From the dictionary:
Thesis a proposition stated or put forward for consideration, especially one to be discussed and proved or to be maintained against objections
I personally would have gone with Hypothesis: interpretation of a practical situation or condition taken as the ground for action
The article is discussing how "Silicon Valley" (e.g. computer programmers) should create health care apps -
They assume most users are rich and healthy.
Health-technology for those in need
The health-technology sector is booming, with investors pouring $4.2 billion into the space last year alone.
But only a tiny fraction of these technologies are targeted to disadvantaged communities. Fitbit activity bracelets or doctor-scheduling apps aren't particularly useful for those who are homeless, or lack reliable Internet access.
From the subtitles:
Medicaid's chief medical officer Andrey Ostrovsky said Silicon Valley has a long way to go to evolve its health care thesis
Most health apps are targeted to healthy, wealthy populations rather than on low-income groups.
There are many huge IT businesses to be built that improve outdated technology processes for Medicaid
But he thinks that Silicon Valley has a long way to go to evolve its thesis, to ensure it's more inclusive of all Americans.