient, & Costly. Here’s How Companies Are Trying To Fix That.

From larger entities taking on multiple roles in the drug supply chain — as seen with insurer Cigna's purchase of benefits manager Express Scripts — to new tech startups simplifying drug distribution, here's how the complex pharmaceuticals market is changing. See the analysis.
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Walmart Patent Wants To Monitor Your Health & Stress Levels While You Shop

Walmart aims to use biometric shopping handles to track customers' heart rates, temperatures, and stress levels. See the patent.
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Interesting Reads Of The Week

Saving mothers’ lives. Laura Ungar explores why the U.S. maternal death rate is the among the highest in the developed world and specifically, where states are failing here. With more than 100 reports published by state panels, she illustrates how states can stop harms and deaths from continuing to climb. 
USA Today

Why your DNA is still uncharted territory. Carl Zimmer discusses why there’s still DNA that has yet to be the subject of a single dedicated paper – in fact, nearly 5,400 out of the ~20,000 protein-coding genes haven’t been. With the attention largely focused on previously studied genes, some researchers remain concerned that the current pace may “stymie advances in medicine.”
New York Times

Re-creating the 1950s. Sumathi Reddy reports on a new care facility for dementia patients that resembles a town from the 1950s. Centered around the idea of reminiscence therapy, the Glenner Town Square facility is geared towards patients in early to moderate stages of dementia in the hopes of improving their overall quality of life.
Wall Street Journal
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