Episode #17. Jeremy Vesta: Curally, Nurse-Coaching, and Medicine 3.0

Jeremy Vesta is a Value Creator in a field where value creation is intensely focused on the experiences of individual consumers: health care. He’s CFO of Curally, an innovative services company designed to help individuals in a highly distinctive and intensely focused manner: helping every individual to be healthier today than they were yesterday. Curally is bringing a fresh new kind of innovation to an industry with a traditionally closed structure.

Show Notes:

0:00 | Intro
02:14 | A Conversation with Jeremy Vashta: How He Surveyed the Healthcare Field
06:00 | Discussing Healthcare Economics in Detail
10:22 | Defining Nurse Coaching
12:31 | Initiating Relationships with High-Risk Individuals
14:35 | Training Nurses as Coaches
16:24 | The Key Variable in Engagement
18:08 | Jeremy’s Unique Corporate Value Proposition: Promoting Wellness and Building a Cohesive Culture
21:57 | Discussing Measurable ROI in Detail
23:53 | Sedentary Lifestyles and Obesity: Discussing the Biggest Healthcare Problem
26:40 | Embracing Long-Term Health and Behavior Modification
31:34 | Creating a Hospitable Environment Can Prevent Diseases
36:12 | Coaching Definition Beyond the Medical Field By Jeremy
39:01 | Can AI Help With Coaching in the Future?
41:30 | Wrap Up: Reach out to Jeremy at curally.com


Knowledge Capsule

The healthcare ecosystem can appear to be intimidatingly closed to entrepreneurial insurgency.

  • It’s a field populated with large, inflexible, highly regulated entities: hospital chains, insurance companies, pharmaceutical companies.
  • They’re all intertwined in a structure that defends against innovation from outside the system..
  • The economic signals to the industry are obscured by the third party payment mechanism and the insurers’ and employers’ drive to reduce costs.

Yet there are significant innovation opportunities if the industry were more hospitable to them.

  • An entrepreneurial focus on improving the end-user (patient) experience quickly identifies gaps to be addressed.
  • The gaps are fundamental: understanding the root causes of many long term health problems such as obesity, diabetes, and lost stability and movement.
  • A new focus on behavioral change and individual responsibility for prevention can lead to long term health improvements for individuals and populations.
  • Behavior from twenty years ago affects current health problems.
  • Insight comes from recognizing the long-term impact of past behaviors.

Curally offers a new Value Proposition to Corporations who provide healthcare programs to employees.:

  • Providing real wellness, not just a healthcare insurance program.
  • Improving employee well-being and productivity and reducing losses of workdays for health reasons.
  • Creating a positive cultural impact within the company.
  • With a calculable ROI.

The innovation is delivered through a creative, human interpersonal medium: Nurse-Coaching.

  • Nurse-coaching offers an innovative approach to healthcare, with a focus on behavior modification.
  • It involves building a strong relationship with patients to help them make healthier choices.
  • It’s both human and scalable – there’s the capability to train and equip a large number of nurse-coaches.

Combination of Digital and Human Delivery in Nurse-Coaching:

  • Authenticity in Coaching is of critical importance in human relationships.
  • But there’s a role for digitally delivered information, expert input and digital behavior tracking, too.
  • There is potential for AI to play a role in coaching but challenging due to the need for authenticity.
  • Balancing the human touch with technological efficiency.

Relationships and Engagement are important.

  • Viewing medicine as a holistic approach beyond just science.
  • Addressing the mental, emotional, and relational aspects.
  • Building trust and authentic relationships with individuals.

Solving the Problem of Sedentariness, Lack of Physical Activity, and Obesity:

  • The need for a more individualized and relationship-based approach.
  • Addressing behavior modification rather than relying solely on prescriptions.
  • The challenge of making the long-term costs of unhealthy behaviors more immediate.

Curally is contributing to the emergence of Medicine 3.0:

  • Shift from the goal of lifespan to the goal of healthspan: longer quality of life, not just duration.
  • Recognizing the contribution of behavior to overall health.
  • Shifting from medicine 2.0, which identifies and addresses critical events, to medicine 3.0, focusing on healthspan.
  • Intervening earlier and understanding the long-term impact of current actions on future health.