Last week I did the major annual tune-up of my presentation on Disease Management Megatrends for the MCOL Future Care Web Summit.
I’m pleased to share a copy of the PowerPoint presentation with you, and I hope you find it useful and provocative. You can view and/or download a copy here (6MB). This version contains 77 slides, which would be about the length I’d use for a 3 hour workshop; you’d see a more compact version for a conference keynote, Board summary, or management strategy session.
fyi, the DM Megatrends are:
MAGNITUDE: We are just scratching the surface of chronic disease challenges.
INTEGRATION: The 50 year tide is shifting toward integration, away from specialization.
MEDICARE: While Medicare has endorsed the need for chronic disease management, disappointing results from recent demo projects make future direction unclear.
PROVIDERS: Care providers have woken up to DM opportunities and threats; they are promoting the medical home and the Chronic Care Model.
MAKE, ASSEMBLE, BUY? Fewer are buying as health management becomes increasingly strategic.
TECHNOLOGY: DM in your home and your pocket.
BEHAVIOR CHANGE: DM is moving from a medical to a social model; behavior change has become the Holy Grail.
CLINICAL AND ECONOMIC ROI: Round one is over, DM wins; Round 2 has just begun.
WILDCARDS! (employers, P4P, retail clinics, CDHPs, elections)
Comments are always appreciated.
Last week was a podcast of DM Megatrends…next week — the movie. Brad has signed, Angelina is waffling.
Thank you aways for a very informative content. You did not mention on MTM, how will MTM fit into overall DM Megatrends, or not? I appreciate your insight.
As usual, very insightful Vince. I agree with the prediction that insurers on one side and physicians on the other are seeing opportunities in the population-based care “space.” I wonder about their “scalability” - are health insurers or physicians really prepared to invest in the kinds of systems it takes to do this right? The answer may be no, but for two different reasons. Insurers are all about… well, “insurance” and invariably ask again and again if they belong in the “treatment” space, while a lot of docs may not be able to match or manage the saturation “carpet bombing” telephonic outreach for all the chronically ill patients assigned to their practice.
Asako, Managing medications is a key component of chronic care management. Long-term, Medicare’s MTM (Medication Management Therapy program — http://www.cms.hhs.gov/PrescriptionDrugCovContra/Downloads/MTMFactSheet.pdf ) has potential to become a powerful component of a broader, more integrated chronic disease management program; today it’s kinda hanging by itself.
Jaan, I suspect we’ll see a lot of experimentation about the best way to integrate systematic care coordination into medical practice. One of the lessons of the Medicare Health Support project is that DM companies need to be more integrated with local physicians; I think this goes both ways — physicians will learn that they need a lot of integrated technology to be successful at coordinating care, and they currently do not have that technology available. Thus, they will need to work with DM companies and other vendors in creative, collaborative ways. Stay tuned.