GETTING HEALTHCARE DELIVERY INNOVATORS THEIR

FAIR SHARE OF THE PIE

Internet ad market circa 2001

• Despite having the eyeballs, Internet had less than 2% of the overall ad market.

• Little proof that online ads worked for brands

• High transaction costs to buys ads

Industry leaders recognized the issues and set out to solve them

Internet ad market today• Internet only surpassed by TV• Insertion order agreements standardized

•Ad sizes go from 1000’s to 3 primary ad sizes

•Comparative effectiveness proven

Research/Proof, Standards, PR & Education critical to shift

Situation: Healthcare Delivery

•Traditional models still the default•Few aware of new health delivery models

• Insurance cos/brokers see new models as threat AND opportunity

Wind at Innovators backs

• High dissatisfaction by consumers, employers AND doctors

• Reimbursement shifts & reimbursement cuts

• Innovative delivery models are working

Only Non-Insurance Solution Authorized in Future Insurance Exchanges

Senate Language  - H.R. 3590EAS - SEC. 10104 (3). On P. 2068

 

TREATMENT OF QUALIFIED DIRECT PRIMARY CARE MEDICAL HOME PLANS

• The Secretary of Health and Human Services shall permit a qualified health plan to provide coverage through a qualified direct primary care medical home plan that meets criteria established by the Secretary, so long as the qualified health plan meets all requirements that are otherwise applicable and the services covered by the medical home plan are coordinated with the entity offering the qualified health plan.

Some conversation starters to address what’s holding back growth

• Share proof/research to shift behavior

• Standardize (some) practices/metrics to increase buyer confidence & reduce friction

• Communicate huge benefits via Education campaign w/ partners (e.g., NFIB, employer groups, Rotary…)

• Innovation prize/contest

Proposed Innovation recognition criteria

• Lowers costs• Rapid access to care• Improved patient outcomes • High tech and high touch• Lives of patients made palpably better• Individuals engaged/activated• Teamwork with other clinicians• Increase the value of the healthcare services delivered• Simplify rather than complicate the process of getting care• Scaled beyond single instance

Summary

• Innovators have a great value proposition that isn’t well understood

• Innovators are the industry pioneers• Innovators can accelerate growth

Need More?

• Reading• Health Insurance’s Bunker Buster• Do it Yourself Health Reform• The Most Important Organization in Silicon Valley No One Has Hea

rd About• Healthcare Disruption Series on TechCrunch

• Part I: Pharma 3.0 Will Drive Shift from Life Science to HealthTech Investing

• Part : Providers Will Use HealthTech to Differentiate and Produce Better Outcomes

• Part III: Providers Are Making Newspaper Industry Mistakes

• Contact: Dave Chase (dchase@avado.com 425.835.3283)