Category: UNCATEGORIZED

07 May 2020

Health APIs usher in the patient revolution we have been waiting for

If you’ve ever been stuck using a health provider’s clunky online patient portal or had to make multiple calls to transfer medical records, you know how difficult it is to access your health data.

In an era when control over personal data is more important than ever before, the healthcare industry has notably lagged behind — but that’s about to change. This past month, the U.S. Department of Health and Human Services (HHS) published two final rules around patient data access and interoperability that will require providers and payers to create APIs that can be used by third-party applications to let patients access their health data.

This means you will soon have consumer apps that will plug into your clinic’s health records and make them viewable to you on your smartphone.

Critics of the new rulings have voiced privacy concerns over patient health data leaving internal electronic health record (EHR) systems and being surfaced to the front lines of smartphone apps. Vendors such as Epic and many health providers have publicly opposed the HHS rulings, while others, such as Cerner, have been supportive.

While that debate has been heated, the new HHS rulings represent a final decision that follows initial rules proposed a year ago. It’s a multi-year win for advocates of greater data access and control by patients.

The scope of what this could lead to — more control over your health records, and apps on top of it — is immense. Apple has been making progress with its Health Records app for some time now, and other technology companies, including Microsoft and Amazon, have undertaken healthcare initiatives with both new apps and cloud services.

It’s not just big tech that is getting in on the action: startups are emerging as well, such as Commure and Particle Health, which help developers work with patient health data. The unlocking of patient health data could be as influential as the unlocking of banking data by Plaid, which powered the growth of multiple fintech startups, including Robinhood, Venmo and Betterment.

What’s clear is that the HHS rulings are here to stay. In fact, many of the provisions require providers and payers to provide partial data access within the next 6-12 months. With this new market opening up, though, it’s time for more health entrepreneurs to take a deeper look at what patient data may offer in terms of clinical and consumer innovation.

The incredible complexity of today’s patient data systems

07 May 2020

Original Content podcast: Waco offers a surprising look at a real-world tragedy

“Waco,” a Paramount Network series that recently started streaming on Netflix, dramatizes the tragic real-life standoff between the FBI, the ATF and the Branch Davidians.

A couple of your Original Content podcast hosts only had a fuzzy idea of what actually went down in Waco, Texas in 1993. And all of us were  surprised by the depiction of the Branch Davidian cult as creepy and delusional, but not particularly dangerous.

Instead, the show puts much of the blame for what transpired on law enforcement agencies that were becoming increasingly militarized — not to mention eager for positive publicity. While the depiction of law enforcement bungling and brutality was pretty persuasive, we argued about whether the show ended up soft-pedaling the troubling aspects of the Branch Davidians and their leader David Koresh (played by Taylor Kitsch) in the process.

And while we all agreed that it was a compelling story, we were also disappointed that the stellar cast (Michael Shannon, Melissa Benoist, Andrea Riseborough, Shea Whigham, John Leguizamo, Julia Garner and others) weren’t given more memorable characters to portray.

You can listen to our review in the player below, subscribe using Apple Podcasts or find us in your podcast player of choice. If you like the show, please let us know by leaving a review on Apple. You can also send us feedback directly. (Or suggest shows and movies for us to review!)

And if you’d like to skip ahead, here’s how the episode breaks down:
0:00 Intro
1:50 “Waco” review (mild real-life spoilers)
25:56 “Waco” spoiler discussion

07 May 2020

With movie theaters closed, Alamo Drafthouse gets into on demand movie streaming

Back when movie theaters were a thing we could go to, Alamo Drafthouse was my one and only. Known for actively insisting that audience members shut the hell up during the movie and for having a damned fine beer selection, it’s like my personal paradise. If it was a movie I was excited to see, I’d drive an hour-plus to see it at Alamo rather than go anywhere else.

Like most other theater operations, Alamo’s theaters are sadly — but understandably! — shuttered until we beat this pandemic. In the meantime, they’re launching a streaming service: Alamo On Demand.

Building an on-demand video platform is quite the technical challenge… and, well, not exactly something that a relatively small theater chain (roughly around 40 locations) should probably tackle on its own. So Alamo is building this in partnership with ScreenPlus.

Alamo will be handling the curation and movie selection, while ScreenPlus is handling most of the technical stuff – things like DRM, geoblocking, etc. Most films on the platform are available to rent or buy, with prices varying by title.

Alamo isn’t looking to take on the Google Plays and Amazons of the world here by striving for a daunting, bottomless selection of movies; instead, each film they’re offering is personally nominated by at least one member of their team. If it’s on there, it’s got Alamo’s stamp of approval.

The current selection is eclectic and worth perusing, from award winners like Apocalypse Now or Parasite to lesser known cult flicks you’d probably pass up unless someone suggested it… which, well, is exactly the point of this shop.

Alamo notes that while the first build is live now, they’ve got more in the works: iOS and Android apps are on the way, and theyre aiming to tie-in the Alamo Victory loyalty program (allowing for things like discounts when purchasing movies you previously saw in the theater) at some point down the road.

07 May 2020

VC’s largest funds make big bets on vertical B2B marketplaces

During the waning days of the first dot-com boom, some of the biggest names in venture capital invested in marketplaces and directories whose sole function was to consolidate information and foster transparency in industries that had remained opaque for decades.

The thesis was that thousands of small businesses were making specialized products consumed by larger businesses in huge industries, but the reach of smaller players was limited by their dependence on a sales structure built on conferences and personal interactions.

Companies making pharmaceuticals, chemicals, construction materials and medical supplies represented trillions in sales, but those huge aggregate numbers hide how fragmented these supply chains are — and how difficult it is for buyers to see the breadth of sellers available.

Now, similar to the way business models popularized by Kozmo.com and Webvan in decades past have since been reincarnated as Postmates and DoorDash, the B2B directory and marketplace rises from the investment graveyard.

The first sign of life for the directory model came with the success of GoodRX back in 2011. The company proved that when information about pricing in a previously opaque industry becomes available, it can unleash a torrent of new demand.

07 May 2020

Air Force gives a rare look at the research going to orbit in its X-37B spaceplane

The X-37B spaceplane sounds like something out of a sci-fi novel, and its mysterious past is equally evocative. What does the military put in this long-term orbital vehicle? Turns out it’s exactly the kind of neat, but not mind-blowing, science you’d expect to find in such a thing — though solar-powered masers do sound pretty cool.

Also known as the Orbital Test Vehicle, the Boeing -designed X-37B has performed five prior missions, amounting to a total of nearly eight years in orbit; The last mission alone was 780 days. But while the craft’s owners (the Air Force, though it is used by many others) are proud to tout its remarkable longevity and reliability, they rarely if ever admit what they’re sending up, or what (if anything) it brings down.

While it’s fun to think that it may be truly top secret Area 51 type stuff, it’s much more likely that it’s just run-of-the-mill classified military research. The Defense Department bankrolls an enormous amount of basic science as well as advanced technology, and some of that is bound to require testing in space. While we love and respect our Russian friends with whom we share the ISS, the Pentagon would seem to prefer they didn’t run its experiments, so they have the X-37B.

On one occasion the Air Force said that the craft tests “advanced guidance, navigation and control, thermal protection systems, avionics, high temperature structures and seals, conformal reusable insulation, lightweight electromechanical flight systems, advanced propulsion systems, advanced materials and autonomous orbital flight, reentry and landing,” which narrows it down a bit.

For the spaceplane’s sixth mission, the various departments involved have broken tradition and given details on the payloads. That’s no small feat given it’s an operation combining the resources of the Air Force, Space Force, Naval Research Lab, and NASA.

The most broadly interesting experiment has to be a solar-powered microwave laser, or maser, built by the NRL. The device “will transform solar power into radio frequency microwave energy which could then be transmitted to the ground.”

Image Credits: U.S. Air Force courtesy photo

The key word there is could, since this type of wireless energy transmission has been pursued for decades. It’s doubtful that a foot-wide solar cell can produce enough energy to be beamed to the surface in measurable levels, but proving the concept piece by piece is something that has to be done in space. And for all we know they’ve already sent multiple precursor device up there on previous missions.

Don’t worry that this is some kind of orbital beam weapon that fries surface-dwellers: The total amount of energy collected by a foot-wide cell would be difficult to change into a form that’s harmful a few feet away, let alone 200 miles up through the entire atmosphere. It could, however, be used to beam power to receptive spacecraft or (conceivably) to interfere with poorly protected adversary spacecraft.

Two other experiments on board are from NASA, and they have to do with seeing how various items react to being exposed to the space environment. “One is a sample plate evaluating the reaction of select significant materials to the conditions in space. The second studies the effect of ambient space radiation on seeds,” said Air Force Secretary Barbara Barrett.

Last — that we know of — is FalconSat-8, an Air Force Academy satellite that will be performing its own, unspecified experiments once released into its own orbit by the X-37B. It is itself “an educational platform that will carry five experimental payloads for USAFA to operate

This rather large number of items being brought to space is made possible by a “service module” attached for the first time to the aft of the craft and containing some of the hardware.

It’s unknown how long this mission will be, but if it’s anything like the others, it will be on the order of months or years.

07 May 2020

Uber Eats grew like hell in Q1 but Uber still lost nearly $3B

Ahead of its earnings report today, shares of Uber rose around 11%, buoyed by a set of financial results and promises about the future from Lyft that were rated highly by investors. That optimism lapped over the edges onto Uber.

Today after the bell, however, the global ride-hailing giant reported its own financial results. Analysts had anticipated a loss of $0.83 per share against $3.51 billion in revenue, though top line estimates varied from $2.31 billion to $4.33 billion — an unusually large range driven by COVID-19-led uncertainty.

Uber reported a Q1 per-share loss of $1.70 and revenues of $3.54 billion, making for a mixed set of results when compared to expectations. The company lost a staggering $2.94 billion in the quarter counting all costs, a figure that even for Uber feels excessively large.

Here are the key numbers from Uber’s earnings report, starting with platform spend and working our way down to profitability and how much cash the firm was left with at the end of Q1 2020:

  • Gross bookings (the value of goods and services sold on Uber’s platform) rose 8% compared to Q1 2019 to $15.8 billion.
  • Ride-hailing gross bookings fell some, while Uber’s food delivery service saw gross sales growth of 54%.
  • Uber’s revenue grew 14% from $3.1 billion to $3.51 billion in the quarter on a year-over-year basis.
  • Uber’s net loss of $2.94 billion was worse than its other profit metrics, including its adjusted EBITDA for the quarter which came to a loss of$612 million. (Recall that it is adjusted EBITDA that Uber had previously promised to push into positive territory in Q4 of this year before COVID-19 upended its market.)
  • Uber wrapped Q1 with $9 billion in cash and equivalents, and the firm’s operations burned $463 million in cash in the first quarter.

Got all of that? The headline from Uber’s quarter is that its ride-hailing business shrank and Uber Eats, its food delivery service, grew like hell. Here are the numbers for the latter:

  • Gross bookings of $4.68 billion, up from $3.07 billion in the year-ago quarter, or 52%
  • GAAP revenue of $819 million, up from $536 million in the year-ago quarter, or 53%
  • Adjusted net revenue of $527 million, up from $239 million in the year-ago quarter, or 121%
  • Resulting adjusted EBITDA of a $313 million loss, worse than its year-ago result of $309 million

This is mostly bullish. Huge bookings gains are good, big GAAP revenue gains are good, the adjusted net revenue gains are very good, and, for Uber, not losing more money as it scales — heavily adjusted losses for Uber Eats were effectively flat on a year-over-year basis — is good.

The company will need to lose less money over all, however, as its business is struggling more in Q2 than it did in Q1. We’ll know more during its impending earnings call.

Uber about 14% of its staff this week, and led an investment in Lime, a scooter company into which it intends to offload its own micromobility efforts.

Shares of Uber are off about 2% in after-hours trading. More shortly from its call.

07 May 2020

Unity snaps up Vancouver-based studio building AR/VR tech

Unity announced today that they are acquiring Finger Food Advanced Technology Group, a Vancouver-based studio best known for their AR/VR services. The 225-person team will be joining Unity with CEO Ryan Peterson becoming Unity’s “VP of Solutions.”

Finger Food, founded in 2011, builds custom software for enterprise clients. They appear to have put a big emphasis on augmented and virtual reality over the years, partnering closely with Microsoft on HoloLens-related projects. The company has also pursued a number of other buzzy tech solution in the AI, blockchain, robotics and IoT spaces.

Some of Finger Food’s past clients include Lowe’s, Enbridge and Softbank Robotics.

“Through the acquisition of Finger Food, Unity’s enterprise customers will have a suite of professional services at their fingertips and immediately create in real-time 3D without needing to ramp up on internal expertise, retraining or upending established processes,” a Unity spokesperson told TechCrunch.

For Unity, the purchase doubles down on the startup’s keen interests in AR/VR development and further pushes ahead the company’s desires to move beyond game development customers and bring on enterprise clients. The company’s game engine powers more than half of all new video games, but as the company’s valuation has surged, so has the startup’s ambitions to court my high value customers. Recently, the company has been building out their Unity Industrial arm, which Finger Foods is being brought into.

It’s been a busy and occasionally turbulent past year for Unity. This past June, a former VP filed a sexual harassment lawsuit against the company’s CEO — allegations that the company claims are false. The SF company has raised over $1.3 billion to date, nearly half of which they’ve raised in the past year.

07 May 2020

Activ Surgical launches visualization tech for making surgeries safer

After $25 million in funding and three years of development, the Boston-based medical device and software development company Activ Surgical is bringing its first product to market, the company said yesterday.

The company’s ActivEdge platform, an artificial intelligence and machine learning software system using data from a hardware attachment that can be fixed to existing surgical equipment, is intended to provide real-time intelligence and visualization to improve patient outcomes, the company said.

The platform and its associated products will be initially available in the U.S. with expectations to expand to the rest of the world next year. 

“The future of surgery is collaborative, with human judgement and wisdom augmented by robotics precision,” said chief executive Todd Usen in a statement.

Activ’s software purports to help surgeons avoid the medical errors which kill 400,000 people in the U.S. alone every year. Preventable medical errors are the third leading cause of death after heart attacks and cancer and 26 percent of those errors are the result of surgical mistakes.

Aside from the human toll these medical errors are costly, hitting healthcare facilities with a roughly $36 billion bill in the U.S.

Initially, Activ Surgical will work to integrate its technology into the 2.2 million most common laparoscopic procedures that are conducted in the U.S. including cholecystectomy, colectomy, hysterectomy and gastrectomy, where identification of blood flow and critical structures matter the most.

“Innovation in the surgical vision category is long overdue; the most commonly employed surgical imaging process, ICG, uses fluorescent dye invented more than 70 years ago and does not offer real-time, objective physiologic information to surgeons when they critically need it during procedures,” said Dr. Peter Kim, co-founder and chief science officer, Activ Surgical, in a statement. 

The company’s hardware-based technology works with existing visualization systems to provide real-time data and new visualizations of the surgical environment. The connected platform attaches to laparoscopic and arthroscopic systems.

The technology hasn’t been cleared by the FDA yet, but is in pilot tests with eight hospital networks around the country.

In addition to its hardware offering, Activ Surgical is developing a software tool to provide more refined data and visualization to surgeons. That ActivInsight product is still in development, the company said.

“We’re trying to bring new visual data to doctors that they don’t see today,” said Usen in an interview. “We figured out a way to make a small module that fits on existing scopes in hospitals already and augments surgical visualization.”

Usen ultimately sees the device as a technology that can improve the integration of robotics into surgical procedures. “We want to make [surgery] foolproof by taking the great things about autonomous robotics and bring it to mainstream surgery to prove out the concept,” he said. 

 

07 May 2020

This early Facebook investor wants to find smart students a job . . . at the next Facebook

For many college seniors, school is a time for self-exploration, considering options, leisurely contemplating the future.

Yet that’s rarely the case for computer engineering students who either attend the world’s best universities or rise to the very top of their classes. Almost immediately after choosing their courses during the first week of school, they typically find themselves at their college career fair, wondering if they should interview with the likes of Google or Facebook . More, when they do, they often receive an offer they can’t refuse, sometimes with a signing bonus and very often with a 48-hour exploding deadline.

The perception is that saying no means becoming forever blacklisted by that outfit. But serial founder turned investor Ali Partovi — who has enjoyed success over his career with, and alongside, twin brother Hadi  — insists it’s smoke and mirrors. “There are only so many great students graduating, and there are way, way, way more jobs to be filled than there are CS graduates. Like, the students should be giving the companies deadlines.”

To get out that message — that students have options and needn’t allow big tech companies to narrow these prematurely — Partovi is organizing something new. Through his four-year-old networking organization, Neo, and its associated venture fund, he is staging a kind of virtual matchmaking extravaganza on August 8 that introduces students to an entirely different kind of opportunity.

Called Neo Startup Connect, the idea is to introduce students who Neo has itself vetted to fast-growing — but stable — companies like the design software Figma, which just announced $50 million in Series D funding last week. Partovi thinks there are opportunities to learn a wider number of things at companies like have closer to 100 people than 45,000 (Facebook) or even 120,000 (Google).

He also maintains that there’s a world of companies that students might find more aligned with their interests, if only they knew about them.

“Every day, I’ll be talking to a someone who is a top student from, let’s say, Princeton, and this person tells me that she’s passionate about health care and machine learning, and she has a job offer to join Goldman Sachs. And I’ll be like, ‘Why would you go join a bank or a hedge fund?'” Partovi says he’s worried that not enough students are “doing something that’s adventurous or maximizing their potential and instead going the safe route.” Connecting them to earlier-stage companies is his way of countering the trend.

Neo Startup Connect is also a natural offshoot of what Neo has been working on in recent years, which is trying to identify the most talented engineering talent coming out of schools and promising to invest in anything the students might launch later on based on the belief that they’ll invariably become successful. The approach that has become more widespread throughout Silicon Valley, but it means playing the long game. With Neo Startup Connect, Partovi can have a more immediate impact on someone’s future, as well as strengthen Neo’s relationships to companies that Neo has either backed in the past or might like to back in the future.

For example, in addition to Figma, some companies participating in the event include Forethought, a past TechCrunch Battlefield winner whose AI systems boost customer support productivity; and Notion, a buzzy maker of collaboration software that announced $50 million in funding at the start of the month and counts famed angel investor Ram Shriram as an early backer. None are backed by Neo.

Other participants that have received funding from Neo include the on-demand trucking platform Convoy, which closed on $400 million in Series D funding late last year; Bubble, a no-code point-and-click programming tool that has disclosed just $6.25 million in seed funding to date; and the AI chip company Luminous, which last year raised $9 million in seed funding, including from Microsoft cofounder Bill Gates, Uber cofounder Travis Kalanick, and current Uber CEO Dara Khosrowshahi (who happens to be Partovi’s first cousin).

As for the advantage to the students themselves, Neo is promising to not only widen their eyes and their opportunity set, but to make the application process easier by first screening them itself using a coding assessment program used by Quora and other companies, as well as through in-person interviews, which will be conducted by Partovi along with a “mix of seasoned veterans from the Neo community,” he says.

Whether that satisfies participating companies is a question mark. For example, Kris Rasmussen, the vice president of engineering at Sigma, says via email that while Neo “does a great job of surfacing highly qualified candidates for us from their community,” he adds that “all Figma candidates go through the same technical interview process” In other words, there are no shortcuts.

Neo’s endorsement counts for something, however. Says Deon Nicholas, the CEO of Forethought: “I’ve come to trust that when Ali has vetted someone, they’re going to be world-class in terms of both IQ and EQ . . . The only hard part is to make sure they don’t take offers from Google.”

Which raises the question of whether it’s so terrible to start a career with a tech giant in the first place.

Partovi himself interned at Microsoft as a Harvard student, then bounced between Oracle and a tech startup after graduating. Nicholas worked for some sizable companies, too, including Dropbox and Pure Storage. Not to put too fine a point on things, but Rasmussen also worked for Microsoft straight out of college, though he spent less than a year with the tech giant.

Is it possible — we ask Partovi —  that freshly minted college graduates can learn a lot from inside a big company, including how that company works for startups (useful information to know if the intention is to start a company some day)?

Is it possible the credential boosts their earning potential? Gives them more options?

Partovi says he “won’t argue” with any of these questions. “Different paths are right for different individuals — from a corporate job, to joining a startup, to starting your own.”

Unfortunately,” he continues, “even for the most entrepreneurial, top-performing students, the startup path has systemic impediments. It’s unmapped, unguided, intimidating, and has structural obstacles.” If Neo can help remove these obstacles so those engineers can succeed on the startup path, he’ll have succeeded.

In a world where big companies continue to absorb the best talent, often via exploding offer letters — and potentially at the expense of newer upstarts that might grow and thrive and perhaps even outgrow them at some point — society might also benefit from a little intervention in the way things currently work.

It might not be such a gamble, in any case. According to one former recruiter for Google, most candidates who turn down the company stay on its radar.

In some cases, it will keep trying to hire them for the rest of their lives.

(Note: If you’re a student who is interested in participating in Neo Startup Connect, the outfit opened registration today and will be screening candidates through the end of June. Partovi says the plan is to accept and try place roughly 150 individuals.)

07 May 2020

Lyft now requires face masks for riders and drivers

Lyft today announced a new health initiative that requires drivers and riders to wear face masks or coverings during rides. Additionally, Lyft says it will provide cleaning supplies and masks for drivers.

Riders and drivers must all confirm they will cover their faces and not ride or drive with Lyft if they have COVID-19 or any symptoms. Drivers must also agree to keep their vehicles and hands clean and keep windows open when possible. Lastly, riders must agree to not ride in the front seat.

Before riding or driving, both riders and drivers will be prompted to confirm they will follow Lyft’s new personal health requirements. If a rider or driver repeatedly violates the order, their accounts will be subject to suspension.

“We believe being part of the Lyft community comes with shared responsibility,” Lyft VP of Global Operations Angie Westbrock said on a press call today. “When you wear a mask, you’re demonstrating to someone that you care about them…This helps give both sides — riders and drivers — that extra peace of mind during this time.”

So far, Lyft has dedicated $2.5 million to purchase hundreds of bottles of hand sanitizers and masks for drivers. To get these supplies, Lyft says it will notify drivers exactly where and when they will be able to pick them up.  Lyft has so far provided individual drivers with one reusable mask and says it’s exploring partitions. Similarly, Uber began requiring riders and drivers to wear face coverings during rides.

Lyft’s efforts to make its rides safer comes shortly after Lyft laid off 982 employees and furloughed another 288 due to the global health crisis. Meanwhile, Lyft and Uber are facing a new lawsuit from California Attorney General Xavier Becerra over the alleged misclassification of drivers. The suit argues Uber and Lyft are depriving workers of the right to minimum wage, overtime, access to paid sick leave, disability insurance and unemployment insurance. The lawsuit, filed in the Superior Court of San Francisco, seeks $2,500 in penalties for each violation, possibly per driver, under the California Unfair Competition Law, and another $2,500 for violations against senior citizens or people with disabilities.