A Netflix-type model could lower the cost of one-time gene therapy treatments, said Jane Barlow, the chief clinical officer for Real Endpoints, a data analytics company for the healthcare industry.

Why it matters: Current medicines spread their costs out over time. Gene therapy treatments are likely to cost the health care system billions of dollars, and drugmakers are already having to come up with creative ways to get paid for high-cost drugs, Axios' Caitlin Owens reports.

Go deeper

Updated Aug 4, 2020 - Axios Events

Watch: How hospitals have responded to the pandemic

On Tuesday, August 4 Axios health care reporter Caitlin Owens hosted a virtual event on how hospitals have been responding to the coronavirus pandemic, from getting PPE to building the future of resilient health systems, featuring Atrium Health CEO Eugene Woods, K Health co-founder & CEO Allon Bloch and Columbia University Medical Center professor and FemInEm founder Dr. Dara Kass.

Allon Bloch argued that a rise in the usage of telemedicine presents an opportunity for people to reimagine how the U.S. health care system can be more efficient and cost-effective.

  • On integrating more data analysis into medicine: "There's a massive opportunity to give people a much more nuanced approach to medicine, a much more personalized one, based on information [from] their own personal history or from similar situations...It's a little bit overlooked in medicine."
  • On how telemedicine can positively impact the health care system: "There's a lot of people that are either not insured or underinsured. They have really high deductibles. They can't afford doctors...[telemedicine] can give people access to really high quality primary care at a much lower cost."

Eugene Woods discussed his company's "virtual hospitals" and how this model has the potential to reduce overflow into physical hospitals.

  • On his company's "virtual hospital" treating COVID-19 patients: "We've treated about 13,000 patients in our virtual hospital and only three percent have had to be transferred or admitted from the virtual hospital into [a physical] hospital."
  • On reducing disparities in COVID-19 testing: "[Coronavirus] has laid bare the racial disparities that have existed in these communities for decades...Back in March, we realized there were disparities in terms of testing. So we have roving medical vans and went into those [affected] communities. We so far have hit about 55 different community host sites."

Dr. Dara Kass unpacked her experience of working in the ICUs in New York City during the initial COVID-19 outbreak, and how safety measures like masks and social distancing impacted the rate and spread of the virus.

  • How wearing masks reduces the volume of COVID-19 patients coming to the ICU: "We saw the effects of our work of social distancing and wearing masks as early as April take effect pretty dramatically...We also saw the peak come down as almost as quickly as it went up."
  • How this crisis compounds existing gender inequities: "Our child care crisis was bad before, pay inequity was bad before — it's exacerbated by this at this moment. We're worried about frontline healthcare workers now, not even being able to go back to work because of the fact that child care will be inaccessible and schools are probably not going to open."

Thank you Philips for sponsoring this event.

How small businesses got stiffed by the coronavirus pandemic

Illustration: Aïda Amer/Axios

The story of American businesses in the coronavirus pandemic is a tale of two markets — one made up of tech firms and online retailers as winners awash in capital, and another of brick-and-mortar mom-and-pop shops that is collapsing.

Why it matters: The coronavirus pandemic has created an environment where losing industries like traditional retail and hospitality as well as a sizable portion of firms owned by women, immigrants and people of color are wiped out and may be gone for good.

Apple's antitrust fight turns Epic

Illustration: Aïda Amer/Axios

Millions of angry gamers may soon join the chorus of voices calling for an antitrust crackdown on Apple, as the iPhone giant faces a new lawsuit and PR blitz from Epic Games, maker of mega-hit Fortnite.

Why it matters: Apple is one of several Big Tech firms accused of violating the spirit, if not the letter, of antitrust law. A high-profile lawsuit could become a roadmap for either building a case against tech titans under existing antitrust laws or writing new ones better suited to the digital economy.