Chris Hogg
@cwhogg
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Co-founder/CEO of Marley Medical. Formerly of Propeller Health. Was founder of 100Plus. Trying to improve healthcare one data point at a time. Husband and dad
San Francisco
Joined August 2008
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Pinned Tweet
I am very excited today to announce my next adventure,
@MyMarleyMedical
, a new virtual-first primary care clinic for people with common chronic diseases. Excited to partner with the awesome
@julesyoo
and
@kbakes
on this journey!
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Move slowly and prove things. Digital health is moving fast, but at what cost? My first contributed post for
@TechCrunch
.
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2007: Microsoft Healthvault is going to enable Mint for Health!
2008: Google Health is going to enable Mint for Health!
2010: Blue Button is going to enable Mint for Health!
2012: Blue Button+ is going to enable Mint for Health!
2018: Apple is going to enable Mint for Health!
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After 6 incredible years
@PropellerHealth
, today it is with very mixed emotions that I am saying goodbye. Propeller has been, by far, the best career experience of my life. I am proud of the team and all that we accomplished. Below is a thread with some great memories. (1/23)
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I went backpacking last weekend and think I took the best pic of my life. 30 sec exposure on iPhone 13 Pro and a very clear night.
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Very excited for our big announcement! Together
@PropellerHealth
and
@ResMed
can dramatically improve the treatment of chronic respiratory disease. And i could not have taken this journey with a better team!
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It’s kind of fitting that, in the end, all digital health companies end up as telemed providers billing FFS for encounters.
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Amazon's acquisition of PillPack will go down as one of the best acquisitions in healthcare. <chef's kiss>
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Pear Therapeutics announced that they are filing for bankruptcy, which made me sad. Although my thinking has changed over time on DTx, I am still a fanboy at heart, feel pretty lucky to have seen this whole arc and feel like reminiscing.
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"Why ‘one app to rule them all’ is not the future of digital health". My newest post in
@TechCrunch
.
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I think I’m a contrarian on the
@google
:
@Ascensionorg
news. Google is a clear Business Associate in this arrangement, and unless they violate HIPAA in the use of Ascension’s data, I think they can add a lot of value to (very siloed) data assets. And benefit patients and docs.
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I hope to have a long life, full of mystery and reinvention. Just like Castlight Health.
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@nikillinit
I just posted this in a friend group and instantly knew nobody would think it was funny.
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Digital health is really hard. A pure struggle. Successes like this are important and make it all worth it.
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They had me with “we recruited 420k subjects in 8 months”! Whole new era starting.
The
@Apple
Heart smartwatch atrial fibrillation (AF) prospective trial of ~420,000 people enrolled in 8 months, w/ low
#AI
notification rate of possible AF (in 0.5%) and validation of signal via skin patch
@NEJM
by
@leftbundle
@StanfordMed
and colleagues
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Once again, the rumor of the death of digital health+pharma partnerships is greatly exaggerated.
I think this is the first time we’ve spoken publicly of our work with AstraZeneca ✅
We're excited to share that Propeller has received FDA clearance to connect patients using the Symbicort Inhaler to our platform, a huge milestone in bringing digital health to people with asthma and COPD.
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In healthcare the success of innovative companies is mostly determined by go-to-market strategy. Building a great product/solution is necessary but not sufficient, unfortunately.
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“Propeller Health’s genius is perhaps not in developing smart sensor technologies but in defining and measuring patient outcomes such as medication adherence, increase in symptom-free days and a reduction in emergency room visits.”
!!!
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As for me, I am taking a bit of time off to re-charge the batteries and spend time with family (including our newest member below), and then will figure out what is next. But
#DigitalHealth
and entrepreneurship are addictive, so I will be back in the arena soon enough. (23/23)
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This shouldn't be a pie chart.
What does it mean for health tech, and the future of our health, when Apple makes more money on AirPods than the top ten EHR vendors combined?
#healthIT
#wearables
#airpods
#healthcare
#health
#fitness
#ces2020
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And it begins...
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Starting a NewCo and am raising $5M at $50M. All I can say is that we are going to assemble the best technologists and scientists in the world and we will use the latest in AI and computation to examine the health records databases of our nation to solve chronic disease. DM me…
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Patients with asthma and COPD are at increased risk during COVID-19. At
@PropellerHealth
we wanted to see if patients are following guidance and diligently taking their daily controller medications. They are! We see a dramatic increase in adherence of 14.5% in last weeks. (1/3)
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This definitely makes me sad. Proteus was one of the first companies that got me really excited for the future. I’ve been putting Proteus in decks for over a decade! Regardless of outcome Proteus is a super important company. 😢
Proteus Digital Health, once valued at $1.5 billion, files for Chapter 11 bankruptcy
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@JayRughani
@JorgeCondeBio
Don’t worry. Floridians have this. Just look at the data. They are doing charts and everything.
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This is my official announcement that i am going to HLTH. Seems the thing to do today.
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Important post from
@seanduffy
.
5 years from now ‘Digital Care’ companies will be as prevalent (and funded) as DTx companies are today. In fact, I bet many DTx companies will pivot into being ‘Digital Care’ companies.
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I know I am biased, but this is a BFD.
Docs in the EU will be able to Rx this newly approved NVS asthma drug alone or Rx the drug + Propeller Co-pack (drug+sensor+Propeller app).
Today, Propeller Health announced an industry first for digital health: our sensor will be co-packaged and available to co-prescribe with a new maintenance medication for asthma in Europe.
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What is the appropriate way to discuss fonts with children? My daughter keeps choosing comic sans for reports and presentations.
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We have learned a lot in respiratory over the past 8 years. It’s time to spread our wings and apply those learnings to other diseases. Excited for this next chapter.
With $20 million in funding, Propeller Health partners with Aptar Pharma to make digital medicines by
@ZinaMoukheiber
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Fun to watch this again. What a master.
You can go to school and spend years trying to learn about marketing, or you can spend a few minutes watching Steve Jobs
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Now makes sense why I could never understand anyone trying to explain what Transcarent was going to do. It’s because it’s going to do everything. Made my brain short circuit. Makes sense now.
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so 4.5% of the world's population consumes 75% of the Rx drugs. wow.
MOVIE TRAILER: Prescription Thugs (2015) -- USA consumes 75% of world's prescription drugs
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"Overcoming barriers to scale in digital therapeutics"
A presentation i gave a few weeks ago at the Clinically Validated DTx Conference in Boston. Let me know what you agree or disagree with!
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So glad to see people like
@alexisohanian
dispel bad myths like this. I got sucked into believing this one for too long.
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Finally watched this. Glad I did.
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As a longtime fanboy of Oak Street Health, I was excited to see
@CVSHealth
(finally) announce they were acquiring
@OakStreetHealth
for $10.6B, a valuation of $60k per at-risk member. And I have thoughts!
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I need to start a company just so I can sell it for 21.7x 2021 revenue based on comps. 😳
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Like many others i am going to read the Livongo S-1 and tweet things i find interesting. First thing (on the cover) is that they have the trifecta of big banks with Morgan, Goldman and JPMorgan. And a lot of bookrunners overall. Seems banks are pretty interested in this sector.
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The Achilles heel in health innovation has always been go-to-market strategy. We are going to try to change that
@MyMarleyMedical
.
While many new virtual care companies go B2B2C, we are taking a different GTM approach that we are calling B2C2B.
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This is one of the best digital health proof stories in a while. Yes, apparently it is true that if we collect a ton more data on people, and use it effectively, we can diagnose diseases earlier. Nice work
@cklemke
,
@eramirez
and
@evidation
team.
Scoop with
@kifleswing
: Apple is teaming up with Eli Lilly and Evidation Health to study whether consumer gadgets, like Apple Watches, can help detect dementia earlier tip
@Techmeme
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Reminder that new virtual-first care companies do not need everyone to want telehealth. They only need a small % to want this mode at first (growing over time) in order to build big businesses. Retrofitting existing practices with telehealth is much harder. Thanks for listening.
Telehealth use drops for 3rd straight month as patients return to in-person appointments
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This is so dumb. Swag costs maybe $1k for a small/mid company, which is not really relevant in context of total spend. But it is fun, builds pride in the company, makes employees smile and feel connected. Startups are hard and these little things help, especially when remote.
Rule: no swag (t-shirts and shit) until product market fit or profitability.
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Love this. This is right in the space I’ve been thinking a lot about. Primary Care networks focused on specific groups of people with specific needs. Much more possible nationally/virtually than locally/physically.
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Happy to be on this list with a bunch of great healthcare folks. Also I am old.
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No truer words have ever been spoken (in healthcare).
A good product ≠ A good business
A good product is necessary but not sufficient for a good business. Big big difference.
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We need more thoughtful, long form, opinionated writing in digital health, like the two pieces by
@nealkhosla
this week. Been a while since i read something that made me think about what I think (and believe). Was refreshing! Nice job Neal.
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UnitedHealthcare going all in on *One app to rule them all*. 🤔
"The goal, he said, is to ultimately build a “one-stop shop” ... integration with wellness programs, claims data and remote patient monitoring are likely on the horizon."
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I agree with this thread so much that i think our work Slack is being monitored.
1/ i expect virtual clinical operations // "telemedicine operations" to become a tablestakes functional area in digital health with a high demand for talent over the coming years
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Sad epiphany about America. If masks were about saving the person who was wearing it, vs helping reduce spread and harm to others, everyone would be wearing a mask. Should have messaged it differently from the start.
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Have to be honest. i would be really interested in fewer 'we are going to do this moonshot' type announcements from Verily and more 'we've actually enrolled some people and have learned some things from actual users' announcements.
A less invasive, painless blood collection system that attaches to the body has multiple applications including clinical trials and automated blood draws
@chrissyfarr
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@chrissyfarr
The real war of digital health is fought on the two fronts of implementation and retention.
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Oak Street has 159k at-risk patients, $2.18B in run rate revenue and market cap of $5.4B. So that is $13.7k in rev/at-risk patient/year and ~$34k in MktCap /at-risk patient. I like benchmarks.
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Spent last week designing the future of chronic disease care with our great little team
@MyMarleyMedical
.
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Find myself re-reading and sharing this post every so often, so thought i'd share here. i love it.
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"This was the year we saw Amazon purchase PillPack, Best Buy purchase GreatCall, Roche purchase Flatiron Health, and, just recently, Resmed purchase longtime digital health incumbent Propeller Health."
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You get a SPAC! And you get a SPAC! And even you little behavior change app from 2012, you too get a SPAC!
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This is a big deal and much respect to the WellDoc team. These are very hard deals to get done (trust me), and now I hope the Lilly team commercializes the shit out of it for them.
@Welldoc
are the originators, and i wish them much success.
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Anthem Blue Cross and Blue Shield Collaborates with Propeller Health to Support Consumers with COPD
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We are excited to be included in
@ExpressScripts
new digital formulary. Moves like this help solidify traditional reimbursement paths and will be a huge benefit to Digital Health companies.
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In bad times the strong eat the weak. I bet just the beginning of
#digitalhealth
consolidation.
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Different lens: 35% of people with chronic disease would prefer to be managed via telemedicine.
New
@Rock_Health
survey found that most Americans prefer telehealth for Rx refills and minor illnesses, but prefer in-person care for other services including mental health and chronic conditions.
More in today's Future Pulse:
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Today in CA: Judge Aaron Persky, who gave a lenient sentence of six months in jail to a Stanford swimmer who raped an unconscious woman, has been recalled from office. First CA judge recalled since 1932.
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The rumors of the death of digital health+pharma partnerships is greatly exaggerated.
Novartis looks like it will launch a
@PropellerHealth
-powered digital inhaler, Breezehaler, in the EU following a positive rec from the EMA. Announced today -- wish I saw this before sending this week's
@ExitsOutcomes
newsletter!
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@StuartBlitz
@jayparkinson
@nikillinit
It is only an EMR if it is fully featured, Certified and from the Verona region of Wisconsin, otherwise it is just a fancy care management platform 😂
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There is so much good thinking and discussion about virtual-first care going on right now. So I wrote down some of my thoughts, and why I am so excited about this next wave of innovation. Tools are there, let's see the creativity flow!
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Got a form to fill out from Quest and it has this question. I give up and am quitting healthcare.
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Almost a year in post-acquisition and zero turnover from our senior team. We all like working together, ResMed has been great, and still have much work to do. Good interview with
@dvansickle
.
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Still believe
#OpenAPS
is the most interesting story in
#digitalhealth
right now. The user stories of life changing success are incredible.
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Is it weird that I can’t wait for my kids to go to bed so I can.....read the
@OakStreetHealth
S-1?
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The U.S. Health Care System Isn’t Built for Primary Care
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We are expanding to $200m at $1B pre due to excess demand. get those orders in. the book is filling up.
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Looks like the US path to single payer/provider is via UHG and Optum’s M&A teams. Honestly, it’s a pretty American way to get there.
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When your contact at Optum leaves after 18 months of pitching.
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Couldn’t agree more. And only slightly biased! But there is a reason that all of the surviving / successful digital health companies are disease or use case specific. Building something for everyone does not work yet. Too early. Too hard.
Big takeaway from
#hlth19
: investors seem to be flocking to more focused, “niche” businesses that serve a specific population, condition or region. It’s okay to do one thing well & in health care, that can still be a large market.
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Wouldn’t it be ironic if Omada went public with a SPAC from Team Livongo.
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It’s beautiful to watch someone become a PM right in front of your eyes.
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Going to read the agilon S1 and tweet thoughts. Sorry if a lot of tweets coming!
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There are going to be a lot of dashed hopes and broken hearts in 2023. (source:
@healthtechnerds
)
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Forget the acquisition. The real story is that the creator of Wordle is named Wardle.
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We are starting to build out our team
@MyMarleyMedical
and are looking for our first engineering and product hires! Want to start from a blank piece of paper and reimagine healthcare delivery? Or know someone who does? Ping me! We are a fully remote co.
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The US Gov ordered 1 billion Coronavirus test kits from Abbott, Roche and … iHealth. This has to be the greatest pivot and deal in the history of digital health. Do they still even sell blood pressure meters? Amazing.
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@chrissyfarr
Yeah that’s not how it works. It doesn’t matter how much you believe it works. Only matters what you are able to prove. A better question is how do you actually create a good control group for a digital intervention?
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