Anonymous ID: f5df46 Feb. 24, 2019, 10:11 p.m. No.5372676   🗄️.is 🔗kun   >>2728

Feb 21, 2019 Unsealed court testimony shows Amazon-led health venture focusing on insurance complexity

Unsealed testimony in Optum’s lawsuit against a former employee now working for Amazon, JPMorgan Chase, and Berkshire Hathaway’s healthcare venture reveals a new look at the secretive company’s plans.

 

At a hearing in the case on Jan. 31, chief operating officer of the joint venture—referred to as ABC in court documents—Jack Stoddard testified that one of its key focuses is addressing insurance complexity.

 

“It's very difficult for the employees when we talk to them to be able to understand what's covered, to afford their coverage,” he said. “These are fulfillment center workers. These are call center workers.”

 

He said ABC is, at present, focusing on solutions for employees and dependents who receive coverage through Amazon, JPMorgan or Berkshire's company plans—about 1 million members total. As the team studies how these employees are using their health plans, ABC is likely to significantly overhaul benefit design, he said.

 

The testimony was previously sealed to avoid the release of confidential information about the company. It was made public following a motion filed by attorneys representing STAT and The Wall Street Journal. It appeared to be resealed on Thursday.

 

Optum filed suit last month against David Smith, a former executive who joined the joint venture late last year, saying that Smith stole trade secrets and brought them to the new company. Stoddard, who is also a veteran of Optum, disputed that claim, saying that the nascent company isn’t a competitor.

 

Smith, who previously worked as an analyst at Bain & Company, will focus on filling data gaps and using that data to identify ways that the company can address the complexities of employees’ health plans. Stoddard said Smith is not working on pharmacy benefit management, specifically to avoid a conflict of interest with his previous work at Optum.

 

Smith works under a noncompete agreement with his former employer.

 

"We have no plans to go in and compete in that space,” Stoddard said. “But we will look and say, could we contract with one of them to get more transparency? Can we actually understand what costs are?”

 

The court case has highlighted just how few details have emerged about what ABC intends to do—and just how much the industry is on tenterhooks to learn more because of the threat it poses as a competitor and disrupter.

 

In addition to making insurance easier for Amazon, JPMorgan and BH employees to understand, the venture is also looking to make primary care a priority, Stoddard said in his testimony.

 

Stakeholders have argued that investing in primary care is crucial to reducing healthcare costs and boosting outcomes for populations. Stoddard said that ABC views Optum as a potential partner, not a competitor, in this effort.

 

“We are looking at how do we make primary care more central in healthcare, how do we make it easier for doctors to do good care and to spend more time, not less time,” he said. “Because today they don't get to spend enough time with patients.”

 

https://www.fiercehealthcare.com/payer/unsealed-court-testimony-shows-amazon-jpmorgan-berkshire-hathway-venture-focusing-insurance

 

Hospital executives believe Amazon can deliver on its hype as a healthcare disrupter

 

https://www.fiercehealthcare.com/tech/provider-executives-survey-amazon-ceos-reaction-data-apple-google-telemedicine-mergers

Anonymous ID: f5df46 Feb. 24, 2019, 10:19 p.m. No.5372728   🗄️.is 🔗kun

>>5372676

Related

Unsealed transcripts shed light on Berkmorgazon plans

 

— What’s the standard standard?: One newer controversy: which version of FHIR should be used? HITAC member Ken Kawamoto, a senior medical informatician at University of Utah Health, asked ONC officials why they had decided to use release 2.2 of the FHIR standard for their certification update instead of the more recent release 4, which HL7 says will be more permanent and stable. Kawamoto said that 2.2, used by Argonaut and Apple, is a “members only” standard with no potential for public comment. “That could be problematic,” he said.

 

An ONC official said the agency wanted to select a market-driven standard and that for now that was release 2.2. At HIMSS last week, some experts also raised questions about version 2.2, saying it was not interoperable with version 4. “People are going to buy FHIR thinking everything is interoperable. But FHIR isn’t always interoperable with FHIR,” said Mario Hyland of IT consultant Aegis.

 

“While I don’t blame ONC for hewing toward the well-established R2, I would not be surprised if in the public debate there is enough enthusiasm and industry commitment to R4 that we are all pleasantly surprised and choose to surge toward R4, rather than being more conservative,” said Kenneth Mandl of Harvard and Boston Children’s Hospital, one of the creators of SMART on FHIR API standard.

 

https://www.politico.com/newsletters/morning-ehealth/2019/02/21/unsealed-transcripts-shed-light-on-berkmorgazon-plans-397745

Anonymous ID: f5df46 Feb. 24, 2019, 10:33 p.m. No.5372834   🗄️.is 🔗kun

2/19 Video to be unsealed; Sheriff given chance to make security-related redactions

SAN JUAN: Judge Don Eaton ruled Tuesday, February 19, 2019 that the video that shows the District Court security camera zooming in on defense attorney's papers during the trial of Dustin Schible should be unsealed.

 

He wrote: The Court's decision to grant Defendant's Motion To Dismiss was based in large part on the fact that the video recording clearly indicated that a State actor intentionally manipulated the security camera in a way that unequivocally evidenced an effort to view defense counsel's notes, which are protected work product. That intentionality is not nearly as evident when viewing only the screenshots."

https://sanjuanislander.com/news-articles/law-enforcement/28790/video-to-be-unsealed-sheriff-given-chance-to-make-security-related-retractions