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PicnicHealth (YC S14) Stores Your Medical Records In One Place

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Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#11
post #9

Blue Shield of CA and Anthem announced a health exchange to store patient info a few days ago... Obviously PicnicHealth is onto something but they will have some challenges as they don't have massive relationships with providers. At launch it will have 9 million patient records without even blinking https://www.calindex.org/

Founder here again. This is super cool. I haven't been able to get too much detail on it yet. Most of the health exchanges haven't gone far because they start with government of foundation funding and then have no business model, but with these guys behind it, they actually make sense.

We'd be thrilled if we could focus on building a really good product for making medical data useful for patients instead of building infrastructure for moving it around.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#12
post #7

how can you even consider launching a service like this without being fully audited for HIPPA and ISO 27001. all i see on their site is boiler plate sec that in no way addresses the reality of the business domain they want to operate in. you'd be insane to put your data into something like this without those controls in place. moreover, they are asking for serious regulatory trouble launching without it. this one bus…

You sound like a shill for Epic.

This business challenge is only going to be solved by startups, because all of the existing players rely on it being such a fucked system. They're not going to fix anything.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#13
post #9

Blue Shield of CA and Anthem announced a health exchange to store patient info a few days ago... Obviously PicnicHealth is onto something but they will have some challenges as they don't have massive relationships with providers. At launch it will have 9 million patient records without even blinking https://www.calindex.org/

Founder here again. This is super cool. I haven't been able to get too much detail on it yet. Most of the health exchanges haven't gone far because they start with government of foundation funding and then have no business model, but with these guys behind it, they actually make sense. We'd be thrilled if we could focus on building a really good product for making medical data useful for patients instead of building…

Very true, execution of a health exchange infrastructure has been riddled with troubles in the past.

Interfacing with patient data is still a great idea, practically nonexistent today. a central location for data will only make your service more robust and require less integration.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#14

Great idea, but I presume there was a reason why Google Health was shut down and abandoned this space in 2013. How will PicnicHealth avoid this? “When you’re dealing with potentially the hardest moments of your life, you don’t have to worry about these other logistical tasks and the feeling of confusion on what’s exactly going on,” Leviner said. True, but I sat down and uploaded most of my data to Google Health when…

Hi, one of the PicnicHealth founders here. It's great that you were motivated enough to upload your data to Google Health! Unfortunately for Google Health, most people weren't as motivated as you. We believe that Personal Health Records haven't yet been successful because they require users to manually upload their data, and most people just aren't willing to do this. That's one of the reasons why we take care of col…

Very true, people generally take their health for granted until they experience an adverse event. Expecting people to take it upon themselves to handle their own medical records is wishful.

Large doctor practices sometimes have 2 or even 3 people just dedicated to fulfilling medical record requests. That's a huge expense. I help run a home health company that is constantly requesting medical records. We still receive most records by fax! Our receptionist spends a good bit of her day handling this process. It's a huge waste on both ends. If you could make that process easier I think a lot of providers would be willing to pay... Regardless, best of luck! So much opportunity in this space, keep pushing.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#15
post #7

how can you even consider launching a service like this without being fully audited for HIPPA and ISO 27001. all i see on their site is boiler plate sec that in no way addresses the reality of the business domain they want to operate in. you'd be insane to put your data into something like this without those controls in place. moreover, they are asking for serious regulatory trouble launching without it. this one bus…

You sound like a shill for Epic. This business challenge is only going to be solved by startups, because all of the existing players rely on it being such a fucked system. They're not going to fix anything.

This is absurd. So rdxm is a "shill" merely because he or she pointed out some very real and important issues surrounding this sort of technology, and then also pointed out the fact that established players are best prepared to handle such challenges? Huh?

If you're going to make such accusations, or even just hint at them, please provide us with at least some real evidence to show that rdxm is being directly compensated by one or more of the industry incumbents for posting that comment. Since I doubt very much that you can provide that evidence, I think it would be appropriate for you to apologize to rdxm and to the rest of the community here.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#16

Earlier quoted context omitted.

Hi, one of the PicnicHealth founders here. It's great that you were motivated enough to upload your data to Google Health! Unfortunately for Google Health, most people weren't as motivated as you. We believe that Personal Health Records haven't yet been successful because they require users to manually upload their data, and most people just aren't willing to do this. That's one of the reasons why we take care of col…

Very true, people generally take their health for granted until they experience an adverse event. Expecting people to take it upon themselves to handle their own medical records is wishful. Large doctor practices sometimes have 2 or even 3 people just dedicated to fulfilling medical record requests. That's a huge expense. I help run a home health company that is constantly requesting medical records. We still receive…

Would love to talk offline and hear more about how you're handling this. I'm only just learning about home healthcare deals with this stuff. I'm noga at picnichealth if you have a minute to chat at some point.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#17
post #7

how can you even consider launching a service like this without being fully audited for HIPPA and ISO 27001. all i see on their site is boiler plate sec that in no way addresses the reality of the business domain they want to operate in. you'd be insane to put your data into something like this without those controls in place. moreover, they are asking for serious regulatory trouble launching without it. this one bus…

Hey I don't work at Picnic but I do work at Prime.

Picnic and Prime do similar things. I've met the Picnic team. They're great, and so is Picnic. They understand HIPAA. I'll let @nogaleviner speak to the specifics of their HIPAA considerations but I do want to clear up some general things up about HIPAA since we've (as has Picnic) been working on this for a year or two now.

1. It's HIPAA, not HIPPA. 2. The "P" in HIPAA stands for Portability (h/t @katgleason). The salient parts of HIPAA for this conversation are: a. HIPAA makes what Picnic does possible. The overall point of HIPAA is to open up data, to let patients say to their doctor "I want my medical record" and require doctors to fulfill that request. The September 2013 update to HIPAA even said that if a patient asks for their records electronically, their doctor has to provide them electronically. Without HIPAA, Picnic probably wouldn't exist. b. HIPAA does stipulate two Rules: the Security Rule and the Privacy Rule. In a nutshell, these rules don't prescribe specific implementations but do require general considerations. The high-level overview is: data has to be encrypted in transit and at rest, all data access has to be logged (for auditing), and employees have to be HIPAA-trained. Generally speaking if you build something that meets a decently high level of conventional web security standards, you could probably meet the technical requirements for HIPAA.

Now this is important: while b) is true, this actually only applies to entities who are required to be HIPAA-compliant, i.e., medical care providers. Technically Picnic isn't a care provider and therefore does not need to be HIPAA-compliant.

That doesn't mean Picnic doesn't take security and privacy very seriously. And I can tell you they do: their site is SSL-enabled and they know what they're doing.

Again, just speaking to the HIPAA points here, not the business considerations. Hope that helps clear some things up.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#18
post #7

how can you even consider launching a service like this without being fully audited for HIPPA and ISO 27001. all i see on their site is boiler plate sec that in no way addresses the reality of the business domain they want to operate in. you'd be insane to put your data into something like this without those controls in place. moreover, they are asking for serious regulatory trouble launching without it. this one bus…

You sound like a shill for Epic. This business challenge is only going to be solved by startups, because all of the existing players rely on it being such a fucked system. They're not going to fix anything.

I used to work at Epic. I don't think that we had shills. I think we had more farmers employed than marketing staff when I was there, honestly.

All jokes aside, I think the passing of the ACA has changed things drastically. With insurance companies no longer able to make more money by charging more money/denying coverage to the sick, they are slowly becoming more active on coming up with ways to be innovative on making patient care more streamlined and affordable. Sometimes they'll work with startups (Aetna CarePass comes to mind), and they definitely should. But, sometimes they'll go it alone as well. It's exciting to see it all play out right now in the industry.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#19
post #7

how can you even consider launching a service like this without being fully audited for HIPPA and ISO 27001. all i see on their site is boiler plate sec that in no way addresses the reality of the business domain they want to operate in. you'd be insane to put your data into something like this without those controls in place. moreover, they are asking for serious regulatory trouble launching without it. this one bus…

Hey I don't work at Picnic but I do work at Prime. Picnic and Prime do similar things. I've met the Picnic team. They're great, and so is Picnic. They understand HIPAA. I'll let @nogaleviner speak to the specifics of their HIPAA considerations but I do want to clear up some general things up about HIPAA since we've (as has Picnic) been working on this for a year or two now. 1. It's HIPAA, not HIPPA. 2. The "P" in HIP…

Thanks, Tyler. We'll said.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#20
One of the things that keeps me out of the healthcare space is that you could build the most amazing tool, yet it wouldn't catch on because no one has enough time or incentives to start using it (and you're not playing golf with the right people).

That said, PicnicHealth looks nice, and I wish them best luck! The pricing seems a bit high for someone who doesn't have health issues and just wants to keep track of regular tests, but I find it easier to trust a paid service than a company with a surprise business model.

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