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What is your image of the Future?

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HC Insurance…2014 and Beyond? Exchanges in place, unless they aren’t Customer movement to exchanges will be

gradual, not instant The bigs are unlikely to move to exchange The small and middles more likely to move Blue job may ratchet further into consulting Insurance providers increasingly in

transformed business - but what business? Change and uncertainty will dominate as

this period begins - and this means opportunity for breakthrough

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Medicine Today

Diagnostics: “pauciparameter”

Therapy—reactive Prevention--minor role Impersonal – generic

answers

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1000 Persons in a month

800 report symptoms

327 consider seeking medical care

217 visit doctor

65 visit alt med

13 Emerg

1 TH8 H

Ecology of Medical Care Revisited, 2001 (from Kerr White 1961)

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Time to change health care itself via integrative medicine, systems biology, tech and innovative approaches

Corewerks

OasisDiagnostics

Hoana

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Medicine Future via Systems Biology Predictive:

Probabilistic health history--DNA sequence, plus

Quarterly multi-parameter (2500) blood measurements, 50 markers, 50 organs

Preventive: Design of preventive measures

via systems approaches

Personalized: Unique human variation

mandates individual treatment

Participatory

Extend productive life span by 10-20 years over next 30 years

Courtesy Leroy Hood: Institute for Systems Biology

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Clinics every 5 miles, NP, PA, 3D & Robotic docs

Frictionless records - each person surrounded by data cloud, an envelope of wellness information

Exchanges have evolved: a non-profit collaboration between Gill Bates Foundation and former Medicare execs dominate with under 65’s because of their 95% ML ratio

Blues have transformed to retail wellness solutions companies, based on the open and free business model

Dr. Watson is your personal care avatar

What is My Image of the Future?

©

Clinics every 5 miles, NP, PA, 3D & Robotic docs

Frictionless records - each person surrounded by data cloud, an envelope of wellness information

Exchanges have evolved: a non-profit collaboration between Gill Bates Foundation and former Medicare execs dominate with under 65’s because of their 95% ML ratio

Blues have transformed to retail wellness solutions companies, based on the open and free business model

Dr. Watson is your personal care avatar

What is My Image of the Future?

©

Clinics every 5 miles, NP, PA, 3D & Robotic docs

Frictionless records - each person surrounded by data cloud, an envelope of wellness information

Exchanges have evolved: a non-profit collaboration between Gill Bates Foundation and former Medicare execs dominate with under 65’s because of their 95% ML ratio

Blues have transformed to retail wellness solutions companies, based on the open and free business model

Dr. Watson is your personal care avatar

What is My Image of the Future?

©

Implications…. Change will be constant Opportunity to turn Health Data into Information,

Knowledge and Wisdom, and Transform the companies by doing this

Developing Greater Knowledge of Health and Disease Developing Infrastructure for Personalized &

Participatory Health Care “For agents and brokers to compete effectively in this

new environment, they must use the tools that they have relied on for decades: better service, more flexibility, more creativity and more consultation. Those that are excited about change and innovation and accept this new environment can expect to continue to grow and prosper.”