Brainstorm Health: The Gene Testing Perk, Shire Takeover Drama, Marijuana-Based Epilepsy Drug

That’s right. At last year’s Brainstorm Health conference in San Diego, Bergh found himself sitting at dinner with Othman Laraki, the cofounder and CEO of Color Genomics—a company that extracts the DNA from a customer’s submitted saliva sample and then looks for a set number of gene mutations known to be associated with increased risk for developing certain hereditary cancers or heart conditions (depending on the test).

“I was asking him about his business,” Bergh relates, “and he was telling me his back story, because cancer has affected his family life directly.” And that’s when the proverbial light bulb went off for the inveterately affable denim king: “I thought: Wouldn’t it be great to offer genetic testing as an optional program, free of charge, to our employees?”

The idea that people could take a simple, noninvasive test and have a better, if still imperfect, sense of their long-term risk for developing certain disorders had a natural appeal to Bergh. Yes, he’d understood the science of DNA testing was incomplete, and that there was vigorous debate over the efficacy (and even potential downside) of population screening, and that it still wasn’t clear if the process had reached the point where two different testing companies would even arrive at the same results. (See Sy’s great analysis here; Natasha Singer, likewise, had a good discussion on such issues in the New York Times last week—and, of course, we at Brainstorm Health Daily have written about them many, many times.) But, says Bergh, “I’m a big believer in people taking responsibility for their own health and well-being. And this just gives them more tools to do that.”

The privately held Levi Strauss is also, importantly, self-insured—and has a fairly significant share of employees who stay at the company past a decade, including many who’ve been there 20 years or more. Which means it has a strong financial incentive to reduce long-term health costs (which it will likely inherit as well), even at the cost of laying out more money for screening and prevention up front. “If we can identify much earlier people who are at risk of developing cancer, then go into hyper care for them to make sure that, if they do get the disease, you catch it at stage zero or stage 1—where the cost of care is much, much less than it is at stage 3 or 4—it’s much better for everyone,” he says. “Because the cost goes up geometrically depending on how far along the cancer is.” (And, naturally, survival rates go in the opposite direction.)

So Levi Strauss offered a Color Genomics test to all 1,100 or so of its employees at the company’s San Francisco headquarters—“where more than 50 percent of people took it up,” he says. “I only have the data at a very high level, but we did detect a small number of people who tested positively in their DNA for being at risk for cancer. And they now have the option, in terms of self-managing their care with their own primary care physician, to be more on the lookout for any other symptoms of cancer, so we can catch it early.” (As for that upfront cost, the CEO says he can’t disclose exactly what he spent per test, due to a non-disclosure agreement with Color, but that it was “negligible.”)

To hear Bergh tell it, though, this isn’t just about improving his employee health or even improving his own company’s bottom line. It’s about worker retention and engagement. Says Bergh: “You have to remember we sit in San Francisco—I used to say in the northern end of Silicon Valley—but really now in the heart of Silicon Valley, right? And even though we’re an apparel company, we have a lot of functions where those skills are very fungible and people could leave for Facebook or Twitter or any of the other tech companies that are in the city now. If you’re in H.R. or marketing or finance or corporate communications, that skill set is very, very fungible, so the more we can do to keep our employees engaged and give them benefits that are meaningful for them, the better it is for us.”

Indeed, that may be the biggest reason why, according to the Times, General Electric Appliances, Instacart, Nvidia, OpenTable, Salesforce, SAP, Slack, Stripe, Snap, and Visa have all done the same as Levi’s. So much for free massages and nap pods: The new “it” perk in Silicon Valley is knowing your personal risk.

DIGITAL HEALTH

BenevolentAI raises $115 million. Artificial intelligence-focused digital health outfit BenevolentAI has raised $115 million in a new funding round. The company is focused on AI-fueled drug development, aiming to spur treatments for diseases like ALS, Parkinson's, and even brain cancer.

INDICATIONS

This cannabis-based drug is (almost certainly) headed for FDA approval. An outside panel of experts gave a resounding thumbs up to GW Pharmaceuticals' cannabis-based experimental treatment for rare, childhood epilepsy and seizure disorders. GW is now flying toward a likely (and historic) FDA approval as the first-ever cleared marijuana-derived treatment in the country (the agency already said it would try to expedite the final review process). Panelists for Thursday's vote said the treatment was a clear "breakthrough" for a cruel disease that afflicts children. (Fortune)

Drama abound in Shire/Takeda/Allergan takeover rumors. Hey, Allergan wants to buy Shire from right under Takeda's nose! Or, err, maybe not so much! Yes, biopharma M&A drama swept industry observers today as reports emerged that the rare disease drugmaker had rebuffed a $62.5 billion takeover bid from Takeda but that Botox maker Allergan was also interested in getting in on the action. Except, several hours later, Allergan released another statement implying it wouldn't be making an official bid. We'll see what the next plot twist is soon enough. (Fortune)

THE BIG PICTURE

Superstar performer Prince died from a counterfeit opioid. Rock n' roll superstar Prince famously died of an opioid overdose two years ago. Now, we're getting some more details on exactly what happened: The performer reported thought he was taking traditional prescription Vicodin but was actually taking a counterfeit treatment laced with the far more powerful (and deadly) opioid fentanyl, which has become an increasing source of alarm for public health officials. (USA Today)

REQUIRED READING

World's Greatest Leaders, by Fortune Editors

Finland's Basic Income Experiment Will End in 2019, by Grace Donnelly

What to Glean from Jeff Bezos' Annual Shareholder Letter, by Adam Lashinsky

Americans Are Filling Way Fewer Opioid Prescriptions. Here's Why That Matters, by Jamie Ducharme