1 / 28

Genetics and Health Care Reform

Genetics and Health Care Reform. The Long View From…a novice non-crystal baller John J. Mulvihill, Heartland (Thanks to ACMG President Bruce Korf). Disruptive Innovations Over Time. Computers: Abacus; IBM/DEC main frame; HP calculator; PC/Mac; massively parallel processors

kacy
Download Presentation

Genetics and Health Care Reform

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Genetics and Health Care Reform The Long View From…a novice non-crystal baller John J. Mulvihill, Heartland (Thanks to ACMG President Bruce Korf)

  2. Disruptive Innovations Over Time Computers: Abacus; IBM/DEC main frame; HP calculator; PC/Mac; massively parallel processors Communication: Smoke signals; pony express; telegraph; wired telephone; cellular telephone; Internet Education: Tutor; University; Community College; On-line Access by wealthy to access by all

  3. Disruptive Innovations: Elements 1. Technology enabler 2. Business model 3. Valued network

  4. Disruptive Innovations 1 Technology Enabler Intuitive medicine What’s the diagnosis? Past: Infectious disease; Future: All diseases Empirical medicine What to do? How to fix? Past: Trial-and-error; Future: Mechanism based Precision medicine Exact diagnosis and therapy Past: Strep throat; Future: Genetic diagnosis and Rx

  5. Disruptive Innovations 2 Business model Solution Shop Hospital/clinic Mayo/Cleveland Fee-for-service; complex; no guarantee Value-added process Hospital/clinic Heart Hospital Eye Institute MinuteClinic Fix it; fee-for-output; simple; guaranteed

  6. Disruptive Innovations 2 *But, Crossing the Quality Chasm; To Err is Human; cost Business model Solution Shop Hospital/clinic* Mayo/Cleveland Fee for service; complex; no guarantee Value-added process Hospital/clinic* Heart Hospital Eye Institute MinuteClinic Fix it; fee-for-output

  7. Disruptive Innovations 3 Value Network Insurance Mutual help Health Club; WebMD Membership fee Profit for wellness

  8. Disruptive Innovations Gene Diagnostics Gene therapy, pharmacogenomics Business model Solution Shop Hospital/clinic* Mayo/Cleveland Fee for service; complex; no guarantee Value-added process Hospital/clinic* Heart Hospital Eye Institute MinuteClinic Fix it; fee for output

  9. Disruptive Innovations Anticipatory guidance; EMR; Genetic Alliance; Social networking Value Network Insurance Mutual help Health Club; WebMD Membership fee Profit for wellness

  10. Other thoughts* Forced productivity gains Cadillac coverage Simplified forms Electronic medical records Reform of delivery system Independent commission Managed competition A public plan/option Comparing treatments Negotiating drug prices Malpractice reform *New York Times November 15, 2009 Editorial, p 9

  11. Other thoughts* Forced productivity gains Cadillac coverage Simplified forms Electronic medical records Reform of delivery system Independent commission Managed competition A public plan/option Comparing treatments Negotiating drug prices Malpractice reform *New York Times November 15, 2009 Editorial, p 9

  12. Questions? Comments?

More Related