December 15, 2014 by

In the News: Tom Main on How Quantified Self Fuels Smart Care

virtuous-cycleIn the December 5 edition of Becker’s Hospital Review, Tom Main, the managing director of Oliver Wyman’s Health Innovation Center, delves into “Health market 2.0: What care provider teams will look like in 2020.” He describes how smart care teams—groups of physician assistants, nurses, social workers, coaches, and physicians—will soon personalize the provider-patient relationship and shift the care model to prediction and prevention using real-time communication with consumers. With venture capitalists pouring $2B into health tech in just the first six months of 2014, transformative change is on the horizon. “In business, you succeed by meeting customer demand — that’s the way things have traditionally worked,” he writes. “But in the age of the Internet, innovative companies have been turning that on its head. They don’t respond to demand, they create it.” As part of the quantified-self movement, health tech companies like Fitbit, Jawbone UP, and Livongo are leading a shift to consumer-focused care with their personalized apps, social networks, and wearable sensors designed to help consumers better understand their health and lead them toward healthier habits. In turn, the move toward quantified-self applications provides “fuel” for smart care teams, characterized by their extensive use of information and insights, configurable resource models, and coordinated ecosystems. A large part of the success of these new smart care teams rests in how people respond to the products and services the tech companies are currently bringing to market. “If they transform the way we feel about health, as they have transformed the way we feel about so many things,” Main concludes, “then we may be looking at a world in which the role of healthcare providers and hospitals switch radically — and a world where, thanks to greater transparency and focus on preventive care, our new health and wellness system can provide a dollar’s worth of care for 70 or even 60 cents.”

We may be looking at a world in which the role of healthcare providers and hospitals switch radically — and a world where, thanks to greater transparency and focus on preventive care, our new health and wellness system can provide a dollar’s worth of care for 70 or even 60 cents. – Oliver Wyman’s Tom Main in Becker’s Hospital Review

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December 2, 2014 by

Smart Care Teams Expected to Evolve Into Sophisticated Information Businesses

aligning-smart-careOver the next five years, Oliver Wyman expects smart care teams to evolve into sophisticated information businesses, using configurable resource models to adapt to a wide range of patient needs. They will still rely on physicians but will leverage them in a more effective way as architects and expert resources; where today a physician-to-patient ratio of 1 to 2,000 is common, in a smart care team, 1 to 6,000 will be more the norm, and in doing so helping to resolve the PCP shortage. That doesn’t mean less contact for patients, because the team will be filled out with physician assistants, nurses, social workers, coaches, and more, all of them empowered to act. Because the organizations will operate as risk-based population health managers, they will focus intently on matching each patient to the most appropriate health itinerary and the optimal level of care team support. Workflow will be designed to flex around the patient’s needs. For example, at Cornerstone, a 375-doctor group in North Carolina that has shifted from volume-to-value healthcare, patients are risk-stratified into categories—such as healthy adults, healthy adults with risk factors, adults with early chronic conditions, and adults with complex chronic conditions. Care models are optimized by patient segment and the specific condition, such as congestive heart failure or cancer. While today’s innovative patient-centered medical homes have shown they can drive the cost of care delivery from a dollar to 80 cents with improved care delivery across a population, we believe the early adopters are correct: Next-generation smart care teams will soon deliver a dollar’s worth of care for 70 or even 60 cents by expanding their focus to encompass lifetime wellness and prevention for an entire population—and helping the healthy to remain so for as long as possible.
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November 26, 2014 by

Rushika Fernandopulle: 11 Lessons for Innovation

A bold example of what tomorrow’s primary care could look like is provided by Iora Health, an entrepreneurial startup founded in 2011. Iora is not a matter of tweaking traditional primary care, says CEO Rushika Fernandopulle. Instead he is trying to completely redesign it with a focus on coordination, coaching, and deep relationships with patients—and achieving startling results both in quality of care and cost savings. View his MediFuture presentation above and download an in-depth interview here.
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November 25, 2014 by

Lessons Learned in Transforming A Large System into Smart Care Teams

In this MediFuture presentation, Dr. Craig Samitt shares his Top 10 lessons learned from transitioning systems to smart care teams at scale. Samitt most recently served as the president and chief executive officer of HealthCare Partners. Earlier, he was president and chief executive officer of the Dean Clinic, one of the largest integrated delivery systems in the Midwest and one of the nation’s leading examples of a high-performance accountable care organization. Learn why he says: “Success will come from convergence, teamwork, and the partnership of strange bedfellows.”

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November 24, 2014 by

Smart Care Teams: A Personalized Ecosystem

Oliver Wyman predicts that next-generation smart care teams will soon deliver a dollar’s worth of care for 70 or even 60 cents by expanding their focus to encompass lifetime wellness and prevention for an entire population—and helping the healthy to remain so for as long as possible.
S2_Smare-care-(2)_for-blog
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November 6, 2014 by

Elements of Health Market 2.0: Quantified Self, Transparent Markets, Smart Care Teams

In his MediFuture presentation, Oliver Wyman’s Tom Main says these three distinct movements are driving a shift to consumer-focused care:

  1. Personalized apps, wearable sensors, and social networks encouraging “life logging” are accelerating the quantified self movement, shifting social and cultural values, and providing smart care teams with the tools needed to make personalized care a reality.
  2. Transparent consumer markets will shift the basis of competition from reputation and referrals to price, value, and outcomes, moving healthcare from a business-to-business to business-to-consumer market.
  3. Smart care teams comprised of physician assistants, nurses, social workers, coaches, and doctors will match patients to the optimal level of care and support and—by expanding their focus to encompass population wellness and prevention— will soon deliver a dollar’s worth of care for 70 or even 60 cents.

“The important thing to understand is how rapidly things are changing,” says Main. “Only a few years ago, the most advanced healthcare providers hoped to cut the cost of care by 20 percent. In the last year, they’ve told us that goal is not nearly ambitious enough.” According to Main, the disruption in the health market will lower costs by 40 percent, produce 10 more good years of living, and improve the consumer experience by 300 percent. View his full MediFuture presentation above. Download a PDF and access additional presentations and videos here.

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