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<p>The <keyword id="3080230" type="PERSON" weightage="60" keywordseo="gig-economy">gig economy</keyword> is coming for <keyword id="6354525" type="UNKNOWN" weightage="100" keywordseo="healthcare">healthcare</keyword>.</p><p>Startups like <keyword id="72259" type="PERSON" weightage="60" keywordseo="papa">Papa</keyword>, which provides "grandkids on demand" to seniors, hire mostly young part-time workers as outside contractors to help with chores, troubleshoot technology issues, or just sit and talk with seniors, many of whom have remained isolated during the coronavirus pandemic.</p><p>Big technology companies like Uber and Instacart popularized the gig model, but contract workers are nothing new in the world of <keyword id="2534329" type="PERSON" weightage="60" keywordseo="Home-healthcare">home healthcare</keyword>. With the advent of the gig economy, new home care startups have become empowered to introduce more flexibility and cost-savings into the industry by relying on a constantly rotating cast of always-on workers accessible via an app. </p><p>Business Insider spoke with nine <keyword id="10321037" type="UNKNOWN" weightage="60" keywordseo="papa-pals">Papa Pals</keyword>, as Papa's fleet of on-demand grandkids are called, and Papa founder and CEO Andrew Parker to get a sense for what it's like to work as a gig worker in healthcare during a pandemic.</p><div type="image" title="Papa Pal" height="902" width="1200" msid="79514244" hostid="261"></div>Most joined this summer after hearing friends' positive experiences working with Papa, but others have worked for Papa on and off for years as they finished up school or managed their outside obligations. Business Insider reached out to Pals independently in addition to three conversations with Pals that were facilitated by Papa.<p><strong><a href="https://www.businessinsider.com/startups-like-papa-are-bringing-the-gig-economy-to-healthcare-2020-11?r=papa-teaser">Here's the inside look of what it's like to work as a Papa Pal.</a></strong></p><p>The Pals shared a near-unanimous belief that they were doing good through their work providing companionship on-demand to elderly individuals. Many said they would continue calling or running errands once the pandemic subsides.</p><p>Others voiced some concerns with not being able to schedule shifts in advance, an issue Parker said an updated version of the app will address later this year. </p><p>There is also some concern among experts that the gig model won't be sustainable once the pandemic ends if health plans don't see enough impact to warrant continued support of this type of care.</p><p><strong>Subscribe to Business Insider to read the full story:</strong></p><h3><a href="https://www.businessinsider.com/startups-like-papa-are-bringing-the-gig-economy-to-healthcare-2020-11?r=papa-teaser">Investors are betting $1.4 billion that gig workers can transform an essential but invisible part of healthcare. Here's an inside look at one startup leading the charge.</a></h3>

Startups like Papa, which pairs elderly people with 'grandkids on demand' to help them with common tasks like grocery shopping, could be the future of healthcare. Here's an inside look at how it works.

<p><em>Welcome to </em><a href="http://newsletter.businessinsider.com/join/4np/dispensed-daily"><em>Business Insider</em></a><em>'</em><a href="http://newsletter.businessinsider.com/join/4np/dispensed-daily"><em>s daily healthcare newsletter</em></a><em>, your daily dose of pharma, biotech, and <keyword id="6354525" type="UNKNOWN" weightage="100" keywordseo="healthcare">healthcare</keyword> news. </em><a href="http://newsletter.businessinsider.com/join/4np/dispensed-daily"><em>Subscribe here to get this newsletter in your inbox every weekday.</em></a></p><p>Hello,</p><p>Somehow, dear readers, we've made it to December. And this month is set to be a remarkable one. In the next few weeks, we'll be hearing about more <keyword id="24209" type="PERSON" weightage="60" keywordseo="vaccine">vaccine</keyword> approvals <a href="https://www.businessinsider.com/pfizer-and-biontech-covid-19-vaccines-approved-by-uk-regulator-2020-11">like we saw in the UK</a>, and emergency authorizations here in the US.</p><p>For a complete picture of what's ahead this month be sure to check out <a href="https://www.businessinsider.com/coronavirus-vaccine-timeline-when-will-they-get-authorized-shots-start-2020-11">this extra-helpful timeline from my colleague Aria Bendix</a>.</p><p>I'll be here to guide you through it all. To stay on top of everything vaccines (and healthcare otherwise!), <a href="http://newsletter.businessinsider.com/join/4np/dispensed-daily">subscribe to this newsletter here, if you haven't already</a>. Let your friends/colleagues/anyone asking you when you expect to get a vaccine to know to subscribe, too!</p><p><a href="https://www.businessinsider.com/astrazeneca-oxford-coronavirus-vaccine-news-problems-questions-data-2020-11"><div type="image" title="covid vaccine trial" height="1328" width="1771" msid="79570699" hostid="261"></div></a></p><h3><a href="https://www.businessinsider.com/astrazeneca-oxford-coronavirus-vaccine-news-problems-questions-data-2020-11">A confusing week for AstraZeneca and Oxford</a></h3><p>In case you missed it, Thanksgiving week was a roller coaster ride for <keyword id="6409874" type="COMPANY" weightage="60" keywordseo="astrazeneca">AstraZeneca</keyword> and the University of <keyword id="46985" type="COMPANY" weightage="60" keywordseo="Oxford">Oxford</keyword>. The partners released information about how well their vaccine worked last Monday, <a href="https://www.businessinsider.com/covid-19-vaccine-astrazeneca-oxford-say-70-percent-effective-2020-11">finding that on average the shot was 70% effective.</a></p><p>But the news and subsequent conversation around the shots left a lot of outstanding questions, many of which our reporters <a href="https://www.businessinsider.com/author/andrew-dunn">Andrew Dunn</a> and <a href="https://www.businessinsider.com/author/catherine-schuster-bruce">Dr. Catherine Schuster-Bruce</a> <a href="https://www.businessinsider.com/6-key-questions-on-astrazenecas-coronavirus-vaccine-2020-11">outline here</a>. </p><p>At the core of the questions: when participants were given a half dose followed by a full dose, the vaccine seemed to have a better chance of preventing COVID-19. In that subgroup, the shot was 90% effective, <a href="https://www.businessinsider.com/oxford-astrazeneca-covid-coronavirus-vaccine-efficacy-effective-dose-2020-11">a number that scientists are now puzzling over. </a></p><p>The discussion has led to a fair amount of criticism over the results. Catherine <a href="https://www.businessinsider.com/astrazenecas-covid-19-vaccine-trials-criticised-2020-11">wrote a helpful gut-check about how seriously to take those criticism, and what will be helpful to keep in mind as well.</a> </p><p>Catherine has the full story of the tumultuous week here. </p><h3><a href="https://www.businessinsider.com/astrazeneca-oxford-coronavirus-vaccine-news-problems-questions-data-2020-11">Read the full story here&gt;&gt;</a></h3><h3><a href="https://www.businessinsider.com/astrazeneca-oxford-coronavirus-vaccine-news-problems-questions-data-2020-11">How AstraZeneca and Oxford blew their big vaccine moment: A messy week that overshadowed what should have been a scientific victory</a></h3><p><a href="https://www.businessinsider.com/startups-like-papa-are-bringing-the-gig-economy-to-healthcare-2020-11"><div type="image" title="Papa Pal" height="902" width="1200" msid="79570700" hostid="261"></div></a></p><h3><a href="https://www.businessinsider.com/startups-like-papa-are-bringing-the-gig-economy-to-healthcare-2020-11">Inside the budding healthcare gig economy to help more people stay healthy at home</a></h3><p>In November, <a href="https://www.businessinsider.com/author/megan-hernbroth">Megan Hernbroth</a> spent weeks digging into where the gig economy is popping up in healthcare. </p><p>Specifically, she got an inside look at <keyword id="72259" type="PERSON" weightage="60" keywordseo="papa">Papa</keyword>, a healthcare startup with the premise of connecting seniors with "grandkids on demand." She <a href="https://www.businessinsider.com/home-care-startups-like-papa-gig-economy-healthcare-2020-11">spoke with nine Papa "Pals" as they're called</a>, about the promises and the pitfalls of the on-demand work. </p><p>Along the way, she came across a number of <keyword id="6362513" type="UNKNOWN" weightage="60" keywordseo="startups">startups</keyword> with new approaches to <keyword id="522722" type="ORGANIZATION" weightage="60" keywordseo="home-care">home care</keyword>:</p><p><strong><a href="https://www.businessinsider.com/see-the-4-most-well-funded-home-care-eldercare-startups-2020-11">Meet the top startups raking in the most VC cash as they seek to reshape an invisible part of healthcare that's more important than ever</a></strong></p><p>Home care is attracting more investment than ever from VCs.</p><p>This week, in fact, Megan caught up with former Kleiner Perkins investor Lynne Chou O'Keefe. <a href="https://www.businessinsider.com/digital-health-vc-define-ventures-invests-seed-fund-medarrive-2020-12">She explained why she just made an early bet on an in-home care startup (MedArrive) founded by former Uber exec Dan Trigub.</a></p><p>I, for one, will be curious to see how the industry evolves. In the meantime, you can read Megan's full, deeply reported piece on Papa here. </p><h3><a href="https://www.businessinsider.com/startups-like-papa-are-bringing-the-gig-economy-to-healthcare-2020-11">Read the full story here&gt;&gt;</a></h3><h3><a href="https://www.businessinsider.com/startups-like-papa-are-bringing-the-gig-economy-to-healthcare-2020-11">Investors are betting $1.4 billion that gig workers can transform an essential but invisible part of healthcare. Here's an inside look at one startup leading the charge.</a></h3><p><a href="https://www.businessinsider.com/nea-mohamad-makhzoumi-startups-in-danger-shutting-down-next-year-2020-11"><div type="image" title="coronavirus office worker" height="2423" width="3231" msid="79570703" hostid="261"></div></a></p><h3><a href="https://www.businessinsider.com/nea-mohamad-makhzoumi-startups-in-danger-shutting-down-next-year-2020-11">An uncertain future for healthcare startups </a></h3><p>By all accounts, 2020 has been a good year for healthcare startups, especially those that found themselves confronting the pandemic head-on. </p><p>But a big question I've had all year is: how long will it last? </p><p>In a Thanksgiving Eve report, <a href="https://www.businessinsider.com/report-funding-healthcare-startups-projected-to-stall-q4-2020-11">CB Insights cautioned that funding for startups could stall in the final weeks of the year. </a></p><p>Even so, startups have managed to raise tens if not hundreds of millions this year - most recently, on Thursday Everlywell said it <a href="https://www.forbes.com/sites/leahrosenbaum/2020/12/03/at-home-health-testing-company-everlywell-raises-175-million-series-d-round-reaching--13-billion-valuation/?sh=2a2b2ed65702">snagged another $175 million, putting it at a $1.3 billion valuation.</a></p><p><a href="https://www.businessinsider.com/author/blake-dodge">Blake Dodge</a> got a look at the pitch deck Buoy Health <a href="https://www.businessinsider.com/pitch-deck-buoy-health-375-million-cigna-humana-optum-2020-11">used to raise $37.5 million in November, a round that convinced three (!) rival health insurance venture firms to invest in the startup. </a></p><p>(The head of Cigna Ventures also shared with Blake <a href="https://www.businessinsider.com/how-cigna-ventures-250-million-evaluates-healthcare-startups-founders-2020-11">the 3-part checklist he uses to place his bets on healthcare startups, definitely worth a read.</a>)</p><p>Speaking of insurers - <a href="https://www.businessinsider.com/author/shelby-livingston">Shelby Livingston</a> has the latest on how health insurance startups Alignment, Devoted, Bright, Clover and Oscar are faring so far in 2020.</p><p>The TLDR; <a href="https://www.businessinsider.com/health-insurers-oscar-bright-devoted-clover-post-mixed-q3-results-2020-12">Two of the five posted profits, while the other three posted losses, a reminder of how difficult the health insurance business can be.</a></p><p>Another reminder of how tough breaking into the healthcare industry can be: Megan <a href="https://www.businessinsider.com/withme-disrupt-pbm-industry-with-care-navigation-series-b-funding-2020-11">has the story on WithMe Health, a startup that had big ambitions to disrupt the world of pharmacy benefit managers</a>.</p><p>Its first attempt - focusing on a new way to pay for pharmacy benefits - didn't pan out, so it's pivoted to focusing on helping patients better manage their medications. <a href="https://www.businessinsider.com/withme-disrupt-pbm-industry-with-care-navigation-series-b-funding-2020-11">The new approach won them a fresh $20 million in funding in a round led by OMERS Ventures, Megan reports</a>. </p><p>It's that very venture firm that's hired on longtime health-tech reporter Chrissy Farr as a venture capitalist. We'll miss having her around on the beat, but I'm excited to see what's in store - <a href="https://www.businessinsider.com/exclusive-chrissy-farr-move-to-venture-capital-firm-omers-ventures-2020-12">especially after reading through her chat with Megan on how she plans to approach investing in areas like behavioral and environmental health. </a></p><p>We're in month nine of the pandemic here in the US, and so far it seems like most startups are hanging on. That might start to change as we push deeper and deeper into 2021. </p><p>NEA general partner Mohamad Makhzoumi  told Megan he anticipates some companies - even those with strong business models - could shut down in the next few months. (If that starts to happen, you know we'd be interested in hearing about it - tip us off at <a href="mailto:healthcare@businessinsider.com">healthcare@businessinsider.com</a>).</p><h3><a href="https://www.businessinsider.com/nea-mohamad-makhzoumi-startups-in-danger-shutting-down-next-year-2020-11">Read the full story here&gt;&gt; </a></h3><h3><a href="https://www.businessinsider.com/nea-mohamad-makhzoumi-startups-in-danger-shutting-down-next-year-2020-11">A top healthcare VC is sounding the alarm that many 'fundamentally sound' startups are in danger of going under after failing to navigate the pandemic</a></h3><p><strong>I'll leave you with a few final stories we've had on our radars this past week:</strong></p><ul><li>Andrew reports <a href="https://www.businessinsider.com/vaccine-experts-pitch-asymptomatic-covid-19-vaccine-trials-2020-11">that top scientists are pitching a new trial to figure out if the coronavirus vaccines can stop the virus from spreading.</a></li><li>Megan <a href="https://www.businessinsider.com/lgbtqia-healthcare-startup-folx-rethink-healthcare-telemedicine-2020-12">has the story on Folx, a startup founded by a former venture capitalist who wants to rethink the 'uniquely bad' healthcare experience for LGBTQIA+ patients by building an entirely new health system.</a></li><li>Blake reports that <a href="https://www.businessinsider.com/amwells-ceo-is-game-for-partnerships-with-apple-google-samsung-2020-11">Amwell's CEO isn't scared by big tech, and sees potential partnerships with Google, Apple, Fitbit as a way to push telehealth beyond video visits.</a></li><li>A recent Bloomberg Intelligence survey pinpointed <a href="https://www.businessinsider.com/top-16-biotech-takeout-targets-bloomberg-intelligence-investor-survey-2020-12">16 biotech upstarts that could be M&amp;A targets as massive drugmakers look to keep growing after a tumultuous year.</a></li></ul><p>As we head into yet another big week for vaccines, what do you want to know? What have you been hearing about initial rollout plans?</p><p>Let me know at <a href="mailto:lramsey@businessinsider.com">lramsey@businessinsider.com</a>, or you can reach the entire healthcare team at <a href="mailto:healthcare@businessinsider.com">healthcare@businessinsider.com</a>. </p><p>- Lydia</p>

We're on the cusp of vaccine authorizations

<p><em><div class="KonaFilter image-container display-table float_right"><div><div class="image on-image"><p class="source"><span>PAPA: The Story of Papa John's Pizza</span></p><p class="caption">Schnatter in 1978, next to the Camaro he sold to fund his first venture into entrepreneurship.</p></div><p></p></div></div>Today, Papa John's is the third biggest pizza chain in the US, with more than 5,000 locations. But, 27 years ago, it was just a kitchen in a broom closet.</em></p><p><em>In his new book, <em>"PAPA: The Story of Papa John's Pizza," <em>which will be released on January 30, </em>Papa John's <em>Founder and CEO John Schnatter <em>recounts the ups and downs of Papa John's history.</em></em></em></em></p><p><em>The excerpt below describes just one of the challenges Papa John's faced when there were just four restaurants in 1986.</em></p><p>We were doing serious volume at this point-roughly 4,000 pizzas a week across all four Papa John's. Unfortunately, some of our machines were absolutely ancient. The World War I-era T-80 mixer is the best example. It was so old that it would break every few months. The main culprit was the drive shaft, a deceptively complicated piece of equipment that repeatedly snapped. When this happened, it was a total disaster that could slow us down for hours at a time-an emergency for a pizzeria that promised your pizza would be ready in 20 minutes or less.</p><p>The only thing that kept us going in these situations was my uncle Bill, a machinist at the Naval Ordnance Station in Louisville, who was talented enough to make drive shafts himself. He would make them at his own day job, hide them in his pants and then bring them to me.</p><p>Our constant struggles remind me of a Winston Churchill quote: "Sometimes doing your best is not good enough. Sometimes you must do what is required."</p><p><div class="KonaFilter image-container display-table"><div><div class="image on-image"><p class="source"><span>PAPA: The Story of Papa John's Pizza</span></p><p class="caption">Schnatter preparing to open the first Papa John's location.</p></div><p></p></div></div></p><p>We couldn't keep this up, especially since our volume was constantly growing, putting even more stress on this ancient machine. I needed a new mixer and fast. So I called up Chris Karamesines, the Greek who ran Greek's, where I made pizzas in college. I've always viewed Chris as one of my mentors-he taught me as much about making pizzas as anybody. He was also quite a character. He had a voice you could never forget.</p><p>When I told him my predicament, he yelled at me through the phone: "JOHN! JOHN! I thought I taught you better than that! John, John, don't use a T-80! You need an M-80!"</p><p>I didn't know what that was. He kept going: "You got a World War I machine, John! John, you got the wrong machine! The M-80 is a much bigger and stronger model. You don't even have to take it out of first gear. I can't believe you're that stupid!"</p><p>After messing with me a little more, he gave me the number of a farmer in Greenville, Indiana who had the M-80 mixer that I needed so badly just sitting in his barn. Apparently it was from a Greek's franchise that had shut down in the past year. Chris' parting wisdom was that I shouldn't pay more than $250 for the machine.</p><p>I wanted to solve this problem quickly, so I got in my pickup truck and drove up to get the M-80 mixer. My girlfriend (and future wife) Annette joined me. Sure enough, the heavy-duty piece of machinery was sitting in the back of the farmer's barn.</p><p>After some haggling, the farmer agreed to sell the mixer to me for $220. After I handed over the cash, he thanked me and started walking away. I ran after him, saying, "Hey, how am I supposed to get this thing in the back of my pickup truck?"</p><p>He responded: "That's your problem, pal."</p><p>I was angry, mostly at myself. But there was nothing I could do about it. So I asked him, "Well, how'd you get the mixer in the barn in the first place?"</p><p><div class="KonaFilter image-container display-table"><div><div class="image on-image"><p class="source"><span>PAPA: The Story of Papa John's Pizza</span></p></div><p></p></div></div></p><p>He told me he used a tow truck, which had a small crane on the back. I didn't have any choice, so I called the nearest tow truck to come hoist the mixer into the back of my pickup. That cost me another $40, pushing me over budget on this one project. I was pretty pissed off.</p><p>Once the mixer was in my truck, I faced another big problem: getting it back to the commissary in Clarksville. The mixer itself was a top-heavy monstrosity that weighed 1,200 pounds. My truck, an '84 Toyota, weighed 2,800 pounds. e mixer looked so top-heavy sitting in the truck bed, I was afraid the truck would roll over on the hour-and-a-half drive back to Clarksville. Even worse, it was starting to snow.</p><p>Here we were, driving down I-65, slipping and sliding all over the snow-covered roads while carrying a massive piece of machinery in the bed of my pickup truck. At one point, Annette asked me, "Is this safe?" I wanted to impress her, so I didn't even hesitate to say, "Oh yeah, we're fine."</p><p>I was hoping she couldn't tell I was terrified on the inside.</p><p>Fortunately, we got back to Clarksville without any problems. But then we had to get the mixer into the building. We set up a winch attached to the Papa John's sign and used it to hoist the mixer out of my truck. After that, we set up some dowel rods in the parking lot and rolled the mixer onto the sidewalk, which was flush with the parking lot. Then we rolled the machine into the actual building.</p><p>Anyone who saw this from the street probably thought we were stealing something or were part of a slapstick comedy routine. But that's what things were like at that point. We didn't have any spare cash to spend on projects like this.</p><p>Our focus wasn't on frills-it was on delivering a better pizza to as many people as we could. When it came to projects like this, we just had to put our backs into it and stay devoted to the original Papa John's vision. It would have been easy to cut corners here and there, but I wasn't willing to let that happen. You can't make a traditional, superior-quality Papa John's pizza by cutting corners.</p><p>By late 1986, the Clarksville commissary was up and running. It immediately benefitted the business. Just like we expected, it helped us improve our productivity, which helped us double down on quality. As Ray Kroc, founder of McDonald's, once said, "Your quality is only as good as your consistency."</p><p>We learned through trial and error that your customers stop trusting you when you give them something different every time. They wanted a quality Papa John's pizza, nothing else. Now that every pizza at every store was being made with ingredients produced in a central location, we could ensure consistency across the board. There's no excuse for a Papa John's pizza to be of lower quality than the best Papa John's pizza. That was true in 1986, and it's still true today. </p>    <div class="margin-top">        <h3>NOW WATCH: <a href="http://www.businessinsider.com/new-york-water-bagels-and-pizza-signature-minerals-expert-florida-2016-12">A water scientist explains why New York bagels and pizza are one-of-a-kind</a></h3>        <div>            <div>        <div class="ooyala-video-player" data-video-autoplay="false" data-video-id="w4YnhtODE6tVeGQvqlYfntRsKcTCgnmb" data-player-variable="ooyalapopvideo" id="ooyalaplayer_popvideo" style="width:1280px;height:720px"></div>        </div>        </div>            </div>

You Searched For "papa pals" and got 3 results

Startups like Papa, which pairs elderly people with 'grandkids on demand' to help them with common tasks like grocery shopping, could be the future of healthcare. Here's an inside look at how it works.

Megan Hernbroth

We're on the cusp of vaccine authorizations

Lydia Ramsey Pflanzer

Founder of Papa John's: How an early setback almost killed my business

John Schnatter

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