Oliver Rees
Separating diagnostics and intervention
09/08/2024

So much of life is problem solving.

The process to solve a problem usually starts with finding out more about the issue (diagnostics), and then trying a solution (intervention) to alleviate it. Here a few examples:

ProblemDiagnosticIntervention
DepressionQuestions from GPCBT with therapist
TirednessBlood test from RandoxVitamin D from Vitabiotics
Poor fitnessPersonal trainer assessmentDaily 30 minute run

It feels like there are more diagnostics - particularly in the health space - launched every day. One of these companies is Neko Health, a startup co-founded by Daniel Ek that checks your heart, skin and body in a beautiful, tech-enabled environment.

Neko Health's tech enabled testing environment

Currently only available in Sweden, Neko Health raised €60 million last year to transform health diagnostics. This level of fund raising might seem surprising for an in person diagnostic service: how do they plan to provide a 10x return?

Looking for answers, I came across a podcast where three doctors discussed Neko's longer term play. The conclusion reached was that the company surely plans to expand into interventions, because that's where the money is. Though they currently refer patients on if further investigation is required, these services will eventually be brought in house.

And as you look closely at a lot of new diagnostic based businesses, this seems to be a common pattern. Here are some examples where the same company provides both the diagnostic and the intervention:

ProblemDiagnosticIntervention
DepressionQuestions from BetterHelpTherapy from BetterHelp
TirednessBlood test from ThrivaSupplements from Thriva
Poor fitnessFitness assessment from FitbitWorkouts and plans from Fitbit

Having the same company provide the diagnostics and the intervention is not always problematic, but it can often be. How can an honest diagnostic be provided when a company knows that the answer they give will affect how much money they get from that consumer?

The diagnostic and the solution, all in one convenient place

If you've got supplements to sell, it's likely that the answer to most questions will be "you need to take supplements".

This blurring of the line between diagnostic and intervention isn't ideal for the consumer. I'm still not sure how you can trust a company that has a vested interest in the answer they give you.