The Big Fix
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The document outlines several problems with the current US healthcare system including rising costs, waste, poor outcomes, and disparities. It then proposes numerous solutions such as changing reimbursement policies to reward prevention over sick care, educating healthcare professionals in areas like digital health and population management, increasing research funding for prevention, creating innovative virtual care delivery models, empowering patients with their health data and information, and addressing social determinants of health. Overall the solutions aim to shift the system from sick care to prevention and empower both patients and physicians to take a more active role in health.
The Big Fix
- 1. Arlen Meyers, MD, MBA President and CEO, Society of Physician Entrepreurs
- 2. The Problems Cost Waste Poor outcomes Disparities HIT issues Chronic disease and aging No Moore’s Law Education and training Research and innovation failing
- 3. Solutions Change the rules. Access and reimbursement policies should reward disease prevention and health maintenance. Change the sickcare EMR to a healthcare EMR. Change sickcare insurance to healthcare insurance.
- 4. Solutions Change how we educate a 21st century healthcare workforce, providing them with the bioentrepreneurship, digital health, and population management knowledge, skills, and attitudes they need to serve their communities. Creating more MD/MBAs won't get us there.
- 5. Solutions Target research and development funds to supplement disease prevention research and deployment and make innovative universities into entrepreneurial ones.
- 6. Solutions Create innovative non-brick and mortar eCare delivery channels that are easy to use, cheap and accessible. What is your digical health strategy?
- 7. Solutions Empower patients to take control of their care and information e.g. using Open Notes and provide them with value transparency to they can make informed resource utilization decisions.
- 8. Solutions Encourage appropriate DIY medicine and use behavioral econometric and other techniques to change behavior of both doctors and patients.
- 9. Solutions Support patient and physician entrepreneurs and other community based innovation networks.
- 10. Solutions Give patients the information, resources, networks, and incentives to take care of themselves and other family members.
- 11. Solutions Create an integrated health information whole product solution that is patient centric
- 12. Solutions Create the intellectual property, reimbursement and regulatory affairs infrastracture to catalyze biomedical and health innovation and entrepreneurship
- 13. Solutions Address the non-medical socioeconomic determinants that drive the majority of health outcomes. like poverty, wage growth, employment, education, reproductive and women'r rights, minority opportunity and immigration.
- 14. Solutions Continue to refine health data science and cybersecurity. Treat digital health gaposis.
- 15. Solutions Figure out how to change doctor and patient behavior.
- 16. Solutions Eliminate the barriers to sick care innovation.
- 17. Solutions Learn to say no and ration supply and demand rationally