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A12   HEALTH
                 Monday 30 noveMber 2020
             Teladoc eyes several new phases of growth for telemedicine




                                                            By TOM MURPHY AP Health Writer                  change your medications and make sure you
                                                            Fresh off a big acquisition and riding a wave of  are taking (them) and that it's the right dosage.
                                                            customer growth, Teladoc Health is ready to do  Q: Would the doctor call the patient?
                                                            more for patients.                              A: No, we're going to send you something that
                                                            CEO Jason Gorevic said the telemedicine pro-    gives you the opportunity to request a visit. And
                                                            vider  can  play  a  big  role  in  helping  people  if you're not responding, we may reach out with
                                                            manage high blood pressure, diabetes or other  a coach who offers to connect you.
                                                            chronic conditions.                             Q: Before the pandemic, one of telemedicine's
                                                            Plus  he  wants  customers  to  think  well  beyond  biggest  challenges  was  making  patients  re-
                                                            primary care when they consider telemedicine,  member to use the service when they need it.
                                                            which  involves  care  delivered  remotely,  often  What's the next big challenge?
                                                            with  a  live  video  connection  through  smart-  A:  Continuing  to  make  them  aware  of  the
                                                            phones or tablets.                              breadth of conditions that can be treated virtu-
                                                            Last month, Teladoc finished a more than $18  ally. What they can get from virtual care is eye-
                                                            billion  deal  to  buy  the  technology  company  opening to most people.
                                                            Livongo.  Separately,  the  telemedicine  provid-  Q:  Outside  primary  care,  name  a  specialty
                                                            er said its total visits have more than doubled  primed for telemedicine growth.
                                                            to 7.6 million so far this year, as COVID-19 has  A:  We  have  a  rapidly  growing  dermatology
                                                            pushed more people to try remote care.          business. But it goes beyond that. We work with
                                                            The 49-year-old Gorevic spoke recently with The  hospitals on a variety of cases ranging from on-
                                                            Associated  Press.  The  conversation  has  been  cology to cardiology to post-surgical follow up
                                                            edited for clarity and length.                  visits.
                                                            Q: You've talked about using the Livongo deal  Q: What place does artificial intelligence have
                                                            to create whole person virtual care. What will  in  virtual  care?  Will  patients  have  basic  care
                                                            that look like?                                 needs handled by a computer algorithm that
                                                            A: You may be somebody with high blood pres-    asks questions and gathers data?
                                                            sure using a Livongo blood pressure cuff that's  A: We think that AI can augment physicians to
                                                            uploading  data.  If  you  have  one  day  of  high  help them deliver better care. But we feel very
            This  is  image  provided  by  Teladoc,  shows  Teladoc   blood  pressure,  we  may  send  you  a  digital  strongly that data science can provide things
            CEO Jason Gorevic. Telemedicine provider Teladoc   nudge that reminds you, 'Hey, you should make  like  intelligent  health  nudges,  looking  at  your
            Health wants to play a bigger role in managing pa-  sure  that  you're  watching  yourself.'  If  it's  high  blood sugar levels and reminding you based on
            tient care, especially for people with chronic condi-  for a week, we may reach out with a coach.  whether you had breakfast, hey, maybe going
            tions.
                                           Associated Press  And if it's high for a few weeks, now we have a  out and taking the dog for a walk would be a
                                                            doctor who's available to connect and maybe  good thing. q
              How Biden and Kerry could rebuild America's global climate leadership



              Dolf   Gielen    Colorado  spirit  of  mending  relation-  such announcements.      mestic  action  to  reduce  Congress.  For  example,
              School of Mines             ships  rather  than  "naming  Getting  those  pledges  those emissions will be criti-  he  could  use  executive
              (The Conversation is an in-  and shaming" other coun-   implemented is what mat-    cal  to  regaining  trust  and  orders and direct govern-
              dependent  and  nonprofit  tries.                       ters now, and that will re-  standing  on  the  global  ment  agencies  to  tighten
              source  of  news,  analysis  Over  the  past  four  years,  quire  leadership,  detailed  stage.                regulations on greenhouse
              and  commentary  from  the  Trump  administration  planning  and  careful  di-      Energy is at the center of  gas emissions; increase re-
              academic experts.)          pulled  the  U.S.  out  of  the  plomacy. The U.N. climate  the climate challenge   search  and  development
              Dolf   Gielen,   Colorado  international  Paris  Agree-  conference  in  November  The  effects  of  climate  in clean energy technolo-
              School of Mines and Mor-    ment on climate change,  2021 will be special. It will  change  are  already  evi-  gies; and empower states
              gan  Bazilian,  Colorado  rolled  back  policies  that  be  the  first  time  countries  dent  across  the  globe,  to  exceed  national  stan-
              School of Mines             were  designed  to  cut  will  evaluate  their  prog-   from extreme heat waves  dards, as California did in
              (THE      CONVERSATION)  greenhouse        gas   emis-  ress  on  the  Paris  Agree-  to sea level rise.        the  past  with  auto  emis-
              John  Kerry  helped  bring  sions, and tried to prevent  ment,  and  they  will  be  But while the challenge is  sion standards. A focus on
              the world into the Paris cli-  any  discussion  of  climate  expected  to  strengthen  daunting,  there  is  hope.  a just and equitable transi-
              mate agreement and ex-      change  at  international  their  commitments.  Biden  Solar  and  wind  power  tion  for  communities  and
              panded  America's  repu-    gatherings  like  the  G-7  has  already  signaled  that  have become the cheap-    people  affected  by  the
              tation as a climate leader.  and G-20 summits.          he will bring the U.S. back  est forms of power gener-  decline  of  fossil  fuels  will
              That  reputation  is  now  in  The  international  commu-  into  the  agreement  as  ation  globally,  and  tech-  also be key to creating a
              tatters,   and   President-  nity,  meanwhile,  largely  soon as he takes office. As  nology  progress  and  in-  sustainable transition.
              elect  Joe  Biden  is  asking  moved  forward.  Many  energypolicy  experts  who  novation continue apace  The  U.S.  position  as  the
              Kerry  to  rebuild  it  again  –  countries   and   regions  have been involved in in-  to  support  a  transition  to  world's largest oil and gas
              this time as climate envoy,  have  pledged  to  move  ternational  climate  policy  clean energy.               producer  and  consumer
              a  position  Biden  plans  to  their  economies  toward  for over two decades, we  In  the  U.S.  under  a  Biden  creates political challeng-
              include in the National Se-  "net zero" greenhouse gas  have watched how coun-      administration,  long-term  es  for  any  administration.
              curity Council.             emissions by the middle of  tries  responded  to  U.S.  in-  national  climate  legisla-  U.S.  forays  into  European
              It won't be easy, but Kerry's  the century, including Chi-  volvement, and how their  tion  will  depend  on  who  energy  security  are  often
              decades  of  experience  na,  the  European  Union,  views  of  America's  ability  controls  the  Senate,  and  treated  with  suspicion.
              and  the  international  re-  South  Korea  and  Japan.  to lead the world dimmed  that  won't  be  clear  until  Recently,  France  blocked
              lationships  he  developed  An  increasing  number  of  over the past four years.   after two run-off elections  a  multi-billion  dollar  con-
              as  a  senator  and  secre-  cities  and  states  have  set  The U.S. is the second larg-  in Georgia in January.  tract  to  buy  U.S.  liquefied
              tary of state may give him  similar goals. Trump's hard-  est  greenhouse  gas  emit-  But there is no shortage of  natural  gas  because  of
              a  chance  of  making  real  line stance may have ac-   ter worldwide after China.  ideas for ways Biden could  concerns  about  limited
              progress, especially if that  tually  emboldened  some,  It is also the largest emitter  still take action even if his  emissions  regulations  in
              work  is  conducted  in  the  notably  China,  to  make  historically.  Concrete  do-  proposals  are  blocked  in  Texas.q
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