A Benefit For Parents - ParentMD

Self-Funded

@SelfFunded

Published: December 12, 2023

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Insights

This video features an in-depth conversation with Dr. Josh Honaker, CEO of ParentMD, detailing his entrepreneurial journey from a practicing pediatrician to a healthcare executive focused on disrupting pediatric care delivery. Dr. Honaker introduces ParentMD as an innovative, membership-based platform designed to serve as a virtual partner and adjunct to the traditional medical home, addressing common frustrations related to access, time constraints, and information gaps in pediatric healthcare. The core philosophy driving ParentMD is the belief that education and telehealth are vital tools to improve outcomes and reduce costs, particularly for self-insured employers who bear the financial burden of healthcare.

ParentMD is structured around a "three-legged stool" model: Telehealth, Education, and Community. The Telehealth component offers vetted partners, including Blueberry Pediatrics (providing 24/7 board-certified pediatricians and a digital toolkit including a digital otoscope), after-hours pediatric nurse support, and virtual Child Life Specialists (Hearts Connected) who offer emotional and behavioral support for children and parents navigating stressful life events (e.g., hospitalizations, death of a pet, vaccines). The Education leg is built on proprietary content, including the "Baby Playbook" (50 videos and a 71-page PDF guide created by pediatrician moms), video courses featuring national experts on topics like pediatric food allergies and eating disorders, and a dedicated podcast studio. The Community leg aims to foster peer-to-peer support, crowdsourcing parent feedback, and hosting interactive town halls and webinars.

A significant theme of the discussion is the strategic pivot of ParentMD from a difficult direct-to-consumer (DTC) model to focusing on self-insured employers and insurance brokers. Dr. Honaker recognized that employers are the primary payers of healthcare and are actively seeking creative, high-value solutions to recruit and retain talent, improve quality of care, and, crucially, decrease costs. By targeting large populations through the employer benefits chassis, ParentMD aims to achieve scale more quickly. The long-term vision involves leveraging claims data to identify specific population health issues (e.g., high ER admissions for uncontrolled asthma) and deploying targeted educational content and support to drive behavioral change, thereby bending the cost curve for the employer.

The conversation concludes with a broad outlook on the future of the U.S. healthcare system, which Dr. Honaker describes as chaotic, complex, and ripe for innovation, noting that healthcare now accounts for 20% of the GDP. He posits that the industry is undergoing a major paradigm shift, moving away from antiquated, volume-based models toward value-based care, driven by technology, consumer empowerment, and the necessity of controlling unsustainable cost increases (averaging 7-8% annually). He highlights the increasing role of concierge and direct primary care models, physician employment by large conglomerates, and the inevitable integration of AI into clinical decision-making and population health management. Dr. Honaker frames this transition using the concept of S-curves, suggesting the industry is moving from focusing on "sickness" (1900s) to "wellness" (2000s), with the ultimate goal being the "longevity curve" focused on optimizing human health.

Detailed Key Takeaways

  • Holistic Pediatric Care Model: ParentMD utilizes a unique "three-legged stool" approach—Telehealth, Education, and Community—to provide comprehensive, trusted, and accessible pediatric support, serving as a virtual partner to the traditional medical home rather than seeking to circumvent it.
  • Addressing Time Constraints and Burnout: The platform directly addresses the core frustrations in pediatric care: limited time slots, high patient volume, and physician burnout. By offering 24/7 virtual access and educational resources, it frees up physician time and provides parents with immediate, reliable support.
  • High-Value Telehealth Integration: The Telehealth model includes advanced features like the digital toolkit (otoscope, pulse oximeter) provided by partners like Blueberry Pediatrics, significantly enhancing the diagnostic capability of virtual consultations for common issues like ear infections, leading to rapid diagnosis and prescription fulfillment.
  • Novel Behavioral Health Support: ParentMD integrates virtual Child Life Specialists (Hearts Connected), a service typically confined to hospital settings (ICU, oncology), to offer emotional and behavioral support for children dealing with common life stressors, showcasing a commitment to holistic care beyond acute illness.
  • Strategic Pivot to Employer Benefits: Recognizing the arduous lift of the DTC model, ParentMD strategically shifted focus to self-insured employers and insurance brokers. This approach allows for quicker scaling, aligns with the employer's need for cost control and talent retention, and addresses the fact that employers are the primary payers of healthcare costs.
  • Data-Driven Population Health Management: The future strategy involves analyzing employer claims data to identify specific health burdens within the employee population (e.g., high asthma-related ER visits). This data is then used to deploy targeted educational content and support, leading to measurable behavioral change and cost savings.
  • Long-Term Financial Investment in Children's Health: Investing in pediatric preventive care, mental health, and healthy lifestyle education for children is framed as a critical long-term strategy to bend the adult chronic disease cost curve, which currently burdens the healthcare system (e.g., averting obesity, diabetes, and related conditions).
  • Consumer-Centric Healthcare Disruption: The current healthcare environment is described as chaotic and antiquated, necessitating innovation driven by technology (AI) and consumer empowerment. Providers must become more consumer-centric, and employers must actively steer solutions to control unsustainable premium increases (7-8% annually).
  • The Power of Membership Model: The membership structure ($1 per day for the entire family) allows ParentMD to bundle high-value, sourced resources (telehealth, expert content) efficiently, making it cost-effective and predictable for employers and consumers while ensuring continuous content growth and platform evolution.
  • AI as a Future Catalyst: AI is identified as a critical technology that will be increasingly embraced in the coming years, moving beyond clinical decision support into helping populations make better health decisions and streamlining operations, further disrupting traditional healthcare delivery.

Tools/Resources Mentioned

  • Blueberry Pediatrics: A telehealth partner providing 24/7 board-certified pediatricians and a digital diagnostic toolkit (digital otoscope, thermometer, pulse oximeter).
  • Hearts Connected: Virtual Child Life Specialists offering emotional and behavioral support.
  • Symptom Checker: Software used by children's hospitals that allows parents to input symptoms and receive likely diagnoses and management advice.
  • The Baby Playbook: Proprietary educational resource created by ParentMD, including 50 videos and a 71-page PDF guide for new parents.

Key Concepts

  • Telehealth and Education as Solutions: The core belief that increased access to virtual care and reliable, expert-led educational content can solve the common disconnects and frustrations experienced by parents and physicians in pediatric healthcare.
  • Pediatrician-Led, Parent-Guided: ParentMD's approach emphasizes that while content and services are led by medical professionals, the platform's development and content creation are constantly informed and pivoted based on feedback and needs identified by parents.
  • The S-Curve of Healthcare: A conceptual framework suggesting healthcare progresses through three major phases: the "sick curve" (focus on treating acute illness, 1900s), the "wellness curve" (focus on chronic disease and prevention, 2000s), and the future "longevity curve" (focus on optimizing human health and extending lifespan).
  • Direct Primary Care (DPC) / Concierge Model: A payment model where patients or employers pay a flat fee for enhanced access to a physician with a limited patient panel, leading to less stress for the doctor and better quality time and access for the patient.

Examples/Case Studies

  • Ear Infection Scenario: A classic anecdote illustrating the value of ParentMD's telehealth service: a parent with a child suffering from a high fever and ear pain at 10 PM can use the digital otoscope to capture a video, allowing the board-certified pediatrician to diagnose a purulent Otis media and call in a prescription immediately, resolving the issue without an ER visit.
  • Asthma Claims Data: A hypothetical example of future data-driven partnership: if an employer's claims data shows high ER admissions due to uncontrolled asthma, ParentMD can deploy its specialized asthma video course (featuring a leading expert) and targeted support to that population to improve management and reduce costly acute care utilization.