Asthmapolis Wants To Hack The Inhaler And Help 26 Million Americans Better Track And Manage Their Asthma

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Unless you’re reading this while using an inhaler, this fact may surprise you: According to the CDC, 26 million Americans currently have the chronic respiratory disease we know as asthma. Not only that, but the CDC tells us that the disease costs the U.S. $3,300 per person annually, and medical expenses associated with asthma have increased to about $56 billion (thanks to hospitalizations, emergency room visits and missed work), while over 10 percent of insured Americans are unable to afford their prescription medicines.

Asthmapolis launched in 2010 to help find a solution by leveraging the advances in sensor technology (and the reduced costs of producing said sensors) and mobile data monitoring to help people manage their asthma more effectively, in turn reducing the costs both for those suffering from asthma and for the U.S. healthcare system itself. And, today, the Wisconsin-based startup has announced that it has raised $5 million in Series A financing from The Social+Capital Partnership to build out a comprehensive solution and support system for those with the chronic respiratory disease.

Asthmapolis is one of a new generation of digital health startups attempting to hack the old software, devices and care systems that continue to prevail in today’s healthcare landscape. We recently wrote about Intersect ENT, for example, which is hacking stents (yes, stents) to help doctors more effectively treat the 31 million-plus people suffering from sinusitis.

Meanwhile, Glooko, Omada Health and a number of other startups are bringing mobile and digital technology to those with diabetes to help them manage the condition and, in Omada’s case, hopefully even prevent it.

Asthmapolis, on the other hand, is on a mission to hack your inhaler. The startup has designed snap-on, Bluetooth-enabled sensors that track how often people are using their inhalers (along with location and time-of-day), along with analytics and mobile apps for iOS and Android to help them visualize and understand their triggers and trends while receiving personalized feedback.

In turn, the data collected by the solution enables doctors to identify patients who are risk or need more help controlling its symptoms. This allows them to potentially prevent attacks before they happen, saving them the cost of hospitalization or a trip to the emergency room.

In fact, Asthmapolis’ early studies found that this access to realtime data was able to reduce the number of people with uncontrolled asthma (or those not regularly using inhalers) by 50 percent. Without realtime data and the ability to collect information on the context and situations in which people develop symptoms, doctors are groping around in the dark and waiting for attacks before they analyze context and begin treatment.

Many startups are beginning to recognize the opportunity both to create a sustainable businesses and affect real change by positioning themselves at the intersection of growing trends like mobile devices and mobile health initiatives, personalized medicine, big data and sensors. Asthmapolis co-founder and CEO David Van Sickle thinks that the startup can sit at that intersection, while differentiating from competitors by offering both a hardware and software solution.

Not only that, but Asthmapolis received approval from the FDA in July to market its asthma-tracking device and software solution to consumers, which puts it on a very short list. In turn, its software platform, which is available both in English and Spanish, allows users to keep a digital log on their use of medications, while receiving personalized feedback — both designed to improve their ability to successfully manage the disease.

In the big picture, the startup also wants to help public health institutions better evaluate the efficacy of their interventions and treatments and unlock insight into how asthma works and where it originates. And that’s where Asthmapolis is monetizing: By selling its hardware and software solution to payers and health plan providers. With more effective treatment solutions, insurance providers and health plans can save between $4,000 to $6,000 in annual healthcare costs — and, naturally, that’s money in the bank.

The company has formed a number of partnerships in the last year in this regard, which include programs with payers like Amerigroup Florida/WellPoint and providers like Wyckoff Heights Medical Center in New York and Dignity Health in California. Going forward, the startup will look to continue expanding its relationships with providers and payers, along with initiatives in retail pharmacy and the public sector.

“Asthmapolis is in a unique position in healthcare IT,” explains Social+Capital General Partner Ted Maidenberg, “where its technology can easily integrate with existing behaviors (like using your inhaler), while adding a huge amount of data (time, location, activity) that provides a much smarter package compared to your over-the-counter inhaler.”

Mobile Health Moves Forward: FDA Approves AliveCor’s Heart Monitor For The iPhone

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The next time your doctor says, “I have an app for that,” try not to punch them in their stethoscope. Why? Because they just might be using AliveCor. For those unfamiliar, the San Francisco-based company is the maker of a low-cost, clinical-grade mobile heart monitor (fondly known as an electrocardiogram, or ECG, monitor) that fits over the back of your iPhone.

This is not the first we’ve heard of nifty mobile ECGs or heart monitors. (See our coverage of Mio, Cardiio and SmartHeart, for example.) AliveCor has been in development since 2008, but today it became part of an important step forward for mobile health (and heart health), as it received FDA approval — or 510(k) clearance — for its mobile heart monitor.

FDA approval is not something that comes easily, or happens quickly, and for that reason many startups avoid constructing (or pitching) their apps, services or software as “medical” devices, that prescribe advice or treatment and rather go for utility as a general health or wellness service. But co-founders Dr. David Albert, Bruce Satchwell and Kim Barnett said recently that their “aspirations are significant” and that they’re out “to make a difference,” and FDA clearance was the first step. (In fact, the founders were granted U.S. Patent No. 8,301,232 for the device and technology. An auspicious one-two punch for AliveCor.)

With FDA Class II clearance under its belt, AliveCor is now selling its ECG monitor on its website for $199. To receive one, doctors need to input the necessary information (and ID numbers) to prove that they’re in fact registered physicians and, within the next few months, AliveCor will begin more aggressively reaching out to doctors to encourage them to prescribe the monitor to their patients, likely at a lower price (around $99), according to MobiHealthNews. If the company receives its next order of 510(k) clearance from the FDA, it will then begin selling its device over the counter in drug stores and the like.

As to how it works: AliveCor’s ECG monitor comes with two electrodes embedded in casing that can be snapped onto the back of an iPhone 4 and 4S. The device is then launched via the startup’s corresponding iPhone apps, which allows a patient to take ECG readings by either placing the sensors directly over their chest or on their fingers.

Once the reading is taken, the ECG data is transmitted wirelessly to the company’s cloud service from the heart monitor through its proprietary communication protocol, which requires no pairing between the iPhone and the device. This allows patients to store their readings in AliveCor’s secure cloud database, where they can be accessed for later analysis, or shared and printed via its website.

In terms of use cases, the co-founders see the device as providing an easy way to screen for cardiac arrhythmias or atrial fibrillation, both in-office and remotely, allowing them to monitor at-risk patients or those who’ve recently had surgery. As someone who has undergone heart surgery (ablation as well as having been treated with medicines), I am somewhat biased, but can attest to the importance of having a device that allows one to easily and remotely monitor heart rates post-surgery — and being able to do so via a casing that is compatible with the devices we carry with us everywhere? That has real life-saving potential.

The company now wants to create a more universal casing that is compatible with the different generations of the iPhone, as well as with Android devices. In addition, according to MobiHealthNews, AliveCor also plans to launch a “pad version” of its heart monitor, which will allow patients to get ECG readings by placing the palm of their hand on the device. This could then be implemented in doctor’s offices or health kiosks. All of these will require additional FDA approval, so today’s clearance was just the first step in an ongoing process that will take time.

But it’s getting easier to imagine a time when, a year or two from now, AliveCor (or a device like it) will be compatible with all of the major mobile form factors and available over the counter in major drug store chains and in doctors’ offices. While we all get plenty of mileage (and enjoyment) from the advances mobile technology has allowed in photo-sharing, social networking and finding restaurants, what mobile tech can do for health can be truly life-changing — and life-saving.

Soon, we’ll be able to detect heart abnormalities before they reach a critical point and, using data collected from our always-in-pocket devices, advance our understanding of correlations between behavior and risk, and so on. Technology still has most of its utility or application in what happens after a medical event or trauma, but the more it moves toward prevention, the more it can make a real difference.