Author: Ki Mae Heussner

  • NovoEd, another Stanford MOOC startup, opens small-group learning services to public

    In an online class of 80,000 students, breaking up into small groups is no easy task — as we saw from a suspended Coursera class earlier this year (that tried to use a Google doc to create groups), it can lead to confusion and technical glitches.

    But a new startup called NovoEd wants to build on the massive open online course (MOOC) phenomenon with a service that puts collaboration and team learning at the center of the student experience.

    Starting Monday it will open up to the general public with seven courses and, going forward, it said it plans to partner with other universities. For the past year, the startup, which is backed by investors including Costanoa Ventures, Foundation Capital, Kapor Capital, Learn Capital, Maveron, and Ulu Ventures, has been used at Stanford University.

    Like Coursera and Udacity – two of the startups leading the MOOC movement – NovoEd was also launched by Stanford professors. Co-founder and CEO Amin Saberi, an associate professor of management science and engineering, said he started creating the service last year, after a colleague said she wanted to put an entrepreneurship class online but couldn’t find a service that supported her pedagogical style.

    While existing MOOC services may work for classes that focus on mastery learning, like computer science, Saberi said, many teachers want a better way to teach subjects like entrepreneurship and creativity online.

    In those classes, it’s not just about watching a video of professor and then doing the work alone, he said, “It’s about peer learning, social learning – it’s collaborative and experiential. In the transition from brick and mortar to online, you shouldn’t strip away these aspects, you can use the social web to amplify them.”

    Over four weekends, Saberi said he and a student came up with an approach that brings social networking techniques to online learning. When students first join the course, they’re automatically assigned to small groups (of less than 10) based on their experiences and locations. As the group works together, each team member is asked to rate their peers, which informs each person’s “Team Rank” score. Later in the course, students are asked to form groups organically and those scores can help students recruit and build teams.

    Because the entire experience is more social and students feel accountable to their peers, Saberi said, NovoEd sees higher engagement rates than other MOOCs. For example, in its first class, of the 80,000 students who enrolled in the class, 37,000 said they would do the group project and 10,000 ultimately finished the project and the course. Most MOOCs have a 10 percent completion rate, but NovoEd says theirs is closer to 13 percent or higher.

    More importantly, the startup says, students don’t sacrifice the chance to work on the group learning, leadership and critical thinking skills that develop in offline classes.

    Schools that already partner with other MOOC startups, like Coursera, Udacity or edX, might not want to evaluate and work with yet another online course provider. But Saberi said that the online higher education space is very big and schools are still in the early days of experimenting.  While the startup is exploring different revenue models, he said that one possibility is charging students for certificates, a strategy already adopted by other MOOC providers.

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  • Udemy adds revenue stream with private online learning sites for companies

    Ambitious individuals who want to bulk up on new skills can turn to online learning site Udemy for lessons on everything from web development and programming to accounting and entrepreneurship. And it might not be long before their employers start picking up the tab.

    Next week at the Arizona State University/Global Silicon Valley Education Innovation Summit, the online learning startup plans to launch a new corporate training program that enables companies to create private online learning sites for their employees.

    “The general idea here is that, ultimately, employers and managers can work with their team members to develop individual learning plans,” said Dennis Yang, Udemy’s COO.

    Since launching in 2010, the company has focused on individuals, with a site that enables anyone to create an online course and then sell it or offer it to students for free. But expanding into corporate training opens up a new and potentially big revenue stream for the company.

    Veteran online learning site lynda.com, for example, has built a profitable business by collecting subscription fees from individuals and corporate clients. It’s also an area that other new online learning sites, like Codecademy or Skillshare, could ultimately look to for money-making opportunities.

    With the new program, corporate clients can select content from Udemy’s library of 7,000 premium and free courses and provide it to employees through a secure site bearing the company’s branding. They can also use Udemy to create their own online courses and view analytics on employee activity and performance.

    To start, the company said it will waive access fees, so corporate clients only pay for the cost of the content. Yang said that, for now, it offers corporations bulk purchasing discounts but will ultimately offer subscription pricing.

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  • Why do people who won’t eat without checking Yelp ignore their doctor’s ratings?

    From consumer health sites like ZocDoc and Vitals, to ratings agencies like Consumer Reports, consumers have plenty of options when it comes to finding reviews about doctors, hospitals, health plans and medication. But while reviews and ratings are beginning to help guide patients’ decisions and give providers feedback, a report out this week from PricewaterhouseCoopers shows that most people aren’t taking their medicine.

    According to the report, 48 percent of the 1,000 individuals surveyed (who represent the U.S. demographic population) said that they read health care reviews online, while just 24 percent have written a review. Of those that have read reviews, 68 percent said that they used them to choose where to get health care.

    It’s worth noting that those numbers are much higher than ones released by the Pew Internet & American Life Project in a report earlier this year. According to Pew, just one in five Americans have consulted online reviews for treatments or drugs, doctors, or other providers.  And just three to four percent have posted reviews of their own.

    The PwC report included reviews for health plans, which the Pew report didn’t, and PwC asked more specific questions about a wider set of health review sources, which could have partly contributed to the difference in their findings.

    But both reports point out that despite consumers’ willingness to use reviews to guide other big purchasing decision (Pew says 8 in 10 Internet users consult reviews), they generally don’t bring that same approach to health care.

    According to PwC, some of the reasons for the slow uptake include:

    • Too many options – Consumers may find it too difficult to sift through all the various sites and may not know how to identify the most accurate information.
    • Personal relationships trump individual reviews – Research has shown that when it comes to relationships with advisors, like doctors and financial advisors, people weigh trust over reviews.
    • The perception that they don’t have a choice – Potentially because of the complexity of the health care system and the recognition that health plans can limit their options, many consumers don’t believe that they have the ability to choose their hospitals. But as consumers shift to high-deductible plans, that perception is changing — and as they begin to enroll in state health exchange this fall, it will change even more, the report said.
    • Few trusted sources – Consumer Reports topped the PwC’s list of sources for health care reviews but, for the most part, patients don’t know where to turn for the most reliable information.

    Choosing which doctor to see for a chronic condition or which hospital to use for a serious procedure are obviously far more complicated decisions than picking a restaurant for dinner or a new television for your living room. So it’s understandable that people may be more reticent to use health care reviews and ratings.

    But as consumers continue to play a bigger role in health care decisions, they will need more transparency and information about services and providers, as well as better mechanisms for getting their voices heard. As ratings and reviews in health care mature, they’ll need to adapt to fit the industry –  for example, PwC recommends giving patients the option to search by “patients like me” or providing customer service representatives to help consumers navigate through information and make decisions.

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  • From animated animals to algorithmic art: Tynker wants to turn kids into creative coders

    Bill Gates’ first program may have been for tic-tac-toe, but the next generation of tech titans is getting a chance to learn coding by building projects that are even more creative – and colorful.

    Over the past few months, Mountain View, Calif.-based Tynker has been piloting its visual programming language with about 25 elementary and middle schools in the Bay Area. On Thursday, the startup said it was opening up its product to teachers across the country.

    Inspired by Scratch, a visual programming language developed at MIT, as well as SNAP!, another programming language based on Scratch and created at Berkeley, Tynker gives kids an engaging web-based way for learning the concepts behind coding.

    Instead of learning to program by staring at this:

    computer code

    Kids using Tynker, learn with this:

    Tynker coding

    That drag-and-drop approach, in which kids code by connecting colorful, digital blocks in a Lego-like way, was first developed by Scratch. The language launched in 2007 and has inspired an active community of young coders around the world (its website says kids around the world have created more than 3 million projects with Scratch).

    “Today’s kids are exposed to so much technology – from the Internet to YouTube to Google to mobile technology – that the become passive consumers,” said Krishna Vedati, Tynker’s co-founder and CEO. “We want to make the active makers and creators.” The company, which launched in 20120, has raised $3.45 million in angel funding from investors including Felicis Ventures, 500 Startups, New School Ventures, New Enterprise Associates and GSV Capital.

    Other companies have also built on the Scratch concept with visual programming languages intended to help kids learn or make coding more accessible to a wider audience, including Hopscotch, which takes a mobile app approach to teaching young students, and Google’s Blockly.

    But Vedati said Tynker was built on HTML5 standards so that it can be used in any browser without needing Flash, and it added a physics engine and other programming concepts. He also said that instead of just providing kids with a visual language and an open playground for building, Tynker includes a tutoring system that guides students through the different concepts and it tests them along the way, with interactive puzzles.

    “It understands where kids are in terms of proficiency and then gives them the next level of content,” he said.

    Kids start with the basics – like learning how to make a cartoon dog walk 10 steps across the screen or how to make an animated butterfly follow the cursor.

    tynker butterfly

    But, over time, they can learn to construct stories, build games and interactive cards and create flower-like images based on fractals. As they move beyond elementary school and middle school, Vedati said, the program transitions them out of a visual programming language into traditional Javascript.

    Tynker fractal tree

    Given how little computer science education is offered in schools – according to the non-profit Code.org, less than 2 percent of students study programing and it’s not even offered at 90 percent of U.S. schools – Tynker is starting with the education market, not parents (although that will come later).  It has developed a curriculum, which it beta-tested with teachers already teaching basic programming. And it provides teachers with classroom management tools that enable them to monitor students’ progress, assign lessons and grade projects. Because it’s a cloud-based program, kids can work on projects at school and at home.

    The standard product, which schools can use in dedicated computer science classes, after-school or lunch clubs or as part of math and science classes, is free to schools. It also offers a premium version that gives teachers access to advanced lesson plans and puzzles, the capability to view how entire classes, as well as individual students, are progressing, and a bigger media library for more extensive programs. While Vedati declined to provide specifics on pricing, he said it will be “well below” the $130 price tag of the average textbook and will depend on the number of seats purchased for a class.

    “[It’s] a system that helps kids, in a guided way, to address the complexity of programming, so they can go from crawl to walk to run mode,” Vedati said.  “It takes into consideration how kids learn in a classroom and what happens outside of the classroom [so] they can explore their creativity and their own ideas.”

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  • athenahealth and Mashery team up for health developer-friendly API initiative

    If you know anything about health IT, it’s probably that the industry is full of outdated systems that are cumbersome to use, difficult to access and mostly indisposed to sharing information. Some electronic medical records (EMR) providers have begun to open up their data with developer challenges but, for the most part, as athenahealth’s Kyle Armbrester puts it, “it’s in the dark ages.”

    For the past two years, the EMR company, which was co-founded by the country’s CTO Todd Park (before his Washington, DC career), has tried to encourage more openness and innovation with hackathons and conferences through its “More Disruption Please” campaign. But this week, the company said it’s taking its biggest pro-developer step yet with an API (application programming interface) initiative launched in partnership with API management company Mashery.

    “Our point of view is that the largest barrier to entry for a lot [health companies] is access to physicians and access to their work flow,” said Armbrester, the company’s director of business development. “What we really want to do is expose APIs and let people build things.”

    Starting this week, developers and providers will be able to access APIs that connect to athenahealth’s network of 40,000 providers nationwide.  With access to doctors’ appointment data, patient’s medical history (anonymized , billing information and more, the company hopes developers will be able to create an ecosystem of apps on top of athenahealth’s EMR service in the same way that third-party developers have created apps on top of Facebook’s Open Graph.

    Possible apps could help doctors with scheduling, sharing information with other practices, communicating with patients and getting patients to stick to their treatment plans, Armbrester said.

    The next step, he added, is the creation of an Apple-like app store where physicians can pick and choose the apps most relevant to their needs. Other EMR providers, including Allscripts and Greenway, have also opened up their APIs to developers and created app marketplaces. But Armbrester said that unlike most traditional health care companies, athenahealth’s multi-tenant cloud-based architecture means that it can roll out application updates to all providers at once.

    While the industry has been mostly slow to open up to third-party developers, others have started innovating from the outside. The SMART (Substitutable Medical Applications & Reusable Technology) Platforms Project, led by doctors at Harvard Medical School and Boston Children’s Hospital, is creating an ecosystem of apps that can be layered on top of existing EMRs. Once a vendor or hospital IT department implements a software container, hospitals can install SMART apps, which include interactive growth charts for pediatricians, and cardiovascular risk assessments for cardiologists. Last month, mobile API company Apigee said it was creating an API exchange that could be used in health care to help developers write one app that could be used across different hospitals and health organizations.

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  • Simplee goes mobile to help you figure out medical payments at the doctor’s office

    Simplee, a Palo Alto, Calif., startup with a Mint-like approach to managing medical expenses, is bringing its service to mobile. Through a new iOS app, launched Thursday, users can view a breakdown of their medical bills, outstanding claims and deductible coverage, as well as pay their bills directly from their smartphones.

    Since launching in 2011, the startup has provided those features through its website, but by bringing them to mobile, Simplee wants to help patients make decisions and negotiate payments at the point of service. “[In most cases], you’re in the wrong place at the wrong time when you get the information,” said John Adractas, Simplee’s CMO. “Mobile… gives you the information when it matters, when you’re standing in the doctor’s office, when you’re making decisions.”

    As an example, Evelyn Wang, Simplee’s director of design, said that when she went in for knee surgery earlier this year, the hospital tried to collect payment upfront. But because she could reference her payment history from Simplee’s app, she knew she had already met her deductible and could show the hospital that their information was out-of-date. Ultimately, she said she was able to push back and didn’t over-pay.

    Obviously, the app won’t come to the rescue for every patient in such a clear way. But as a Simplee user, I can see the benefits in being able to review and pay my medical bills from my smartphone in the same way I can check my bank balance and make other payments on the go.

    Simplee said that its new app would integrate with its SimpleePAY patient and loyalty service, which enables participating health care providers to issue digital bills.  Patients can pay directly via app, as well as earn loyalty rewards for using it.

    The company, which has raised nearly $8 million, says its average active user pays an average of $1,200 in medical bills annually and uses the service 15 times a year. Over the past two years, it said its handled nearly $2 billion in medical expenses for its users.

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  • Ed tech startups compete for modest prizes from Gates Foundation, Facebook

    Every time you unlock your phone, you likely type in the same, boring old code. But imagine if, each time you wanted to use it, your phone prompted you translate a Facebook friend’s status message into Spanish or French or another language of your choice. It might not make you fluent overnight, but it’s a clever way to get some educational value out of an otherwise mundane task.

    That app, developed by a team from online learning company Quizlet, was one of three winners picked by the Bill & Melinda Gates Foundation and Facebook at their HackEd 2.0 challenge Tuesday night. The two organizations hosted 24 teams of developers, educators and others for a day-long event and hackathon at Facebook’s Menlo Park headquarters focused on all things ed tech.

    “[We wanted] to provide students with tools that are useful and actionable … and to get the best talent pointed at these big important problems in education,” said Emily Dalton Smith, a program officer at the Gates Foundation. Given Facebook’s popularity among young people and the social media giant’s connection to a technical crowd, partnering with them was a natural choice, she said.

    An earlier hackathon hosted by the two organizations in September was a closed, invitation-only affair. But this week’s hackathon started in March with an open call for developers, educators and others around the country to submit app ideas related to college readiness, social learning and out-of-school learning. About half of the teams that applied were invited to attend and, at the event this week, they were given six hours to turn their ideas into a working prototype. Later this month in London, the organizations will host a smaller ed tech hackathon.

    Participants were selected from around the country, including teams from Stanford, Berkeley, the Worcester Polytechnic Institute and a couple of high schools, Dalton Smith said. In addition to Quizlet’s team, other winners included:

    • Edumacation — Created by a team from Facebook, the app uses the social network’s open graph to help students create pathways to college and beyond by finding people with common characteristics or relevant experiences. For example, a high school student could use it to find graduates of her high school who are now enrolled at Harvard or a college student could use it to find a Facebook employee who went to her alma mater.
    • Outspoken — Created by a team that includes one teacher, it helps students build Common Core reading and listening skills by exchanging video and written content with peers on Facebook.

    For winning the hackathon, the teams received $5,000 each — not a big sum compared to the millions upon millions that the Gates Foundation gives to education initiatives in the U.S. But the point of the hackathon was to spark and reward innovation among new groups of talent and to make social media — which young people already use for learning and figuring out the college process — more useful.

    “First-generation college-going kids are using Facebook in particular to seek out role models,” Dalton Smith said. “[We want] to help with what they’re doing.”

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  • With $18.7M, WellTok wants to make you healthier — and actually like your health plan

    When it comes to popularity, the health insurance industry isn’t likely to be at the top of anyone’s list. In fact, a survey last year from market firm Temkin Group found that health insurance received the lowest customer service ratings of any industry.

    But WellTok, a Denver, Colo.-based startup, believes its health-centric social network can not only encourage healthier behavior among users, but build consumer trust for their health plans. And it just raised $18.7 million more to prove it.

    The company said Wednesday it had raised a Series B round from Emergence Capital Partners, InterWest Partners and New Enterprise Associates (NEA), bringing its total amount raised to $26 million. It also said that former executive chairman Jeff Margolis would serve as its new CEO.

    Launched in late 2011, WellTok targets health plans with a health-related social network, called CaféWell, that uses personalized tools, fitness-tracking devices, wellness-focused content, game mechanics and community dynamics to encourage healthy steps. Users can choose to be as public or as private as they’d like to be about their behavior and, as they log healthy activities, they earn points which can translate into discounted premiums or other financial rewards, Margolis said in an interview.

    In a way, it’s very similar to corporate wellness programs like Keas and ShapeUp, which similarly offer patient engagement platforms for encouraging healthy behavior. But Margolis said he believes that, by reaching consumers through their health plans, the company can generate more value for consumers and employers.

    In addition to keeping patients healthy and managing chronic conditions, the company says it can also help health plans with their popularity problem.

    “People tend not to have a high degree of trust for the health plans – they tend not to understand the value their health plans can bring them,” Margolis said. But by structuring CaféWell so that the health plans sponsor consumers’ access to the site (and by making sure that consumers see their health plan’s branding), he added, “it makes consumers say, ‘Hey, my health plan isn’t just there to hassle me during enrollment or deny my claims, they’re actually here to help me.’”

    So far, Margolis said, CaféWell users engage with the site four times more than they engage with their health plan’s regular website (which is just about never) and that they average about 50 minutes per person per month.

    Nine health plans currently use CaféWell, but Margolis said the new funding would be used to expand into new markets, accelerate product development and build new strategic partnerships.

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  • iRhythm raises $16M for wearable cardiac monitoring patch

    A wearable patch that can monitor a patient’s heart activity for two weeks straight has won a $16 million investment. iRhythm, a startup spun out of Stanford’s biodesign program, plans to announce on Wednesday that it has raised a Series D round that brings its total amount raised to $68 million. The round was led by Norwest Venture Partners (NVP), with participation from existing funders New Leaf Ventures, Synergy Life Science Partners and Kaiser Permanente Ventures.

    “What the company has done is do a good job integrating consumer electronics and ergonomics,” said Casper de Clercq, a partner at NVP and a new member of iRhythm’s board. He said the company was attractive because it’s addressing an unmet need with innovative technology and its Zio device (not to be confused with the now-defunct sleep monitor Zeo) is already reimbursed by health plans as a diagnostic test.

    If a doctor suspects that a patient has cardiac arrhythmia, she can affix the Zio patch to a patient’s chest and simply instruct him to leave it on for 14 days. At the end of the two weeks, the patient removes the device and mails it back to the company. At that point, it’s analyzed by iRhythm’s cardiac technicians using its proprietary algorithms.

    Unlike other monitoring devices that collect and wirelessly transmit information, the Zio only collects the data. While it may sound old-school to rely on snail mail to deliver the information back to the company, it makes for a cheaper product, no batteries to charge and a wireless, waterproof product patients don’t have to worry about taking on and off. Because the device is patient-proof, the company says compliance with the Zio is about double that of other similar products.

    By providing a way to more quickly and easily assess whether symptomatic patients actually have heart arrhythmia, the company said it can help doctors determine the best treatment option and reduce the overall cost of care. So far, it’s tracked about 140,000 patients and has amassed 20 million hours of patient cardiac activity.

    Kevin King, the company’s CEO and president, said the new funding would go towards marketing, technology expansion, distribution and investing in new uses for the product.

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  • Care.com sparks IPO speculation with hire of veteran public-company CFO

    These are interesting times for Care.com, the Reid Hoffman-backed site that wants to be the “Amazon of care.” In the last year, the company has expanded its service to more than 15 countries, acquired a few startups and raised $50 million (bringing its total raised to $111 million).

    Now the company has a chief financial officer with a skillset to match.

    Care.com hired former iRobot CFO John Leahy Tuesday. LEAHY spent nearly five years at the public company and held CFO positions at three publicly-traded companies prior to that.

    Given that the company, which helps people find caregivers for children, seniors, pets and others, is doubling its revenue every year and plans for additional international and vertical expansion, CEO and founder Sheila Marcelo said she wanted a CFO with broad experience.

    “It was really important for me to get a partner in crime around helping us manage our growth,” she said in an interview. In addition to online subscription fees from families who pay for a premium membership on the site, the site collects fees from service providers who pay for better visibility and other features. Care.com ALSO charges corporate customers who provide it as a service to their employees.

    When the company raised its $50 million Series E round last summer, some speculated that an IPO could be ahead. And Leahy’s familiarity with public company financing would make that kind of an event even more plausible. But Marcelo said the company is open to several different scenarios.

    “We’re just keeping all of our options open,” she said. “Certainly with his experience that’s a door we could go down. … We have many options of growth for the company.”

    In the near future, Leahy said the company would focus on integrating and scaling its recent acquisitions — which include Parents in a Pinch, a provider of backup child and elder care services, and Betreut, a Samwer brothers-backed European care-giving site. And, over the next couple of years, he suggested that more deals were to come.

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  • With $7M, learn-to-code startup Treehouse eyes high school market

    As competition builds among companies teaching people to code online, Portland,Ore.-based Treehouse says it has raised a “war chest” of new funds.

    On Tuesday, the company said it had raised $7 million in a Series B round led by Kaplan Ventures and including the Social+Capital Partnership. The new cash brings the company’s total amount raised to $12.35 million.

    Like competitors Codecademy, LearnStreet, lynda.com, Udemy and others, Treehouse offers online videos and lessons on web development, programming and other technical skills. With the new funding, CEO and founder Ryan Carson said the company plans to focus on product development and increase its headcount. Treehouse currently employs 55 people, 60 percent of which are involved in course development. While some rivals, including Codecademy and Udemy, build their libraries by letting anyone create lessons, Carson said a big differentiator is Treehouse’s emphasis on having in-house experts create curriculum and teach online.

    Another benefit of the new round, said Carson, is the involvement of Kaplan Ventures, the early-stage investing arm of education company Kaplan Venture (which is a subsidiary of the Washington Post Company). He declined to elaborate on what their involvement could mean for Treehouse’s future, saying only that it will help with “key strategic developments.” But given that a big new focus for the company is reaching high school students, one could imagine that Kaplan’s network would come in handy.

    “One of the key things we’re trying to do is to get people job-ready right out of high school,” Carson said.

    Since January, the company has piloted a program with high school students at schools in three cities and is aiming to roll out to other schools this fall.  In the school where students have progressed the most, Carson estimates that 50 percent of students will be ready for technology jobs paying $30,000 to $40,000 by the end of the program.

    The six-month program, which will cost schools $9 per month per student  (discounted from the $25/month it charges customers who come directly to its site), is intended to give schools a way to teach computer science even if they don’t have teachers skilled in that area. Students can watch the videos at home and then work on projects and ask questions in class.  Teachers only need to stay one lesson ahead, Carson said.

    To date, the company said it has attracted 26,000 paying customers, most of which are individual customers, not enterprise customers – a key consumer segment for lynda.com and a likely target for other similar startups. But Treehouse is smart to focus on high schools, which are facing increased calls for enhanced computer science education. Startups Codecademy and CodeHS also offer (free) learn-to-code tools for schools, but there’s plenty of room for more. As non-profit Code.org points out, less than 2 percent of students study computer programming and despite the fact that programming jobs are growing at double the pace of other jobs, programming is not offered at 90 percent of U.S. schools.

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  • Booking a doctor online is getting competitive, as medical startup Practice Fusion eyes ZocDoc’s territory

    Two of the biggest names in the growing world of health tech are about to go head to head. On Tuesday, San Francisco-based Practice Fusion, which offers doctors free electronic medical records software, plans to announce that it is launching a new site for booking doctor’s appointments. With its new service, Patient Fusion, the company isn’t just reaching out to patients directly for the first time, it’s moving into territory dominated by another big health tech startup: ZocDoc.

    Since launching in 2007, Practice Fusion has attracted more than 150,000 doctors with its free web-based service for managing patient information, medical billing and other aspects of practice management. But Patient Fusion is now opening up its information to the public for the first time, enabling patients across the country to search for doctors by specialty and location, read reviews from verified patients and instantly book appointments.

    “This is a place where, as an individual patient, your health starts and ends,” said Practice Fusion founder and CEO Ryan Howard.

    patientFusion_searchThe company said Patient Fusion lists information for more than 27,000 verified doctors in the U.S., includes 1.5 million verified doctor reviews (an average of 14 per doctor) and has 3 million open appointment slots available for April alone. While other doctor review sites like Vitals.com and Healthgrades, as well as Yelp, enable anyone — even those who have never seen the doctor — to leave reviews, Patient Fusion only allows patients it knows have visited the doctor to review their experience. ZocDoc similarly provides verified patient reviews.

    The company also estimates that its pool of doctors is three times as large as ZocDoc’s. ZocDoc doesn’t share the number of doctors who pay to list availabilities on the site, but says it’s available in 1,200 U.S. cities and that 2.5 million people use it a month. In major cities like New York, patients might not see a big difference in coverage between ZocDoc and Patient Fusion, Howard acknowledged. And, certainly, it could take Patient Fusion a while to build ZocDoc-like name recognition among consumers. But he added that in more remote parts of the country, Patient Fusion could provide more more doctors and more available slots.

    Another benefit for patients who pick Patient Fusion over other sites: they’ll be able to get instant access to their personal health records. While some doctors on ZocDoc or other doctor discovery and booking sites may use electronic medical record services that enable the easy exchange of medical records, patients using Patient Fusion will not only be able to book appoints online, but access digital lab reports, view real-time updates to their records and potentially benefit from other kinds of digital communication.

    While ZocDoc charges doctors about $300 a month to list their availabilities on its site, Patient Fusion is free to patients and doctors. It eventually plans to serve advertising (as it does on Practice Fusion) but its bigger play is aggregating even more data about patient conditions, medication, treatment outcomes and more. That data (de-identified and in aggregate) gives it an interesting view of health trends and could be valuable to pharmaceutical companies and other health care players.

    According to a survey of health entrepreneurs conducted last November, both Practice Fusion, which has raised $70 million in venture capital, and ZocDoc, which has raised $95 million, were considered two of the health tech companies likely to file for an IPO next.

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  • Big data could mean big savings in health care – but here’s what has to happen first

    Properly exploiting big data in health care could mean up to $450 billion in savings health care organizations and consumers according to a recent report from consulting firm McKinsey. But don’t get too excited yet – that data-optimized future isn’t just going to fall in our laps.

    An abundance of newly available information — from research and development data aggregated by pharmaceutical companies to digitized patient records to recently-released health information from the federal government and other public sources — combined with new technology has the potential to transform health. But, according to the report, to really “jujitsu” that data (as the country’s CTO Todd Park likes to say), the industry may need to shift its thinking and scale some obstacles first.

    “Stakeholders will only benefit from big data if they take a more holistic, patient-centered approach to value, one that focuses equally on health-care spending and treatment outcomes,” McKinsey’s report said.

    To do that, the analysis laid out a few guidelines, including:

    • encouraging patients to take more active steps to improve their health
    • developing an integrated approach to care in which all caregivers have access to the same information
    • selecting health care providers based on skill sets, not job titles (for example, having nurses perform tasks traditionally doctor-required duties)
    • looking for ways to improve value while improving care quality (for example through systems that tie provider reimbursement to patient outcomes)
    • identifying new and innovative approaches to treatment and care delivery

    With those approaches, McKinsey estimates that the use of big data could save health care stakeholders $300 to $450 billion in health care costs, or 12 to 17 percent of the $2.6 trillion baseline in U.S. health-related spending.

    Already, big companies and emerging startups are leading the way in the smart use of data. At GigaOM’s recent Structure: Data conference, Aetna’s head of innovation Michael Palmer talked about how the company is using data to prevent diabetes and heart attacks. Startup Asthmapolis (which this week raised $5 million) is using GPS data collected via sensors attached to inhalers to help individuals, physicians and public health officials uncover asthma-related patterns.

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  • Surgical gaming and handwashing police: 5 Blueprint Health startups to watch

    Health care may be woefully behind the rest of the world in embracing information technology, but eleven startups graduating Thursday from New York-based startup accelerator Blueprint Health have some compelling ideas for moving it along.

    After three months of training, the startups shared plans for everything from reducing hospital-acquired infections and improving patient education to deciphering confounding lab reports and simulating complicated surgeries.

    While all of the companies made a strong case, here are the ones that most caught my attention:

    IntelligentM

    Want to know the culprit behind $10 million in annual lost revenue for hospitals? It’s not medical errors or billing mistakes (although those are obviously problems too). It’s something far less technical: dirty hands.

    According to startup IntelligentM, one in every wash handstwenty patients admitted to the hospital will get an infection while admitted, and 50 percent of those infections are related to poor hand hygiene on the part of health care workers. To keep their hands clean, the company has created a sensor-equipped SmartBand that tracks when, where and how well a doctor or nurse washes her hands. If a doctor washes her hands properly, the bracelet buzzes once; if her hand-washing fails to meet the compliance requirements, it buzzes three times. It also can sense when a health care worker is about to insert an IV and buzzes if’s been too long since she last washed her hands.  In addition to letting hospitals track the aggregate behavior of their workers, it emails each health worker with a weekly hygiene report.

    Luminate Health

    If you’ve ever received a copy of a lab report, you know they’re nearly impossible to decode. But Luminate Health plans to break into the $75 billion lab testing market with a digital platform that helps patients understand and access their lab results.  Paid for by the lab testing companies, the dashboard displays lab results in colorful, intuitive graphs that give patients clear guidance on how to improve their health. It also enables doctors to add explanations and interpretations of the results. As part of the new health care legislation, labs will be required to provide patients with digital access to their reports. With Luminate’s dashboard, the company said they can not only be compliant with the new law but increase lab volume by strengthening the relationship between physicians and their patients.

    Touch Surgery

    touch surgeryLike a high-tech version of the board game Operation, Touch Surgery gives surgeons a virtual way to learn and practice medical procedures. Just by swiping their fingers, doctors can simulate any procedure from an appendectomy to cleft palate surgery to a carpal tunnel release. The founders’ pitch is that it gives surgeons a way to practice and learn faster, while collecting data on risk, education and other issues that could be valuable to hospitals, medical device companies and academic institutions. The app is free but the company makes money by charging medical device companies to place content in the app that trains surgeons to use their device. So far, it has signed contracts with two major medical device companies and is used by doctors at Duke, Stanford and other top institutions.

    Keona Health

    Each year, nurses at the average hospital spend 25,000 hours on the phone answering basic patient questions, said startup Keona Health. But by cutting the average triage call from 15 minutes to 60 seconds, the company said it can not only free up half of a hospitals’ nursing staff to meet with patients in person, it can help hospitals generate an additional $800,000 in revenue.

    The key to its efficiency is an online service that guides patients through a set of questions based on standard triage protocol. A patient with a cough can describe his symptoms and ask whether or not he should come in to see a doctor, or a new mother could ask whether she can continue taking a certain medication while breast-feeding. Using natural language processing, machine learning and other algorithms, the platform analyzes the data and then provides nurses with a report. From there, nurses can reply via text message, email or phone call with the appropriate response.

    HealthyOut

    HealthyOut is still in stealth mode, so there’s not too much I can share now. But if you’re a foodie who wants to stay healthy, this is a startup to keep in mind. It already offers a mobile app for iOS and Android that helps diners find dishes at local restaurants that match their diet and nutrition preferences. And, so far, has attracted investors including 500 Startups’ Dave McClure and former IAC CEO Peter Horan.

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  • Asthmapolis raises $5M to fight asthma with sensors and smartphones

    For people with asthma, the basic inhaler has long been the best weapon against attacks, but some companies are beginning to arm patients with even higher tech tools.

    On Thursday, one those companies, Madison, Wisc.-based Asthmapolis, said it had raised $5 million from The Social+Capital Partnership for its system that combines sensor technology, smartphones and personalized support. The Series A funding follows an undisclosed amount raised in a seed round and a $1.9 convertible note.

    Co-founder and CEO David Van Sickle, a medical anthropologist who has spent his career studying asthma, said he started experimenting with the use of electronics and inhalers in 2006.

    The basic concept behind the Asthmapolis technology is that patients are given a re-attachable Bluetooth-enabled sensor to affix to the top of their inhaler.  Each time a patient uses the inhaler, the sensor records when and where it was used and then wirelessly transmits that information to the patient’s smartphone.

    Asthmapolis_Sensor_inuse-1“The idea was if we could track how and when [inhalers] were used, we’d get a rich and valuable perspective on where, when and among whom asthma was a problem,” he said. “That would let physicians do a better job figuring out who needed more help [and] we could use that information to help patients [with] guidance and personalized feedback.” It could also help public health officials identify and map patterns, he added.

    In 2010, Van Sickle teamed up with co-founders Mark Gehring and Greg Tracy to commercialize the product. Since then, it’s received FDA clearance and has closed deals with health plans like Amerigroup Florida/WellPoint and providers like New York’s Wyckoff Heights Medical Center.

    Data-driven insights for managing symptoms

    From Asthmapolis iOS and Android apps, as well as online, patients — and their physicians — can see logs of their own inhaler use, as well as view where other nearby Asthmapolis users seem to be having symptoms. The data is intended to help patients get a sense of where environmental triggers may be, as well inform ways of avoiding or managing them.

    Asthmapolis_Sensor_handVan Sickle said the system also starts to learn from users’ data and sends notifications and updates with suggestions and feedback. For example, if it notices that a patient continues to experience symptoms at his office, the app will send an alert with a list of ways to avoid them.

    For patients without a smartphone, Asthmapolis has partnered with Qualcomm Life so that sensor information can be sent to a base station and reports and notifications can be received via email, text and phone support.

    In a pilot study evaluating the system’s effectiveness, the company said 60 percent of the participating asthma patients started the program with an uncontrolled condition.  After three months, 50 percent of those patients were able to control their asthma and 70 percent of all participants were able to improve their level of control.

    A $50 billion problem

    Considering that about 26 million people in the U.S. have asthma, according to the CDC, and that the condition costs the country about $3,300 per person in medical expenses, missed school and work days and early deaths, savings from a system like Asthmapolis could add up. In total, the annual health care cost of asthma is estimated to be about $50 billion.

    Asthmapolis’ system is one of the most comprehensive asthma solutions available, but other companies are also experimenting with sensor technology and inhalers. For example, researchers at AT&T Labs are working on a wireless asthma sensor that scans the air for volatile organic compounds (VOCs) that may exacerbate asthma symptoms and then alerts patients via smartphone and other devices. A device from Siemens aims to warn patients about impending attacks by measuring nitric oxide in a patient’s breath, which can be an early sign of airway inflammation. And startup Geckocap targets kids with a colorful sensor-based inhaler attachment that helps kids remember when to use their inhaler and helps parents monitor their child’s usage.

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  • GE and Startup Health debut first class of consumer ‘health transformers’

    A sensor-based system for making sure doctors keep their hands clean, a cloud-based platform for the on-demand exchange of medical images and a mobile early warning system for elderly patients — if you’re not familiar with the startups behind those technologies now, GE’s hoping you will be soon.

    Three months after launching a new program for consumer health tech companies with New York-based Startup Health, the company on Thursday announced its picks for its inaugural class. The 13 selected startups, which were culled from an applicant pool of more than 400, don’t receive funding from the program, as they might from traditional startup incubators. Instead, the program, which is supported by GE’s Healthymagination Fund, chose companies that have already raised some funding and are looking for support taking their businesses to the next level.

    In exchange for giving up 2 to 10 percent equity ownership (which is split by GE and Startup Health and varies depending on the needs of the company), the companies receive three years of mentorship, training and other support from the two groups.

    Backed by former Time Warner CEO Jerry Levin, Startup Health was launched with a goal of growing 1,000 startups over the next decade. Since 2011, it’s selected two classes of health tech startups targeting consumers, enterprises and other health care stakeholders.

    For GE, the program is a way to keep a close watch on new developments in digital health and spot potentially big opportunities early on. And it comes on the heels of another corporation-backed health startup program — Nike’s TechStars-powered accelerator.

    Here are the 13 companies:

    Double HelixArpeggi – Nir Leibovich, Jason Wang, David Mittelman, PhD
    Austin, TX

    With a background in big data and analytics, Arpeggi’s founders want to make the high-speed analysis of genomic sequencing data easier and more affordable.

    Aver Informatics – Kurt Brenkus
    Green Bay, WI

    As health organizations amass more and more data, Aver aims to provide a web-based platform for gleaning valuable insights from enterprise data.

    Care at Hand – Andrey Ostrovsky, MD and Jeffrey Levy
    Boston, MA

    A graduate of health startup accelerator Rock Health, Care at Hand is a mobile system that helps non-clinical home care workers monitor and communicate the health of elderly patients.

    elderlyCaremerge – Asif Khan, Michael Davolt and Fahad Aziz
    Chicago, IL

    Targeting senior living communities, Caremerge offers a set of web and mobile apps for the communication, care coordination and workflow management.

    Cerora – Adam Simon
    Philadelphia, PA

    Cerora delivers diagnostic information related to brain health to patients, physicians and companies with a goal of helping health care workers effectively diagnose and manage concussions and Alzheimer’s disease.

    Doctor.com – Andrei Zimiles
    New York, NY

    Claiming a database of more than 2.5 million healthcare providers, Doctor.com enables patients to discover and compare providers, book appointments and leave and read doctor reviews.

    gethealthGetHealth – Chris Rooney and Liam Ryan

    Dublin, Ireland and New York, NY

    GetHealth is a mobile and web-based platform for increasing employee engagement in the workplace through fitness challenges, social support and other engagement features.

    GoGoHealth – Natasha Alexeeva and Kwaku Ampromfi
    Atlanta, GA

    GogoHealth is an online and mobile platform for enabling patients to report minor ailments to care providers and then receive guidance and prescriptions online.

    IntelligentM – Seth Freedman
    Sarasota, FL and New York, NY

    One of the companies in New York-based health accelerator Blueprint Health’s latest class, IntelligentM is a sensor-based monitoring system for making sure healthcare providers wash their hands. By maintaining clinical hygiene standards, the startup aims to drive down infection rates and improve patient outcomes and provider costs.

    itmeditMD – Halland Chen, MD
    Miami, FL

    itMD provides a cloud-based service that enables patients, doctors and imaging facilities more easily exchange medical images.

    Oxitone Medical – Leon Eisen, PhD
    Ashkelon, Israel

    Oxitone says it has developed the first wrist pulse oximeter without a fingertip probe, which enables a more comfortable way to continuously and remotely monitor a patient’s blood oxygen level, pulse rate and other cardiac activity.

    TalkSession – Melissa Thompson
    New York, NY

    TalkSession is an online platform that helps patients find mental health professionals and enables those professionals access tools for improving the quality of care.

    WalkJoy – Blain Tomlinson
    Long Beach, CA

    WalkJoy offers a device worn just below the knee that helps people with peripheral neuropathy and the elderly restore their balance and gait and reduce falls.

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  • Following the money in health tech: sensor technology and personalized medicine got a boost in March

    The $1,000 genome isn’t here quite yet, but startups are making some headway in using genetics, data and deep analysis to provide more personalized care for patients. Although it wasn’t the sector to attract the most funding in March, personalized medicine had one of its best months to date, according to Startup Health Academy’s monthly insights report.

    Overall, health technology startups received $120 million from investors in March, a 12 percent increase from the same period last year. Deal volume nearly tripled, from 13 deals last March to 36 this year.

    Here’s an at-a-glance look at activity last month:

    startuphealth_March

    • Although practice management was the dominant sector by funding amount last month (largely because of One Medical Group’s Series F round), sensor technology was a bigger winner in terms of deal volume.  In addition to the nearly $12 million raised by health-tracking wristwatch startup Basis, companies including Rock Health-backed Podimetrics, which makes an intelligent floor mat for helping diabetic patients detect foot ulcers, and Sensiotec, which develops technology that monitors heart and respiration rates without any direct patient contact, added new funding.
    • Personalized medicine got a boost last month. Five startups – from those that speed up the analysis of DNA sequence data to those that give chronic disease patients in-depth reports and analysis on their personal condition – raised funding, including Spiral Genetics, Bina Technologies and MetaMed.
    • Last month, Nike announced the 10 companies participating in the first class of its TechStars-powered accelerator for fitness-related startups. This points to a growing trend of strategic investors attempting to drive innovation around specific themes. Earlier this year, GE announced a partnership with Startup Health to invest in consumer health startups. “I think we’re going to start to see strategic partners do more of these types of programs in the future,” said Unity Stoakes, president of Startup Health.

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  • ‘Linux of online learning’ gets stronger: edX and Stanford team up to build open source platform

    In its mission to become the “Linux of online learning,” edX just got a powerful new partner. On Wednesday, the Harvard and MIT-backed non-profit is set to announce that it’s teaming up with Stanford to collaboratively develop the open-source edX platform.

    Last fall, Stanford launched its own open-source online learning platform Class2Go, which it released to the public in January. Developed by a team of Stanford engineers, the platform was designed to support the university’s online classes and research. In addition to being open, the platform was intended to be inter-operable with other services and portable (meaning that the course content isn’t tied to one platform). But as part of the new collaboration, Stanford will cease development on that platform and focus its efforts on edX.

    “[We’ll] fold in the key features of the Class2Go platform in the open-source edX and, together, we’ll be working on a single platform going ahead,” Anant Agarwal, president of edX, said on a call with reporters. “By putting all the wood behind one arrow, so to speak, we thought we could have a bigger impact.”

    Since its launch, other schools around the world have started using Class2Go. While the platform will continue to be available to other users, John Mitchell, Stanford’s vice provost for online learning, said they’ll work with those schools to migrate to edX while it transitions its own courses.

    The two organizations gave few details on how the collaboration would actually work. But they said that Class2Go’s analytics tools, which can track how long students watch a given video, which sections they repeat and other kinds of student activity on the site, are an example of the kinds of features that will be integrated with edX.

    Despite Stanford’s collaboration on the edX platform, Mitchell said the university was not joining the “X University Consortium” of institutions that offer courses on the edX site — which is not entirely surprising given its affiliation with for-profit rival Coursera. The startup was launched by two Stanford professors and the university was one of its launch partners.

    But even as Stanford and other top universities partner with for-profit online course providers, like Coursera and Udacity, the growing support for an open source platform shows that schools want to experiment with multiple approaches and be able to control and customize online educational courses and learning tools. The open-source approach means developers anywhere can add new tools to the platform, that professors can create online experiences that best suit their needs and that schools can learn from the innovation of others.

    In addition to the Stanford partnership, edX also announced that on June 1, it will release the entire source code for the online learning platform. That development follows its announcement last month that it would release its XBlock SDK, the underlying architecture supporting edX course content.

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  • Exclusive: Udemy lands on mobile so students can learn on the go

    When it comes to picking up new skills, you might have all the motivation in the world, but actually finding the time to do the work is where the real challenge lies.

    Since launching in 2010, online learning startup Udemy has offered learners the opportunity to take online classes from home. On Tuesday, the company upped the convenience factor with an iOS app that lets students take classes directly from their smartphones.

    With 600,000 users enrolled in the company’s paid and free classes, Udemy is attracting a strong following. But given competition from longtime online learning company lynda.com, as well as startups Skillshare and Codecademy, Udemy clearly wants another way to hook and keep students. While lynda.com does have a mobile app for users, several other Udemy rivals do not.

    udemy 3Dinesh Thiru, Udemy’s vice president of marketing, said the company’s students, many of whom are enrolled in classes with hopes of career advancement, are professionals with busy lives.

    “They know learning is important, but they struggle to find the time,” he said. “We built the Udemy iPhone app to help them find that time… to enable them to learn whenever and wherever they find those extra fifteen minutes.”

    From the new app, students can enroll in free and paid courses and access video and audio lectures, presentations, articles and other course components. It also enables students to save courses for offline viewing (for subway commutes and plane rides), as well as watch videos at accelerated speeds.

    For now, the app isn’t available for Android users and doesn’t allow students to interact with peers as they can via the web, but Thiru said those developments are on the company’s roadmap.

    Udemy, which is backed by investors including Insight Venture Partners, Lightbank and 500 Startups, enables anyone from individual experts to bestselling authors to offer video-based courses. It currently offers more than 6,000 courses on topics ranging from web development and entrepreneurship to literature and fitness.

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  • Rosetta Stone looks to the cloud with $8.5M acquisition of language learning site Livemocha

    Rosetta Stone, one of the biggest names in language learning, has picked up Seattle-based startup Livemocha.  In an announcement Tuesday, the 20-plus-year-old company said the $8.5 million acquisition is intended to help it move more quickly into the cloud.

    Rosetta Stone, which charges between $350 and $500 for its language courses, is largely known for offering CD-ROM-based courses in its signature yellow boxes. More recently, it has moved online and to mobile. But as companies across all kinds of industries embrace the cloud and more people look for educational content on digital platforms, it makes sense that the company wants to update its products with new technology.

    Livemocha, which has 16 million users globally, will remain in Seattle. But Rosetta Stone said its technology will form the foundation of the next wave of the company’s products. Launched in 2007, Livemocha offers free online lessons, as well as premium access to live classes and tutors.

    The news comes as competition in the language learning space seems to be heating up. Last month, Berlin-based language learning service Babbel acquired PlaySay, a small Silicon Valley language-learning app, and raised $10 million for international expansion. Other emerging rivals include community-based language site Busuu and Duolingo, a free online service that helps people learn languages while also translating real-world content from the web.

    While Rosetta Stone already has a strong presence in Europe, Asia, Latin America and the Middle East, the company said Livemocha’s users in China, Russia and South America, as well as its several offices in the US, will complement its global footprint.

    To date, Livemocha had raised $14 million from August Capital and Maveron.

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