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Arizona is becoming an incubation chamber for medical technology innovation, and several businesses stand out from the fold.

AZ Big Media鈥檚 AZ Business Magazine recently聽published its picks for Health Care Leaders of the Year for 2019, chosen by the magazine鈥檚 .

小红帽直播app spoke with representatives from three rising stars that made the list for health care Delivery Methods.

AdviNOW Medical

James Bates moved to Arizona in 2012, where he ran a $700 million business for聽, a Texas-based corporation that was later acquired by聽.

After the acquisition, Bates was looking for a new opportunity 鈥� a friend suggested investing in a chain of urgent care centers in the Valley.

鈥淚 knew absolutely nothing about urgent care,鈥� Bates recalled. 鈥淒igging into the financial analysis, I quickly came to the conclusion that running a medical practice is very tough business.鈥�

Urgent care centers see high fixed costs 鈥� providers, facilities, equipment and regulatory requirements are all expensive.

Bates almost gave up on the investment opportunity, but then he had an idea: What if you take the autonomous technology in self-driving vehicles today and use it to automate the intake and administration for urgent care centers?

鈥淲e make the doctor still responsible, but we automate everything around the doctor,鈥� Bates said. 鈥淲e built that financial model with the tech implemented, and it actually reduced the cost of running the clinic by over 70 percent. It was so dramatic that I figured I had no choice but to found the company.鈥�

Bates filed 12 patents and founded the 鈥渨orld鈥檚 first fully-automated medical visit.鈥�

鈥淚t fundamentally revolutionizes health care,鈥� said Bates, who serves as CEO of AdviNOW Medical. 鈥淭his invention alone saves Medicare, it enables access for every single person on the planet, and this is how you resolve the disaster of health care that we have in this country as well as the world 鈥� this technology.鈥�

One of the greatest costs in today is the fact that people are using the hospital emergency room for their primary care, he said.

鈥淯ltimately, what happens is that people who are on Medicare or聽 end up using the most expensive point of care, which is the emergency room, for things that they shouldn鈥檛,鈥� Bates said. 鈥淲hen you look at that scenario, the reality is the emergency room is not convenient. No one wants to use the emergency room, but they don鈥檛 really know how, or they don鈥檛 have access to a simpler and lower-cost point of care.鈥�

The other problem is that people often forget or neglect to manage medications properly when treating chronic conditions. Patients need a follow-up system to help them help themselves, Bates said.

鈥淵ou need to have primary care service that is cheap; you need to have nurse call centers which are cheap and plentiful,鈥� he said. 鈥淏oth of those things don鈥檛 exist today; it鈥檚 impossible for that to happen. What AdviNOW Medical does is it actually allows existing doctors to see three- to four-times more patients per day than they see today.鈥�

At the same time, patient compliance 鈥� making sure patients follow through with their treatment plans 鈥� is all managed through AdviNOW Medical鈥檚 Virtual Provider Assistant, Hannah, which completely automates the clinical visit within regulatory guidelines using Artificial Intelligence (AI) and Augmented Reality (AR).

鈥淎dviNOW Medical does all of the聽triage with the AI; they do all of the follow-up with the AI; they do all of the documentation for the doctor with the AI,鈥� Bates explained. 鈥淏ecause they鈥檙e only making decisions now 鈥� just like the driver only has to watch the road and touch the steering wheel in their Tesla every 30 seconds 鈥� similarly, a doctor just has to confirm what the AI is suggesting on the diagnosis, confirm what the AI is suggesting on the treatment plan, and then press, 鈥業 agree.鈥欌��

Now, doctors can see more patients, and patients receive follow-up, data collection and compliance, almost for free, he said.

The AI handles four main components: the intake, or introductory paperwork; dynamic patient data collection, including History of Present Illness (HPI), using the AI; patient measurement collection using AR; and documentation for the doctor, also known as SOAP (subjective, objective, assessment and plan) notes.

鈥淯ltimately, there is no data entry at all for the provider, and there鈥檚 no data collection at all for the provider,鈥� Bates said. 鈥淎ll of that is done, and the provider just reviews and says, 鈥業 agree,鈥� relays that information to the patient to make sure they鈥檙e compliant with the FDA regulatory environment that we have today.鈥�

AdviNOW Medical currently operates 11 clinics at Safeway grocery stores in the Valley, with a contract to open 600 more in Safeway stores. The company also has two Valley locations with providers on-site, three out-of-state clinics and contracts to open 400 more locations nationwide.

鈥淲e鈥檙e really excited,鈥� Bates said. 鈥淚t鈥檚 a long road to get there, but hopefully we鈥檒l have another billion-dollar company here in Arizona. Right now, that鈥檚 where it鈥檚 leading.鈥�

SpotRx

鈥淪omeone asked me, 鈥榃hat gets you motivated to get out of bed to come to this job?鈥� and I said, 鈥楾here鈥檚 really three things,鈥欌�� Will Misloski said. 鈥淥ne, I love to build things. I love working in startups, and I love innovating. But the third thing鈥� is I鈥檓 actually in an industry that makes a difference in people鈥檚 lives, to their benefit.鈥�

Misloski is chief marketing officer at SpotRx, a 鈥渘ext-gen pharmacy solution鈥� that makes consulting pharmacists and picking up prescriptions and over-the counter drugs quick and convenient for consumers.

operates fully-automated pharmacy kiosks placed at strategic locations in the community to give residents the best access possible to pharmacy services. The company recently signed a contract with Green Valley Recreation in southern Arizona to place its kiosks in three of its member centers.

鈥淭he idea was, how do we ensure that we鈥檙e able to give patients 24/7 access to prescription drugs?鈥� Misloski recalled. 鈥淏ased on everything I鈥檝e heard and the research we鈥檝e done, patients and consumers want to be able to have 24/7 access. And that鈥檚 not always the case with pharmacies; they鈥檙e not able to do that.鈥�

SpotRx, a subsidiary of , launched in the third quarter of 2018 as a direct-to-consumer brand with two brick-and-mortar pharmacy locations 鈥� one in Phoenix, one in 鈥� and about 18 pharmaceutical vending machines currently operating in Arizona.

鈥淭his year is a big scaling year for us, and we鈥檙e looking to expand probably about three- to four-times from where we are today by the end of this year, in terms of what I call 鈥榢iosk dusting鈥� 鈥� getting kiosks in key locations to our target audiences,鈥� Misloski said.

SpotRx also offers home delivery, because the ultimate goal of the brand is to give consumers more choices, following the model of services like Netflix and Uber, he said.

鈥淲hat they鈥檝e done is they鈥檝e put control into consumers鈥� hands; we鈥檙e trying to do the same thing,鈥� Misloski said. 鈥淚t all comes down to putting it in their hands and giving patients access to their medication when and where they want it.鈥�

Another aspect of the technology that has arisen with regards to access is rural health care 鈥� while a big-box pharmacy company like Walgreens or CVS might not see the value in opening a full-service location in rural areas, a SpotRx kiosk could easily be added to an existing store in remote locations.

鈥淲e鈥檙e trying to figure out what鈥檚 the best way to insert ourselves in locations that are more rural, that it seems more part [of the] customer鈥檚 life, because that鈥檚 really [the question] 鈥� How do we insert ourselves into a daily part of someone鈥檚 life?鈥� Misloski said.

Misloski said his favorite part about working for SpotRx is helping provide a service that helps people.

鈥淟ook at our team that we鈥檙e building in Arizona,鈥� he said. 鈥淭he people we鈥檙e hiring 鈥� this is what鈥檚 driving them. They鈥檙e seeing the difference it鈥檚 making in people鈥檚 lives and helping them stay adherent to their medicine, and it鈥檚 been a cool thing.鈥�

Catalytic Health Partners

Founded by Susan Cordts, who now serves as CEO, is an integrated health care delivery solution of social, behavioral and physical medicine designed for patients with more complex needs.

鈥淲e utilize a model of people, technology and data to achieve our goals, believing strongly that there is nothing to be accomplished until our team and the member we are managing have formed an engaged relationship,鈥� Cordts said. 鈥淭hereafter technology and data can be used to further our effectiveness and give us objective insights on our performance.鈥�

Catalytic Health Partners gives each of its members internet-connected tablets with telemedicine, telemonitoring, medication reminders, electronically-populated medical records and an educational portal.

鈥淭he results of our work speak for themselves as we have dramatically improved social, behavioral and physical health outcomes as well as dramatically decreased costs for our populations,鈥� Cordts said.

The tablets and telemonitoring devices Catalytic Health Partners provides to its members offer 24/7 access to a live team member at the company, so members can reach out at any time 鈥� from anywhere, Cordts said.

鈥淚rrespective of where one lives, they have access to a provider who knows about them and can readily meet their needs, overcoming many of the barriers of being more rural,鈥� she said. 鈥淎dditionally, our support team provides them concierge services to coordinate their care and ensure that all the dots are connected to make their care more efficient and effective.鈥�

Cordts said she is proud of her team and 鈥渆cstatic鈥� to see their work recognized for the differences they are making in members鈥� lives.

鈥淲e are proving that one can greatly improve outcomes, improve member satisfaction, decrease costs with a highly satisfied team with our model,鈥� she said. 鈥淚 hope to transform the delivery of health care to one of accountability for outcomes in a more holistic approach, considering social, behavioral and physical medicine needs without forgetting the importance of the human touch.鈥�