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From TechCrunch by Sarah Perez:  DrChrono, a startup focused on bringing medical records and more to the iPhone and iPad, is announcing a big update today which introduces mobile payment feature to its platform, as well as a new way for physicians and patients to access their health insurance information from mobile devices.  Continued.

Trish’s Comment:  Ever since the Health Information Technology for Economic and Clinical Health Act (HITECH Act), enacted as part of the American Recovery and Reinvestment Act of 2009, was signed into law to promote the adoption and meaningful use of Health Information Technology (HIT), HIT firms have experienced significant growth.

Particularly, this has been the case for Electronic Health Record (EHR) Companies thanks to the EHR Incentive Programs, which specifies that each physician within a practice can qualify for $44,000 in Medicare Incentives or $63,750 in Medicaid Incentives for adopting a Certified EHR. 

This is the main reason behind the explosive growth experienced by innovative small startups in this area, such as DrChrono and Practice Fusion.  What is DrChrono and why has it caught my attention?

DrChrono is a freemium SaaS solution for doctors that is built on top of Apple’s iOS platform.  It offers an online service and iPad app that doctors can use to schedule patient appointments, write or dictate notes via audio, take pictures, write prescriptions, enable reminders, access lab results or input health records.  It is experiencing strong growth going from 5,000 users during the summer of 2011, to 15,000 at the beginning of 2012 to around 23,000 this month.   The best way to get a feel for DrChrono is to review the following short video.

It has caught my attention for four main reasons:

  • Michael Nusimow, DrChrono’s CEO, says:  ‘We’re a non-health care company in health care …  A tech company looking for tech solutions.’  And thus, when defining their business and revenue models, they studied and analyzed other tech companies.  Although they are a big data company, they, at least so far, have not gone down the same path as PatientsLikeMe where aggregate patient information is used – and sold – to look for trends in drug performance, disease evolution or geographical distribution.  This is the revenue model favored by other EHR companies such as Practice Fusion.  

    In the case of DrChrono, it has chosen a freemium model, with many features offered for free while others, such as speech-to-text, medical billing and insurance checks, are available as in-app purchases.  And it seems that its users are behaving much like users of other freemium-based technology companies, such as DropBox or Evernote, regarding the split between free and paid customers.  

  • Although the company launched its product on the iPad first, it initially had plans to port their software to other platforms, most notably Android.  As of late, it has decided to focus 100% on iPad and other Apple products, betting its future in the iPad being the best suited for doctor’s use.  This is a bold bet!

  • As far as I know, it is the first EHR company to include Square-based mobile payments into its processing flow – directly connected to its billing system.  It makes perfect sense since DrChrono is targeting the smaller scale doctors’ practices (up to ten doctors), where traditional POS systems can prove to be an expensive solution. 

    According to Nusimow, it not only makes sense but it is also something doctors really want to use because it is ‘something sexy …  It makes them feel modern’.  Well, no harm in that!

  • Finally, it keeps adding very innovative features, the latest being real-time medical insurance checks, available through an iPad app for the very first time.  It allows doctors to easily find out details of a patients’ current coverage and provides patients with details regarding co-pay, deductibles and procedures covered.

    DrChrono is a platform and, as such, the possibilities for new features and solutions to be added are limited only by imagination.

DrChrono has already raised over $4 million from the likes of Yuri Milner, Matt Cutts, Paul Buchheit and Charles River Ventures.  It is sure to continue to raise interest as it adds new features and services.  I will keep you updated!
 
 
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Today’s post is the second blog of this series on AmEx.  Last week we reviewed their most relevant acquisitions and investments.  This week we will close this topic by focusing on key partnerships and looking at the company's future.




Partnerships

1) FourSquare – In June of this year, FourSquare and AmEx launched a US-based partnership for discounts when AmEx customers checked-in with FourSquare at select merchants.

The official name of the services is American Express Specials – which runs on AmEx Smart Offer APIs.  To access it, card members must link their cards to their Foursquare accounts.  After checking in to a participating store, the Special can be loaded onto their AmEx cards – at no cost to the consumer.  When the card is used to make the purchase, the offer is automatically applied – no need to present the offer at checkout – and a credit included in the following statement.

Although it is not clear the cost to the retailer, AmEx’s objective is to raise revenues by increasing card usage and not by charging the retailer.  For large retailers, the agreements are not public but for participating small retailers, it seems that there is no charge.  All the while, participating retailers will gain access to a wealth of customer data that will allow them to analyze the effectiveness of their offers on traffic and loyalty.

2)  Facebook – In July AmEx unveiled a social media platform called ‘Link, Like, Love’ that gives card members personalized deals on Facebook based on their social graphs – cardholder’s and friends’ likes and interests.  To sign up, just download the ‘Link, Like, Love’ app on
AmEx Facebook page (it is not available in the App Store) and link your AmEx card to your Facebook account.  If you see a deal that you like, just tap the button by the offer and the special will be loaded directly to your AmEx card.  Just like in the case of AmEx and FourSquare, coupons are free and no printouts are necessary.

With this service, AmEx seems to have found a way to capitalize on the famous ‘Like’ and ‘Check-In’ buttons. Basically, you will only be presented with offers that are relevant to you by including specials on topics or locations that you, or your friends, have ‘Liked’ or where you have ‘Checked-In’.  For example, if you recently ‘Checked-In’ at a participating grocery store, you will be presented with a coupon for that specific retailer.  If you recently ‘Liked’ a musician’s fan page, you may be presented with a discount on concert tickets or on music downloads of that specific artist.

There are clear benefits for consumers.  What about retailers?  Large retailers will work directly with AmEx to include and promote their deals but, for small businesses, AmEx has launched a program within this platform called ‘Go Social’ that allows them to create and distribute coupons on a number of social networks.  Businesses can sign up via Facebook to be included on deals in Facebook, FourSquare and other social sites. This is a great way to gain visibility while accessing customer analytics.

3)  SCVNGR (stands for Scavenger) – SCVNGR is a location-based gaming application that allows you to perform challenges in exchange for deals.  For example, if you check into ‘Bostonian Burrito’ and you choose the ‘Tin Foil Origami’ challenge (i.e. build an origami bird with the tin foil wrapping your burrito), you can then take a picture of your origami and, since you have passed your challenge, claim a ‘Mini Burrito’.  It is meant to be an entertaining and engaging way of acquiring rewards. 

SCVNGR also offers a slightly different experience via their LevelUp application where you register to get your personal QR code that you use to pay and save at local businesses in your town.  Each day, they feature a new merchant and add credit to you QR code.  Your charges and rewards will be saved via this code.  AmEx has partnered with SCVNGR to offer discounts on Levi’s stores in Boston and Philadelphia.  This is a very small partnership since it is one retailer in two cities (SF was featured for one week) but it is another way for AmEx to test the waters. 

4)  Vente Privée – It is a French-owned flash sales site with about 13 million members and more than $1 billion in European sales.  As Pascal-Emmanuel Gobry, Vente Privée’s founder, explained during an interview with Business Insider, the company is about creating great event sales that bring traffic to stores.  It is about offering something really special that will keep businesses and consumers coming back to them over the long term.

Gobry regards the US deals market as particularly mature, crowded and challenging although he believes that Vente Privée’s offering is very different to that of Gilt, Amazon, Groupon or Facebook.  For this reason he had always envisioned going into this market with a partner and, from his perspective, whom best than a customer-centric and excellence-centric entity such as AmEx?

This partnership is very different to those setup with FourSquare, Facebook or SCVNGR and shows AmEx willingness to experiment and to make long-term bets with all types of partners.

5) Mobile Partners – AmEx has also worked with iOS, Android and other providers of mobile operating systems to develop and deploy applications.  For example, earlier in the year AmEx launched its iPhone and iPod Touch applications and just a few days ago, it launched its iPad app.  This last one has received a particularly warm welcome since very few financial institutions have, at this point in time, iPad apps – although most have iPod, iPhone and Android apps.  As result, in a very short space of time, American Express app has become the third most popular free app on the iPad, right behind Bank of America and Citibank.

AmEx Future

AmEx 90 million card members worldwide, its history of excellence and the new acquisitions, partnerships and product launches discussed, give the company an ideal platform to become a key player in this space.  Specifically, AmEx unique makeup as a card issuer, merchant acquirer and payment network has allowed the company to develop direct links with consumers and merchants alike – most credit card companies do not have direct links to merchants because they work with acquiring banks.

These direct relationships allow AmEx to be:

1)  Agile and fast in striking deals with all players
2)  Extremely valuable at extracting consumer information and helping retailers analyze the effectiveness on the deals
3)  Easy to work with since it is simple for them to implement the deals without direct support from the retailer’s staff, avoiding training and other costs.

It is also a win from a consumer’s perspective since AmEx seems to be very focused on developing a great customer experience across all channels.  As Julie Fajgembaum – VP of Brand, Marketing and Social Media for AmEx – explained, their focus is on being where their customers are, irrespective of platform or device, in the way that is most relevant to the user.

All in all, a great initial proposition that can be expanded and make AmEx a serious contender in the mobile commerce and mobile banking spaces.

Reference: 

GigaOm Pro Long Views:  ‘How American Express could be a monster in the local-deals market’, contributed by Ryan Kim on August 1st, 2011. http://pro.gigaom.com/2011/08/how-american-express-could-be-a-monster-in-the-local-deals-market/

 
 
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I had heard quite a bit about Flipboard before but it was not until I saw it listed in Time’s (1) ’50 Best Inventions of 2010’ a couple of weeks ago that I became truly intrigued. 

The top technology inventions include iPad, Flipboard, Looxcie, Kickstarter, Square and Sony’s Alpha A55 Camera.  Being an avid iPad user and a daily train-commuter (on, often, wi-fi-enabled trains), (2) Flipboard seemed to be a perfect fit for me.  I decided to give it a go!

Flipboard offers iPad users an alternative to browsing the web and accessing all types of social media, such as Facebook, Twitter and LinkedIn.  It turns your social streams and information feeds into social ‘magazines’ while allowing you to respond and interact from the app itself. 

You can flip through the many pages of 'news' with your finger. At any time, you can tap on one photo or news item to make it full-screen – you can even view video directly on the app. In that view, you can comment on articles, reply to the original poster via Twitter or, if you're looking through links from Facebook, hit the all-important 'like' button.

Downloading it ( (3) from Apple’s App Store) and getting used to its user-friendly and intuitive interface was extremely easy.  Loading the streams for the first time was a bit of a pain – I was at an airport connected via Boingo, I did not have any trouble running other internet-based apps or browsing the web but the streams just would not load!   Having said this, once I overcame this first hurdle – by connecting at home - it has been easy sailing.  In fact, by combining the resources in Kindle, iBook and Flipboard, my iPad is now my preferred media for reading!  At the bottom I have included a few screenshots of the application.  

What are the major pros and cons?

Pros:
1)   Aggregates news, images, video, shared links and social networking updates.
2)   Easy to setup and use – extremely user-friendly and simple interface.
3)   Magazine-style page layouts with beautiful use of photos and white spaces, make reading easy and attractive.
4)   The app has its own set of curated hubs but you can also create hubs that are based entirely on Twitter lists or users.  They are still beautifully presented and just as easy to read.  Having said this, an improvement could be to also allow RSS feeds.
5)   Absolutely free.

Cons: 
1)   Limits the total number of panes you can include to 21.
2)   You cannot read stories when offline without an (4) Instapaper account, which you have to then (5) setup within Flipboard.
3)   To avoid repetitious content on Twitter, it simply skips over duplicated links.  This helps keep the content more varied and, thus, relevant but, at the same time, breaks out possible conversations among users.
4)   Flipboard never seems to reveal the name of the author of a particular article, it only reveals the source.

Download it and try it out!

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Example of welcome cover - An ever-changing image (every 10 seconds or so) taken from your feeds.

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Example of first set of panels - By tapping on any of them you have direct access to your accounts on Facebook, Twitter, LinkedIn or to your favorite news feeds

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Example of Twitter content - Easy to read content.  Again, just tap on the 'article' that interests you the most and read away!