The digital health space refers to the integration of technology and health care services to improve the overall quality of health care delivery. It encompasses a wide range of innovative and emerging technologies such as wearables, telehealth, artificial intelligence, mobile health, and electronic health records (EHRs). The digital health space offers numerous benefits such as improved patient outcomes, increased access to health care, reduced costs, and improved communication and collaboration between patients and health care providers. For example, patients can now monitor their vital signs such as blood pressure and glucose levels from home using wearable devices and share the data with their doctors in real-time. Telehealth technology allows patients to consult with their health care providers remotely without having to travel to the hospital, making health care more accessible, particularly in remote or rural areas. Artificial intelligence can be used to analyze vast amounts of patient data to identify patterns, predict outcomes, and provide personalized treatment recommendations. Overall, the digital health space is rapidly evolving, and the integration of technology in health

Sunday, May 17, 2015

Teladoc plans to file for IPO, sues to stop Texas Medical Board rule

Fast-growing Teladoc, a Dallas-based telehealth company, has taken a step toward filing for an initial public offering despite a recent Texas Medical Board ruling that went against the company’s business model.




Telehealth’s time has come,' as Teladoc nabs $50M to amp up growth

Teladoc also today filed an antitrust lawsuit in the U.S. District Court for the Western District of Texas against the medical board and its members to prevent a new rule from taking effect that would restrict the practice of telehealth.
Jason Gorevich, President and CEO of Teladoc

Teladoc filed a confidential Form S-1 with theSecurities and Exchange Commission and expressed an intention to file an IPO after the SEC’s review process, according to a statement from the company. The number of shares of common stock to be sold and the price range for the proposed offering have not yet been determined, the statement said.


Texas Medical Board voted April 10 to adopt new rules limiting physicians who treat patients over the phone, video or online. The ruling could have severe implications for Teladoc, which conducts a substantial amount of its business in its home state.
The rules, which take effect this summer,require a face-to-face visit or an in-person evaluation to establish the doctor-patient relationship before the physician can diagnose or prescribe drugs to a patient. The new rules have been the subject of four years of debate and lawsuits.
State Medical Boards are entrenched in protecting regulations in each state. Telemedicine offers great potential for rural areas where there are great distances to physicians and hospitals.   Regulatory agencies must shift gears to accomodate new technology to maximize gains promised by the affordable care act.
What is the difference between a patient calling their insurance company hotline for recommendations (offered by a nurse or physician assistant, and a teleconference with a real physicians. (None).  The first is legal and has  never been challenged.

An issue with Teladoc is that it's service is linked to 'Freshbenies, a web site that promotes Rx Discount Cards as well as other partner sites. (erratum)
Texas is a large state with great distances between cities, patients and hospitals. 
Access to physicians and/or hospitals is very different in states such as Connecticut, Rhode  Island, New York, or New Jersey and the Washington D.C. metor area.
If the rule change takes effect this summer, it will represent a huge step backward for Texas," a statement from Teladoc says. "California, Colorado, North Carolina, Kentucky, Virginia and dozens of other states have found solutions that embrace telehealth, and all of its benefits, while ensuring patient safety. 

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