Iris Plans Uses Telemedicine to Innovate Delivery of End-of-life Care

Austin—Iris Plans is using telemedicine for an often overlooked part of health care: advanced care planning.

Iris recently announced a partnership with the University of Utah Health Plans, and is now providing technology-enabled advanced care planning for about 50,000 members. Iris has created an online office where doctors, nurses, or social workers can advise patients and their families about forming a plan for end-of-life care.

“Towards the end of life, many patients get care that they wouldn’t want if they really understood what it entails,” says Steve Wardle, Iris Plans’ CEO and co-founder. “This [Iris’ solution] puts patients in the driver’s seat and empowers them to be more active in their decision-making.”

“Telehealth has an advantage over a health clinic: Families who are spread across the country can join in the call,” Wardle says. “It’s important to have the next of kin who will be walking through the illness with you.”

Advanced care planning, or palliative care, has been growing over the last decade. But the number of healthcare professionals with that expertise in traditional healthcare settings is not keeping up with the need, Wardle says.

That’s where Iris Plans and its network of contract and employee healthcare providers come in, he says. Using telemedicine, these professionals can walk through a patient’s wishes alongside their families. Do they want to pursue treatment at all costs? Do they want to maintain quality of life in order to travel the world and visit family and friends? The answers to these questions can help inform treatment as a disease progresses.

“A path of least resistance in the current system is to do everything,” Wardle says. “But we know that doctors wouldn’t choose this for their own treatment. They would choose a much less aggressive path.”

Key for the success of a company like Iris Plans is a decision by the Center for Medicare and Medicaid Services last month to reimburse for advanced care planning services. Wardle would not say what

Author: Angela Shah

Angela Shah was formerly the editor of Xconomy Texas. She has written about startups along a wide entrepreneurial spectrum, from Silicon Valley transplants to Austin transforming a once-sleepy university town in the '90s tech boom to 20-something women defying cultural norms as they seek to build vital IT infrastructure in a war-torn Afghanistan. As a foreign correspondent based in Dubai, her work appeared in The New York Times, TIME, Newsweek/Daily Beast and Forbes Asia. Before moving overseas, Shah was a staff writer and columnist with The Dallas Morning News and the Austin American-Statesman. She has a Bachelor's of Journalism from the University of Texas at Austin, and she is a 2007 Knight-Wallace Fellow at the University of Michigan. With the launch of Xconomy Texas, she's returned to her hometown of Houston.