11:45 am - 12:30 pmSunday, September 7
LK 102
Pioneering at-risk business models in eHealth
LK 102
Pioneering at-risk business models in eHealth
Principal, Safeguard Scientifics Inc.
VP Behavioral Operations, Accolade
Co-founder & CEO, Omada Health
SVP, Development
In the history of healthcare innovation, cost has only been added for payers (or the entity financially responsible for patient care).  Co-payments, prior authorization, steerage and lengthy process to... Read more

Description

In the history of healthcare innovation, cost has only been added for payers (or the entity financially responsible for patient care).  Co-payments, prior authorization, steerage and lengthy process to obtain a new payment codes have been implemented to slow the adoption of innovative medical technologies, which all serve to minimize the financial risk to the payer.  By accepting this financial risk, startups have the ability to eliminate friction with payers and accelerate their commercial efforts & business growth.  

Companies such as Omada Health (SF), Accolade (PA) and naviHealth (TN) are pioneering at-risk business models and achieving rapid success.  These startups guarantee an outcome for the payer, and do not get paid unless the outcome is achieved.  A panel discussion on the early learnings of this model, bringing together a blend of entrepreneurs and payers and ACOs, would educate all and serve as a template on how to solve the most vexing challenge for startups and their investors.  

Jim O'Connell, as a veteran of the healthcare sector, has 15+ years of operational, financial and entrepreneurial experience in the life sciences.  Jim Joined Safeguard in 2007, and is responsible for deploying capital in medtech and healthtech, which includes diagnostics, healthcare IT, devices and technology enabled services.  Prior to Safeguard, Jim was in the Corporate Ventures/Business Development group of Becton Dickinson, a F500 medical technology firm.  He held commercial roles in sales, marketing and business development at Chemdex, and started in R&D at Biosite, both startups that achieved billion dollar exits.  Jim received a B.S. in biochemistry from Virginia Tech and currently serves on the board of the Alumni Association.  Jim also received an M.B.A. from The Wharton School at the University of Pennsylvania, where he led the University of Pennsylvania’s $70K Business Plan Competition. 

Jeff Rubin, who joined Accolade at its founding in 2007, was instrumental in developing the company's model for working with people. The go-to person for anything related to Behavioral Health Operations, Jeff guides the company in how best to engage and influence clients. 

Jeff’s role includes the ongoing “care and feeding” of Accolade's engagement model, as he oversees the development and continuous improvement of processes and capabilities related to behavioral health. Providing tools and training to Health Assistants and Stewards is also part of his job.

Prior to joining Accolade, Jeff was VP, Clinical Operations, for CIGNA Behavioral Health for 15 years and, earlier, he was chief psychologist at Manhattan Psychiatric Center. Jeff also has maintained a private practice in psychotherapy since 1983.

Jeff holds a doctorate in education, as well as a master of arts and master of science, all from Columbia University. He completed post-doctoral training in Organizational Development and Consultation through a joint program of William Alanson White Institute and Wharton.

Sean’s passions live at the intersection of healthcare, technology, and design. In his current role as CEO and Co-Founder of Omada Health, he sets the vision for the company and helps inspire and empower a team of incredibly smart, driven clinicians, designers, and engineers. An in-demand speaker and thought leader, Sean has written enthusiastically about the future of healthcare in The Wall Street Journal, Forbes, MedGadget, and TechCrunch, among others, and was recently named one of the “Top 40 Under 40″ Medtech Innovators by MDDI. He received his BS from Columbia University and was an MD/MBA candidate at Harvard.

Carter Paine is the Senior Vice President of Development at naviHealth. Carter is responsible for leading business strategy, new business and pricing.  He has more than a decade of operating, investing, and transactional experience, all focused on healthcare services. Prior to joining naviHealth, Carter served as the Vice President of Health Evolution Partners (HEP), a healthcare private equity firm. Prior to joining HEP, Mr. Paine worked at Healthways and Jefferies & Co.

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