Meet Sam, an app that could be running Dr.
Sam, who would reside on Kvedar's smartphone, is kind of like
Sam does offer some praise when Kvedar eats a light lunch, and goes out for a walk afterwards, although it comes with a warning: He's veering dangerously close to the bakery where he often stops to eat a large cookie.
Instead, Sam offers Kvedar a coupon to a nearby gym so that he might take up swimming - a sport that he abandoned in high school, telling him that five friends in his social network have already joined. Minutes later, Kvedar gets a text from his daughter echoing the swimming suggestion and congratulating him for skipping the cookie.
Most of the elements that will make this scenario possible are currently available: from simple GPS to wearable devices like a
Integration of technology
The industry is already moving in that direction, according to Kvedar and a group of panelists that preceded his talk.
Telemedicine used to be science fiction. Now it's being reimbursed by
Once upon a time, a customer was just offered one health plan. Now, on the public exchange and increasingly on private exchanges, customers pick their own plan from a range of options on the computer, pointed out panelist
Medical costs used to be disclosed on a bill. Now much of the costs are on a state website, said
The whole payment system is shifting from fee-for-service, to an outcomes-based model, which enables providers and insurers and various specialists to work together and share data.
The key is to make all this more individualized, personal and social at the same time, said Kvedar, in order to get the kind of engagement that will actually get people to change their behavior. That will involve some voluntary surrender of privacy, he said, but this is already happening every time you give Google,
Already people are giving up health data for all sorts of reasons. In addition to
There are various other apps that attempt to pull this all together. But currently such "consumer-centric design" is "mostly garbage," Kvedar said. It might work for a fitness buff, but not for patients with chronic disease that providers need to reach.
The integrated software has to fit into people's daily lives, with changing reminders and warnings and very personal short-term goals, to motivate people.
But one way or another integration of all this technology is going to happen, said Kvedar, who argues, "If we insist that the only way to deal with health care is to come into the office, it simply won't be sustainable." fFl