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“When we had conversations with physicians about the data, some would say, ‘My patient is sicker than yours,’ or ‘I have a different patient population.’ However, we can drill down to the physician’s patients and show the physician where things are. It’s not based on an ivory tower analysis, it’s based on our own data. And, yes, our patients, and our community, are unique—a little older than most, and we have a lot of Europeans here visiting. We have some challenges, but this tool is taking our data and showing us what we need to pursue. That’s pretty powerful.”
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While California government’s encroachment on local authority is nothing new, cities typically have more than 60 days to respond to legislation. Author of AB 243, Assemblyman Jim Wood who’s bill it was that set the deadline by mistake, has since issued an urgent legislation that is expected to pass the legislature for Governor Brown to sign. However the bill does not replace the March 1 deadline with another. Nonetheless cities around the foothills are taking the matter seriously so as to not fall under any type of State control on the matter.

Next, Providence drove usage across its five-state system, and Oregon adopted it. “All of a sudden, the world caught up as healthcare started paying for quality instead of just volume,” Klomp says. Growth was slow and methodical as the co-founders sought to understand clinical workflows. “We worked to get real demonstrable outcomes from a clinical and economic perspective,” he adds. “We are pretty conservative. This is a different story than raise a whole bunch of money and try to grow the business fast.”
Klomp, who helped out with strategy while working in private equity at Bain Capital in Boston, quit in 2014 to join Collective Medical. And last year, Benjamin Zaniello, who was a chief medical information officer at Providence Health & Services in Washington, joined as chief medical officer. Zaniello helped implement Collective Medical at Providence. He was impressed. “They did this alone for many years,” he says. “It wasn’t just a bunch of people with a power point and a dream, or someone from Google with a personal story in healthcare who wants to fix the system.”
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Marion expressed surprise at the seemingly all-encompassing focus on artificial intelligence this year, given the steady march towards value-based healthcare-driven mandates. “Outside of one vendor, I’m not really seeing a whole lot of emphasis this year on value-based care; that’s disappointing,” Marion said. “I don’t know whether people don’t get it or not about value-based care, but the vendors are clearly more focused on AI right now.”
Meanwhile, with regard to the new form of AI, and the inevitable hype cycle around emerging technologies, Dr. Chang said during his presentation that “When you’re going up the ride, you get excited. But then right at the top, before you are about to go down, you have that moment of clarity—‘What am I getting myself into?’—and that’s where we are now. We are upon that crest of magical hype and we are about to get the trench of disillusionment.” Still, he told his audience, “It is worth the rollercoaster of hype. But I’m here to tell you that it’s going to take longer than you think.”
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Original gave them 1 star (I was disappointed hard to reach; and name change; wondering what happened to RAW MMC - and said it was... read more one of the best in the town) - until Kyle step in to talk with me help me to understand everything better; we had good long chats; He explains what was going on with the new California's laws that had changed their business platforms. The 500 pages of CA's laws was not pretty some how. Our talks has only made me felt more stronger want to become activist / advocate for the change for "We The People" to have access to needing medicine; NOT "We For The GOVERNMENT". . . I totally understand clear and appreciates Kyle's time that he invest and chat with me. What a great guy; his original old school is the best.
You can either throw a tremendous number of expensive, scarce bodies at the problem, which isn’t scalable, or you can use technology. I’m not talking about mere notifications that an encounter has occurred, which we do, but a deeper level of collaboration. A mental health provider in the emergency department creates a crisis plan for the patient at 3:00 in the morning that involves a primary care provider who is affiliated with a multi-specialty clinic that is not connected to the health system and a Medicaid managed care manager. How do you help those individuals get on the same page and interact with the patient in sequence so that we’re not wasting resources or missing opportunities to help the patient navigate across the continuum, efficiently using the existing technology infrastructure of each organization? That’s the set of problems that we’re focused on.
Baran says that although automation of repetitive tasks is the ultimate goal, the first step in automation is delegation. “That means shifting the work from physician to staff and using technology to make that process as easy as possible. For the physicians it looks like automation because you are taking this work off their plates, and we use technology to make the process as easy as possible for the staff.”

The company got its start in 2010. Baran, a Ph.D. student in engineering at the University of Wisconsin at the time, was thinking about how to build apps to make life easier for physicians. He went to a Mayo Clinic Innovation Conference and saw Lyle Berkowitz, M.D., of Northwestern Medicine speaking. “Lyle happened to be speaking there on that very topic, coming at it from the physician perspective,” Baran recalls. “I realized this is exactly the person I need to work with. A few weeks later I drove to Chicago, met with him, and the rest is history. We started this company and have been going ever since.”
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