What Types of Business Models are Commanding the Highest Valuations? Implications for Healthcare?

valuationQ. What Types of Business Models are Commanding the Highest Valuations?

A.  “Network Orchestrators”

Source: Dion Hinchcliffe, presentation at Salesforce Dreamforce conference, October 14, 2014

Where are there opportunities for “network orchestrators” in healthcare?

• ACOs
• Patient centered medical homes
• High-value health insurance networks
• Care management/population health management vendors & implementers
• Health information exchange networks
• …many others

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European vs U.S. Primary Care: We Have Things Backwards

The status of primary care is dramatically different in Europe vs. the U.S.

While doing background reading, I was startled by the title of a book: “Primary care in the driver’s seat? Organisational reform in European primary care” The book was reviewed in the International Journal of Integrated Care .

Is primary care capable of taking a dominant role in running the whole health care system? This challenging question is what makes this book interesting and takes the debate one step ahead in the discussion of solely strengthening primary care, however important. In doing so, it affects the heart of integrated care; how to improve the clinical coherence and coordination that in the end leads to a patient led health service

What a contrast to the state of primary care in the U.S.!

While the question in Europe is “should primary care be in the driver’s seat”, the question in the U.S. is “Primary Care — Will It Survive? ” [New England Journal of Medicine; August 31, 2006]

And how are primary care physicians in the U.S. feeling about their status? Not too good, as documented in Merritt Hawkins & Associates 2006 Survey of Primary Care Physicians .

Q. 9. Relative to surgical and diagnostic specialists, which best describes primary care physicians in the medical hierarchy?PCPPOV

The dire situation of primary care in the U.S. is mind boggling to me. We have things totally backwards.

Japan: On the Treadmill, Buddy

In the U.S. we’ve debated for years whether health care should be a right. Why aren’t we also having a debate about whether maintaining health is a responsibility?

Should maintaining our health also be viewed as a moral responsibility? …or take this even further — a legal responsibility?

If this sounds far fetched, consider recent legislation passed in Japan. Writing in an editorial in the International Journal of Integrated Care, Etsuji Okamoto of the National Institute of Public Health, Japan comments:

Imagine that your waist size is measured annually and your data from annual health checkups are stored in the database. A big brother keeps track of you and dictates what you should eat and how much when it exceeds a certain limit. Not a novel by George Orwell, it is an essential part of Japan‘s health care reform 2008.