Join us for Five Good Things with Janae Sharp and Megan Antonelli: A rapid-fire segment highlighting positive developments in digital health. Janae and Megan share insights on recent innovations, successful implementations, and emerging trends that are driving progress in healthcare technology.
Janae Sharp, Founder & CEO, The Sharp Index
Megan Antonelli, Founder & CEO, HealthIMPACT Live
0:01 - Intro: Welcome to Digital Health Talks. Each week we meet with healthcare leaders making an immeasurable difference in equity, access, and quality. Hear about what tech is worth investing in and what isn't as we focus on the innovations that deliver. Join Megan Antonelli, Janay Sharp, and Shahid Shah for a weekly no BS deep dive on what's really making an impact in healthcare.
0:30 - Megan Antonelli: Hi, everyone. Welcome to Digital Health Talks. This is Megan Antonelli, and today I am here with my friend Janae Sharp. It has been, I don't know, over a, a couple of months since we've recorded a five Good Things episode, and we are excited to join you. I don't know if we're gonna find any good things this, this month or even digging into the last few months, but we're gonna do our best. Hi, Janae, how are you?
0:53 - Janae Sharp: How are you? I'm, I'm thrilled to be here today and talk about good things. It has been a bit odd. I mean, we did suggest maybe we do something we're grateful for. Maybe we do things we're looking forward to, you know, cause we have to be honest, like there's some pretty staggering. Weird and bad news in healthcare. So, and I think part of why we should still do this though is that that can be distracting. Like there's so much noise going on and so many people just like you're like, whoa, I feel like I'm getting hit in the face with a bunch of flies going down the highway of bad news, you know. But like, how do we stay focused and make progress when things are just seem terrible.
1:36 - Megan Antonelli: Well, and I think it goes back to where this was born from, right? It was born on the floor of hymns right after the pandemic, the first hymns, where we were like, we want to talk about good things. And so there was plenty of bad things still happening. We were coming off of a bad time. And try to find the silver lining.
1:53 - Janae Sharp: So yeah, not that I'm not anti-reality TV. I'm pro rage bait. Like I sometimes go and doom scroll out of joy. Like schadenfreude is part of my life. But let's stay focused here. Like, how do we bring ourselves out of it?
2:08 - Megan Antonelli: Yeah, so we can start with the good things that happened, in October and November. At the conference, it's conference season, which I can blame the summer. I can blame a lot of things for us to not having a chance to record. But as the September, October, and November came off, there were just event after event after event, and they're still, they're still going. I think we have RSNA next week or the week after, the holidays, so. We went to health, which I thought was the best health I've been to. I think that some, there's, you know, everybody's got a different opinion. But, for me, walking the floor, seeing the floor, there was a lot of energy. It was really well organized. It was really well. They do such a good job. Like they, they do a good job. They do bring in things that are kind of innovative. You know, they, I mean, they got to play pickleball with the Weight Watchers people. And I always thought like, I hate it at events when you're just like, OK, so we're talking about health, but we're, what we're really gonna do is sit around and then go to a happy hour. It's like that's they're like anti-health. We did plenty of that too. But the pickleball thing, I mean, the weight ball is the Weight Watchers setup was amazing. I mean, it, it spoke to the. You know, Long Island Hampton's lover in me, it was just perfect from, from start to finish. So that was great, but, you know, overall, I mean they had a, they had a shit sandwich to deal with in terms of the government being shut down, not having a lot of speakers, and I can only imagine the scrambling that had to go on to make sure that that agenda stayed great, stayed current, and, and, you know, really delivered and, and it did, you know, I think Mark Cuban's keynote was, You know, it was interesting. And, you know, he really is trying to disrupt a very broken part of the healthcare system. It's, it's, and, and he explained it all really well. I don't know if there were actually people in the audience that don't know what he said, but if there are, it was really good that they heard it. And, you know, it's a really helpful, just a noble a few groups that are kind of working in the in between spaces. Also, where they're a market fit, you know, there are market opportunities that we don't always hear about in healthcare. But speaking of that, that is another good thing, government's back on.
4:29 - Janae Sharp: Oh, yeah.
4:31 - Megan Antonelli: For better or for worse, let's go back to Mark Cuban though in health though. Let's look like maybe we should talk a little bit about other events that are great because, well, we also, we had a chance, we went to the American Heart Association scientific sessions, which is also one of my favorite events of the year, because we get to see physicians and clinicians, you know, get super excited about healthcare, but I will say, or about digital health. One of the things that stood out on the floor of the healthcare, health, the health tech pavilion was they did a stump the doctors with the AI tools. It was amazing and AI, AI didn't wash the floor with them, but it was, it was close, and it, and there were a lot of. You know, times where the AI got it, you know, and, and the doctors wanted to order another test. And so it was very representative of really what all of this, what we're working towards and all of this because at the end of the day, I certainly what I walked away from it was. Doctors with AI are going to be a stronger tool, right? And we didn't have that category. We had the doctors alone, you know, in a team, a team of doctors looking at the, at the challenge at the problems at the cases, and then a number of different AI models. And so what we needed, and next year hopefully they will also do is a team of doctors, a team of doctors with AI and AI alone, and I like that hopefully we see the right. What's the winner that we.
6:06 - Janae Sharp: Yeah, this isn't quite like the robots playing chess. We're not there yet. But, but let's get into it. It'd be cool too. I feel like if they displayed the logic behind it, like, wouldn't it be cool to be watching that and to see like kind of the thought process?
6:21 - Megan Antonelli: Well, I mean, so on the physician side, we did get to see it. We got to see them kind of debate whys or how's of what they were, you know, what they were going to pick, which was, which was amazing. The questions were also really hard. I don't know if I did it again, I might give them easier questions because they were definitely hard.
6:37 - Janae Sharp: It's probably just like the Cuban exam, you know, right.
6:40 - Megan Antonelli: Well, I'm sure that Emmanuel, and then the real questions you're like, wait, what?
6:44 - Janae Sharp: Right?
6:44 - Megan Antonelli: Well, because like some of it was like 64% to 72%. Like they were just like not that much of a of a deviation. But the physicians who participated were real troopers. And, you know, it was, it was a great, great session. I had, I had session envy. So that was fun. And then this past week we were at AIMed and I didn't get to go over to Behavioral Health Technologies Salome's event, but I heard, I've heard so many great things about that event. Like she's just killing it.
7:13 - Janae Sharp: Yeah, and there's just, you know, I mean, there's, and, you know, and then of course, Chime happened at the same time, the same week. So there's just been so much in terms of conferences. And then we had a virtual event.
7:25 - Megan Antonelli: You did. You had your virtual event, and that went amazing. I can't believe how many attendees you got. Congratulations.
7:31 - Janae Sharp: I loved it. I also, I loved that we're able to like support nonprofit work, you know, and, One of my favorite sessions also was with Sachin Jane. He was in the hot seat. I asked him, I was like, this is just a random idea. Like, he like brought a real issue to work with a coach live. And I was like, you got to be bold to come up and be like, I have a life question. Let's do this live and talk about, you know, insurance, future of medicine, like the meaning of medicine. So I liked that. And it's just amazing to have that event where, You kind of feel inspired by how many people care. A lot of the times in medicine, it can get overwhelming. It can be a bit of a grind, like hearing about all this stuff, especially right now when everyone seems to be pretty full, full of hate. I don't know if it's just like AI bots online, but there's a lot of people who are not happy. So I thought it was a great thing.
8:29 - Megan Antonelli: Like, you know, well, I will say, I mean, his perspective and what he shares online. I mean, at least, you know, what I see. Of, of his sharing on LinkedIn is always, you know, so thoughtful, and, you know, and, and really a breath of fresh air because he really does, he comes at it from both sides. He gets it. I was saying to someone the other day, I mean, just as we're planning our events and looking to 2026 and what we want to do, that, that someone might have been you, actually. But look, I don't talk to that many people, but, There was a time when the, when my job was easier. When it was like, here's the, here are all these shining stars who are undoubtedly doing amazing things in healthcare trying to fix the system. And I think, and, and the, and the problems they were trying to fix were access, quality, patient safety, and they were pretty clear. And, and now it, it's just so much more convoluted and the systems of, you know, and, and to some degree, there's this recognition that the systemic problems are go so much deeper and they tie so much more deeply to the broader problems across the country that what they're going to be, you know, how we're going to be able to impact it just through our healthcare lens is not as easy, you know, and it's just been harder to find folks like Sin who are, you know, kind of tackling it from at that level, right? Because if you're not, you're just fixing, I mean, it's, it's almost like you look at Mark Cuban, he's fixing a little piece of this. It's a, it's a, it's a big dollar piece and it has significance, but how it will impact, you know, patient care or patient outcomes. It's an access issue. It will get people cheaper drugs, but not all drugs. It won't impact, you know, it won't impact newly, you know, sort of new off-market drugs, you know, new on-market drugs. So there's a lot of the big, you know, sort of big dollar, big impact where people get impacted that that doesn't change, so back to the government, yes, it's open, it's back, in a busy we don't know if chat GPT was used while they were closed. Because some of the stuff they're putting out is a little bit, like, maybe someone should put it through another edit.
10:47 - Janae Sharp: As, as per usual, well, and then, but right, I mean, and the SNAP benefits are reinstated but not really having entirely to do with, the administration, but, but luckily a federal judge in Rhode Island who, who kind of brought those back on. But that brings us back to SCAN health plan and, and 11 glimmer of good news that we found.
11:10 - Megan Antonelli: That we love, that we like.
11:12 - Janae Sharp: So, Costco and SCA have entered into a partnership to expand cost savings. And I don't know about everyone else who's watching this right now, but I love Costco. Like Costco has a great model. They have people who love to work there. Like they also, during like all this like, Gobbledygook about politics and like identity politics blah blah blah like they're just like we're not gonna do that because our people don't like it so I kind of like an organization that's just like you just hear great things and then you know I love an insurance plan that's like let's go to the best, you know, so I am an unapologetic Costco lover.
11:55 - Megan Antonelli: Well, and it comes down to what is it? It's, it's basically they're, they're offering like a savings day for older adults, and we were not sponsored by Costco.
12:02 - Janae Sharp: We weren't.
12:03 - Megan Antonelli: I, and I'm not gonna comment about Costco because politically, and as an organization, I love it, but as a shopping, as a shopping, mecca, I am not a huge fan. Because you walk in, you have to spend money, whatever. We won't go there. The point is they made a partnership. And one of the things it does is help pay for things that are normally hard to get, You know, one of my kids needs glasses. It's really hard to find vision exams, especially within your insurance plan. So sometimes people just go to Costco because it's cheaper. So I think it's smart when people hear that they're like, OK, well, what if we just partnered with the place that's easier to go to, right?
12:41 - Janae Sharp: It's such a practical, and it is. I mean, it goes to the whole, I mean, you know, and back to health, you know, Kroger was there, Instacart, you know, there's a lot of these larger platforms that are, of course, Walgreens was there and all that, and I think that they, you know, giving people health care where they are, is important and this, you know, there was, there was a food as medicine pavilion, of course at health, there was also one at the American Heart Association, which is, is huge because the American Heart Association very much so when we talk about, you know, heart health. Health in in this country it goes to cholesterol and statins and all of that and food is not necessarily our first line of defense and I think that's shifting. We had a great conversation this week with Doctor Elizabeth Kloto of step one health. There were a number of food delivery, services on the floor at Health, and I think, you know, we've been talking about food as medicine for a long time and the importance of that, is, is not lost on both, you know, this administration. I'm just gonna keep saying for better or worse, I can't actually not do that. Like Doctor Oz told us that if you're healthier, your insurance costs less. I just felt like a slow blank. I was like, is this a Saturday Night Live sketch? So you're telling me, let me get this straight, if you're healthier, And you don't have to spend money on healthcare. Then it's gonna cost less. Like, I was like, I feel like I'm taking crazy pills. This is such a zoolander moment sometimes for me.
14:08 - Megan Antonelli: It is. It is, it is. I mean, I get it. Like the spirit is like, let's make. Let's have initiatives where we're striving towards health. But at the same time, it's like, that's like telling people, if you're stressed, just have more money, right? Just like have an easier life.
14:24 - Janae Sharp: Well, among, among the other very intelligent and smart things they had to say this week, they changed the messaging on vaccines and autism on their, on the CDC website. So that, You know, without science, without evidence, they are going ahead and making changes. And it hasn't, it's just like people, people that they're like, autism's awful. Like, I don't, it doesn't even bother me that much. Or when they're like, you know, make America healthy again, I'm like, which portion are we talking about here? Like, because it, because historically, like we didn't do that great. Like our health outcomes are actually, first of all, they're not as good as other developed countries, but also, they're kind of better now than they were. You know, so I feel like we're kind of grasping at straws and like taking this whole thing, it reminds me of like, training when you're Training for religious stuff, you know, testify, you know, tell them like appeal to their emotions, talk about, you know, loyalty. It's really weird. It's a weird feeling.
15:23 - Megan Antonelli: I get it. It goes back, it goes back to something that we talk about a lot in the digital health world, and it speaks to the fact that in medicine, you know, we're always looking for the evidence. This is the scientific method, the science of all of this, and they don't seem to have the appreciation for it that perhaps those who have worked in healthcare their whole lives do. But yet, you know, there are certainly people within the administration who are trying to do the right thing and who are doing the right thing and, and we know that the health care system is broken. There are misaligned incentives, incentives we know that there is change that needs to happen and so at the same time that they're putting up things that I don't agree with around, you know, changes in vaccine recommendations that will then create more fear or create more uncertainty around whether or not people should, should be giving their children vaccines and adding to the, you know, meals that measles outbreaks around this country and, and internationally. And then I don't even want to go into their, recommendations around, you know, gender dysphoria and all of that, that were literally, you know, a video that looked like it was from a sci-fi show. Of, of this, you know, of the assistant directors talking about what is going to be the right or wrong.
16:43 - Janae Sharp: Oh, like a bad, it was a bad, the script was a bad AI copy from that Apple show, you know, one of the ones I was just like, wait, guys, did nobody, did anybody catch the guy who wrote this because it's giving.
16:59 - Megan Antonelli: Right. Like failed republic.
17:01 - Janae Sharp: It's giving these people, like, are they, are they sabotaging them? I wonder sometimes. I'm like this, right?
17:07 - Megan Antonelli: I mean, we found 9 academics who could, who would agree with us and therefore we are going to publish a report on it. We're gonna put it through J GPT and we're gonna put a bibliography together that has a bunch of links that don't actually work. And then we're gonna make a YouTube video and put it on the website.
17:24 - Janae Sharp: I think it's a distraction. Like, I, first of all, I don't. It's ridiculous, right?
17:30 - Megan Antonelli: But that was HHS. We've got, the CDC with the vaccines and then on the other side of the arms of government or arms of the healthcare, we've got the FDA removing the black box warnings for menopausal hormone replacement, which is great, I'm excited about, right? Because I feel that those have been there based on a study that was not as reliable, not, you know, sort of debunked a long time ago, but we've maintained it and we've, we've depended on it for a long time. But it does then even for me who, you know, consider myself someone who does pay attention to this and maybe has some understanding of it. We always talk about menopause stuff. We'd love menopause, not in menopause, but I love it, you know, but at the same time that I am, you know, easily, you know, sort of eschewing the other information is incorrect and a bad and bad judgment. Here I am like, oh yeah, give me, sign me up, give me the estrogen right now, you know, where's the patch? Put it on me. So, yeah, so we don't, we don't know what is true. We don't know who is right. And we're just left kind of trying to figure that all out and hoping that maybe chat GBT will tell us.
18:39 - Janae Sharp: It won't. Did we get anything good? I don't think there's any.
18:42 - Megan Antonelli: I mean, I mean, it's it's the FDA black box, warning. It's good. It's a good thing. It will hopefully lead to additional studies, I guess.
18:51 - Janae Sharp: I guess our good thing for the government people is like, hi, we see you. You know, this is a lot, right, for being closed, you sure did a lot this week.
19:01 - Megan Antonelli: Yeah.
19:01 - Janae Sharp: And also, like, why are you making me agree with, you know, my friends from the Cato Institute that are like, maybe government should be smaller. Why do I relate so much with like the British government people and how they just mock their politicians relentlessly? Maybe we need to get more of that humor and like, Because it's a lot.
19:20 - Megan Antonelli: This is a lot. It's a lot. I mean, I found myself, which I, I really, I never go to X anymore. And I just went. I probably went because I wanted to see what was going on with the Epstein files, but what I found was just horrifying. It was horrifying and none of it had to do with the Epstein files because as you said, it is all a distraction. It's all just, you know, kind of trying to create outrage and it is, it's a tough spot to be in right now. I don't envy, you know, true academic researchers who are really trying to, you know, solve these questions, which brings me to one more really great thing. We're ready for it, which was this past weekend, Paulo Machado, who a friend, a pink socks comrade in arms who I actually saw at health, invited me to attend the, a fundraiser for the lung cancer. Actually, it was a friendraiser, which was, which I loved. It was a fundraiser for the Lung Cancer Foundation of America. The founders were there, the executive director, the dean of UCLA Medical school. And so I learned about the work that they do, so I learned about the work that they do, and, you know, what they do in terms of their funding is they actually focus on funding early stage researchers working on lung cancer and of course they talked about how funding has been, You know, cut, and, you know, reduced, especially at the university level, and that, you know, we're kind of sort of in a, a crisis phase, but they also talk more generally about lung cancer in that because the stigmas attached to it of, you know, sort of blame of, you know, these, you know, people smoke and or they get lung cancer, but what they talked about was that, in fact, you know, over 50% of the people diagnosed with lung cancer aren't, You know, weren't past smokers, you know, and that there's a number of people that fall through the cracks and that 3 times as many people die of lung cancer than they do of, of, pancreatic, breast, or colon cancer. So it is such a serious, Problem and we at the same time because of the healthcare system that currently exists, the established medical system, you know, the funds go elsewhere.
21:36 - Janae Sharp: So, I do think that also tells us a little bit about opportunities that everyone has. Like we have so much noise happening online, but, you know, some of that's marketing. You know, bis large, these large groups are just churning it through like a business to make money to do research and Lung cancer hasn't been as lucky, and I think the same is true of mental health. Like, woo, it's tough with mental health, but like, right, well, you know what's interesting about why people make it make news, it happens.
22:05 - Megan Antonelli: Oh, what's interesting though, and mental health, I mean mental health is the same way is that in with lung cancer because so, because it's found so late that the death rate is so high and the survival rate is so low, there aren't advocates for lung cancer because they're not, I mean, but luckily, you know, thank God with breast cancer and other diseases people live through it and therefore, you know, really come, come around it so that stigma attached to those, you know, sort of poor survival rates, but that what was up, you know, what was great about it, and for me, of course, I lost my mom to, to lung cancer. I was surrounded by people who had had the same surgery that she had had, who had survived, you know, and the, the survival rates are getting better and the treatment is getting better and, you know, it's, it's not, you know, it's, it's not something not worth funding, right? And it's the same thing with mental health, you know, people with mental health challenges, it's a hard in order for them to go out and advocate for, for anything.
23:03 - Janae Sharp: So, you know, yeah, don't tell them to do more. So, so, you know, that, that puts us in a position of doing that, you know, which of course, you've done so amazingly for the shark index and for I do feel like part of that is like, you realize you have other people who have been through it. It's like they say, if you want something done, go to someone busy. If you want help, go to someone who's needed help. You know, and, and really, individuals have been there for me, but also, when you, whenever you have an issue, a lot of the times you can find other people who have been through it to support you. And that's one of the things, you know, being online can be a real drag, but it can also be an opportunity to connect with people who are empowered to show up. And, and some of these questions also, I think, go into this larger question, like you were saying, the, the system is flawed, like, who should be responsible? And It goes into the question of like, who, who should be responsible for fixing things, you know, healthcare? Is it your doctors? Is it society? Like, what is it that we really need here and how are we gonna get there?
24:09 - Megan Antonelli: Well, and you know, and, and that's one of the sort of the silver lining of the administration's, negative impact on current funding throughout the academic medical systems is that they are looking for alternative paths to fund that, which then, you know, will lead to maybe, you know, to some degree more objective funding of these things, right? Where, where you put it to the patient, where you put it to the, the community, and they drive where the, you know, where the focus is because I think, you know, if you, if, if you go around a room, the amount of people who have been impacted by lung cancer is so high, so and yeah I have it, but yeah, yeah, I mean, I, and I just think that there's so much around, you know, the, the screening even, right? So, and there was just the article in the, in the Times, I think a national story about, you know, women who aren't eligible for screening. So you're not eligible for screening unless you are 60 years old and packed. You know, smoked for 10 years, a 20 pack a day habit, or not 20 pack a day, a 20 pack habit which equivalent is equivalent of a pack a day for 10 years or something like that, which is a really high benchmark. So regardless of the fact that like you're not, you know, eligible for screening without reaching this, you know, and that there are 20% of people, who have never smoked do get lung cancer, you know, and, and it goes also back to social determinants of health and where you live and that and where you work that that impacts that. So, there's a lot of work to be done and it's not all around science, but around the evidence to then change the recommendations, which goes back to, you know, exactly what the government is doing right now, which is changing recommendations without science necessarily.
25:59 - Janae Sharp: So, so let's hope that other people can step in and like, create more certainty for well, and I think it dedicated to improve health.
26:09 - Megan Antonelli: Yeah, I mean, and finding more people and more voices and amplifying those voices of people who are really trying to disrupt the system that exists there, right? That system of, you know, where the research is happening, where the funding is going, you know, what is truly broken is not that we don't, you know, we didn't spend enough money on our EHR this week, you know, I mean. There's more to it, which brings us, of course, to our last good thing, which is that we're planning for health impact.
26:38 - Janae Sharp: Yes.
26:40 - Megan Antonelli: Did I forget anything else?
26:41 - Janae Sharp: Probably, but let's just move on.
26:46 - Megan Antonelli: Well, the next health impact is gonna be February 3rd and 4th in New York. We are excited to go to New York in February. It will be amazing.
26:54 - Janae Sharp: It's never that cold because of global warming.
26:58 - Megan Antonelli: February is less busy.
26:59 - Janae Sharp: I kind of like that.
27:01 - Megan Antonelli: It is. It's, it is, and everybody loves New York. Let's face it.
27:05 - Janae Sharp: Everybody knows a guy in New York.
27:07 - Megan Antonelli: It is very fun. We always have a great time, and I think what we're, what we are focused on for, for 2026 is kind of this, the builders and the architects of, of the future of care of care everywhere, and then what we, you know, wanna focus on in terms of the, the keynotes and that. The folks are, are kind of the disruptors. I wanna hear from those who are, you know, really doing something to change the system. So this, we're gonna invite Sein and we're gonna invite some others who have really done some significant, Demolition, if you will, to the current system. So that's what I'm, I'm in for the, the demo days.
27:48 - Janae Sharp: This is a different type of demo, right?
27:50 - Megan Antonelli: Right.
27:51 - Janae Sharp: Oh, we will play on that, you know what, yeah, so everyone like we want you there. We want to hear your ideas if you want a partner, thrilled to see everyone.
28:02 - Megan Antonelli: Yes. It'll be great.
28:05 - Janae Sharp: And also make sure that we don't have to look for good ideas anymore because that's exhausting and it leads to doom scrolling. So please tag us, send us your good ideas, email us, follow us everywhere, share everything we ever say. Just kidding, sort of subscribe, like, you know, we want to hear what, what's the good news, what's great.
28:28 - Megan Antonelli: We do. We wanna hear about all of it, all the good stuff that that people are doing because I know they're out there. It's just that it's a lot easier for the, the bad news to make, make bigger headlines and, and kind of get that attention. But, you know, we had some good things this week. I think, you know, I mean, lung cancer screenings, catching cancer early, all of those things are important and scan health, food, food is medicine, and of course estrogen, estrogen is a really good thing.
28:56 - Janae Sharp: We do love women's health. You know, and, and I think it's important to realize like, things will not be business as usual. So don't get so overwhelmed by all of this that you don't do something positive.
29:12 - Megan Antonelli: Well said. Well said. Well, thanks, Janay. It's always a pleasure.
29:16 - Janae Sharp: Thank you so much.
29:18 - Megan Antonelli: Thank you, everybody. And speaking of thank you, have a fabulous Thanksgiving. I hope you'll have very, wonderful times with your family and you know, have to talk about politics.
29:29 - Janae Sharp: And, yeah, we're hoping that your Thanksgiving discussions are not weird with that one uncle.
29:36 - Megan Antonelli: And thanks everybody for joining us. This is Megan Antonelli.
29:40 - Janae Sharp: I'm Janae Sharp signing off with Digital Health Talks.
29:43 - Megan Antonelli: Till next time, be sure to tune in to Health Impact Live to check on our upcoming dates and our all of our on-demand content that's available 24/7 for you to listen to.
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