TMCx company BetterConsult is premiering its software in Houston as its entrance to the U.S. market. Getty images

Long hours, high-stress situations and overwhelming college debt contribute to burnout among physicians. But so does something you might not have pondered: record keeping.

The clerical burden triggered by electronic medical records, or EHRs, "has become a leading cause of physician burnout," according to a 2017 article in the Canadian Medical Association Journal. That declaration is backed up by a 2014 survey of 6,375 physicians in the U.S.

Technology from a startup called BetterConsult Inc., which recently planted its roots in Houston, aims to help diminish clerical burdens and physician burnout. BetterConsult is one of the latest entrants in the $31.5 billion global EHR market.

Through an online questionnaire, BetterConsult's software captures a patient's symptoms, medication, and other clinical information before an office visit. It then translates the data into concise medical notes available for a doctor to review.

BetterConsult says its technology can:

  • Decrease administrative tasks.
  • Enable doctors to see more patients.
  • Offer better insight into a patient's condition.
  • Improve patient outcomes.

Chris Barakat, senior vice president of BetterConsult, says Houston is the first U.S. market for the startup's offering. BetterConsult already is up and running in Australia, where parent company HealthShare Pty Ltd., a provider of healthcare technology, is based.

Barakat seeks to sign up at least 5,000 doctors — primary care physicians and medical specialists — in the Houston area by January 2023, which he says would result in about 400,000 patient e-consultations per week.

"BetterConsult has a vast database of symptoms and concerns available for patients to select which provides additional actionable information to the physician," Barakat wrote in a post on Medium.com. "In addition, the application can be used to support the continuum of care by updating the patient information for future visits. The solution has potential applications to provide value in emerging areas including telehealth, mental health, and population health."

Telehealth alone holds massive potential. A recent report from Global Market Insights forecasts the worldwide telehealth market will reach $130.5 billion by 2025, up from the current $38.3 billion.

"Telehealth is part of a larger digital transformation in health care. The electronic health record, omnipresent mobile devices, and faster internet connections have provided new ways for patients and providers to interact," the American Hospital Association says.

At this point, Barakat is BetterConsult's sole employee in the Houston office, but the company plans to add an untold number of sales, marketing, and support professionals. The startup graduated in June from the TMCx business accelerator at the Texas Medical Center Innovation Institute.

BetterConsult's technology is slowly being rolled out in the Houston area. Barakat says the BetterConsult software will be piloted at two major healthcare systems in Texas.

Dr. Rajat Bhatt has installed BetterConsult's software at his three rheumatology clinics in the Houston area. Bhatt says the technology has cut documentation work by 40 percent. In addition, he says, it has decreased diagnosis errors, thanks to taking into account a patient's full medical history rather than just a current condition.

"The time I am saving is allowing me to increase the number of patients I see per day, helping to reduce the extensive wait times for Texans to see a rheumatologist," Bhatt says. "Because of the volume of patients I can now see, it has made my business much more economical. I can now see new patients within a week."

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Houston startup raises $6M to scale home-based healthcare platform

fresh funding

As healthcare systems race to expand care beyond hospitals and into the home, investors are placing bigger bets on the infrastructure needed to make that shift possible.

This month, Rosarium Health announced it has raised $6 million in seed funding led by Kalos Ventures, with participation from ResilienceVC, Rock Health Capital, Symphonic Capital, Black Tech Nations Ventures and others.

The investment will help the Houston-based startup continue to build its platform, which features a national network of 800-plus clinicians and 3,000-plus contractors to coordinate home accessibility upgrades and modifications for seniors and people living with disabilities.

For founder and CEO Cameron Carter, the company’s mission grew out of firsthand caregiving experiences.

“From my own personal caregiving experiences, I realized that the benefits exist on paper, but not in reality,” Carter said in a news release. “Families are being left to figure out the paperwork and installations all on their own, which shouldn’t be how this works.”

While Medicare Advantage and Medicaid plans have expanded coverage for home-based services and accessibility modifications, the logistics behind delivering those services often remain fragmented.

Rosarium’s platform coordinates the entire process, from clinical assessments and referrals to contractor management, documentation, reimbursement and installation.

“A clinician can document that a home isn’t safe and a plan can approve a benefit, but there’s no one that’s responsible for making sure the work actually gets done,” Carter says. “We built the missing piece.”

The company was founded in 2021 as Rose Health and was a 2023 participant in the Texas Medical Center’s Accelerator for HealthTech program. It has scaled quickly, building a network of more than 800 clinicians and 3,000 contractors across 34 states.

Rosarium is currently in-network for 1.2 million Medicare and Medicaid lives, with projected coverage expected to reach nearly 4 million by the end of the year, according to the release.

“We’re excited to back Cameron because he and the team at Rosarium are building the infrastructure healthcare needs right now to make the home a safe and comfortable place of care,” Kate Ballinger, investor at Kalos Ventures, added in the release.

As part of the recent investment, Ballinger will join Rosarium’s board of directors.

With eyes on the future, Rosarium plans to grow its partnerships with Medicaid and Medicare Advantage plans, including CalViva and Community Health Plan of Imperial Valley, strengthening its presence in California while expanding access to underserved communities.

Additionally, Carter predicts that home-based healthcare will be part of a broader transformation happening across the industry.

“There’s a growing recognition that health outcomes are shaped by what happens in the home,” he said in the release. “The future of healthcare isn’t just treating people after something goes wrong. It’s creating environments that help prevent those problems in the first place.”

Houston business mogul Tilman Fertitta acquires Caesars in $17.6B deal

Money Moves

Houston billionaire Tilman Fertitta may currently be serving as America’s ambassador to Italy, but his company is as busy as ever. Fresh off its move to revive the Houston Comets WNBA franchise, his company, Fertitta Entertainment, has announced a $17.6 billion deal to acquire Caesars Entertainment, Inc.

Speculation about the deal has been circulating since at least March, according to various media reports. The deal combines Fertitta’s well-known Golden Nugget casino brand with all of the properties in the Caesars’ portfolio, including Las Vegas hotels Caesars Palace, Harrah's, Paris Las Vegas, Planet Hollywood, Horseshoe, The LINQ Hotel, Flamingo, and The Cromwell.

Overall, the combined company will include 60 domestic casino resorts and gaming facilities; online gaming including sports betting, iCasino, and Caesar’s online poker platform; retail sports betting at over 200 third-party locations through the William Hill brand; and over 550 Fertitta Entertainment outlets, including more than 450 Landry's full-service restaurants across America. The companies will combine their loyalty programs, Caesars Rewards, Golden Nugget's 24 Karat Select Club, and Landry's Select Club.

The terms will see Caesars’ shareholders receive $31 per share. Fertitta Entertainment will also acquire approximately $11.9 billion of Caesars' outstanding debt.

The transaction will be financed through a combination of equity contributed by Fertitta Entertainment, assumed Caesars' debt, and new committed debt financing arranged by a group consisting of 10 banks. It is subject to approval by Caesars’ shareholders and government regulators.

Fertitta Entertainment is the Houston-based company behind a diverse array of hospitality businesses, including The Golden Nugget, The Post Oak Hotel, River Oaks District, the Kemah Boardwalk, and Houston’s Downtown Aquarium.

It also operates a number of prominent restaurant brands, including Mastro's Restaurants, Del Frisco's Double Eagle Steakhouse, Morton's The Steakhouse, The Palm, McCormick & Schmick's, Landry's Seafood House, The Oceanaire Seafood Room, and Saltgrass Steak House.

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This article first appeared on CultureMap.com.