TrueMed's model allows consumers to use tax-free HSA/FSA funds for preventative health measures like gym memberships and healthy food. By facilitating a "letter of medical necessity," it effectively reclassifies these lifestyle interventions as legitimate medical expenses, creating a financial incentive for prevention.
Recent FDA guidance distinguishes general wellness wearables from high-risk medical devices like pacemakers, giving companies like Oura more leeway for innovation. This aims to transform wearables into 'digital health screeners' that provide early disease warnings, encouraging earlier intervention and potentially lowering healthcare costs by changing behavior before chronic conditions escalate.
By allowing insurance companies to price plans based on biometric data (blood pressure, fitness), you create powerful financial incentives for people to improve their health. This moves beyond abstract advice and makes diet and exercise a direct factor in personal finance, driving real behavioral change.
General Catalyst's CEO highlights a core flaw in healthcare: insurance providers don't reimburse for longevity or preventative care because customers frequently switch plans, preventing insurers from capturing long-term ROI. The first company to solve this misalignment and make longevity "financeable" will unlock a massive market.
The future business model for health tech will shift from subscriptions (SaaS) to outcomes. Vendors will be paid based on the tangible results they generate, such as cost savings or improved patient health, aligning incentives.
By analyzing real-world data with machine learning, Walgreens can identify patients at risk of non-adherence before a clinical issue arises. This allows for early, personalized interventions, moving beyond simply reacting to missed doses or therapy drop-offs.
A $2,000 preventative injection like a PCSK9 inhibitor sounds expensive. However, its cost is likely justified when calculated against the massive societal and individual expense of future medical bills, plus the economic value of additional healthy, productive years.
TruMed's CEO argues that Health Savings Accounts (HSAs) will see mass adoption because they can now be used for desirable wellness and prevention products like exercise equipment and smart mattresses. This transforms HSAs from 'sick care' accounts into tools for proactive health, making them far more appealing to the average consumer.
When pitching a wellness product to B2B clients, shift the conversation from a 'nice-to-have' perk to a 'must-have' financial tool. Use data, even if anonymized, to demonstrate how your product reduces tangible costs like workers' compensation claims, making it an investment with a clear ROI.
For individuals with a multi-million dollar net worth, forgoing expensive health insurance can be a rational financial choice. The substantial savings on premiums (e.g., $300-400k over a decade) can create a fund large enough to cover most medical costs out-of-pocket, effectively creating a self-insurance pool.
The current healthcare model is backwards. It's more cost-effective to proactively get comprehensive diagnostics like blood work done twice a year than to rely on multiple, expensive doctor visits after symptoms appear. This preventative approach catches diseases earlier and reduces overall system costs.