Personal Health Management

Monday, May 21, 2007  | Joseph Ternullo


We recently convened an education forum entitled Personal Health Management: Adoption of New Benefits, Tools and Technologies. More than 60 healthcare-focused senior executives from across the country attended the forum. The forum presentations can be viewed here.

A take-away from the forum is that forward thinking organizations like EMC, IBM and others are developing innovate programs designed to maintain employee healthcare benefits while,

  • curbing costs,
  • informing employees of the true cost of care, and
  • moving toward wellness and preventative care.

At the same time, the 100+ corporate members of Continua Health Alliance are helping to bring about consumer-grade healthcare tools to manage wellness at every stage of life.

What accounts for these two related phenomena and employer activism? Is it the realization that no one person is in charge of health care in the U.S., that no one person feels responsibility to make things happen and that no one person is held responsible by the public to bring about the healthcare system that we all expect and deserve?

An equally important question is what is the role of the third party payer, the provider and the disease management company in an age of employer activism and consumer empowerment? How will they evolve to respond to the changing marketplace? Will a new class or category of healthcare industry service providers emerge?

I’d be interested in the perspective of others.

 

Member Comments


I think employers are feeling like they've let this beast of health care costs get out of hand and are struggling to get any control on it whatsoever. This explains the focus that so many of them have on wellness, which is easier to implement than a disease-focused approach, but has a much less clear ROI.

I was also struck by the lack of penetration of technology-based solutions in the market. The best we heard about was PHR-based stuff - almost no use of remote monitoring yet in this market. Those of us who espouse the concept of connected health have a wide open marketplace, but a significant road to hoe to educate that market as to the value we bring.

Joseph Kvedar

Director
Center for Connected Health

Joseph C. Kvedar, M.D., is the Founder and Director of the Center for Connected Health, applying communications technology and online resources to increase access and improve the delivery of quality medical services and patient care. Dr. Kvedar is also a board-certified dermatologist and Vice-Chair of Dermatology at Harvard Medical School. In his role with the Center for Connected Health, Dr. Kvedar launched the first physician-to-physician online consultation service in an academic setting. He is also leading important research into novel approaches for connected health in a variety of medical specialties, including post-operative care in the home, wound care, and remote monitoring of patients with chronic diseases. Dr. Kvedar is a past President and member of the governing Board of the American Telemedicine Association (ATA). Dr. Kvedar is also Chair of the American Academy of Dermatology (AAD) Task Force on Telemedicine. Dr. Kvedar is internationally recognized for his leadership and vision in the field of connected health and the application of communications technologies to improve healthcare to patients. Dr. Kvedar is co-editor of a new book, Home Telehealth, which was published in May 2006. He is a frequent lecturer and has authored over 60 publications on telemedicine and connected health. In 2003, Dr. Kvedar was honored by the New England Business and Technology Association for his extraordinary leadership in the field.

 

Posted by: Joseph Kvedar
5/21/2007

 

As I sat in the audience in NYC, listening to people talk at Partner's forum, I began to think that the shift toward the consumer's role is going to be more complex than any of us have imagined. No question, such a transfer of decision-making over healthcare can go too far -- is almost certain, in fact, to go too far. But the idea of moving away from paternalism, even the well-intentioned paternalism of providers, and towards personal responsibility and control is so, well, American, that it's almost irresistible. If the trend does turn out to be a hands-down favorite -- of the political left as well as the political right, and of employers, providers, and politicians -- then the question becomes, how will the various players in the system adjust and adapt? All of us could think much harder about the possibilities. This goes way beyond the notion of healthcare being "patient-centered," a formulation which almost implies continuing paternalism. This is about healthcare being truly consumer-initiated and patient-controlled. The financial arrangements, the shared decision-making, the enabling tools and technologies... we've scarcely begun to articulate what the system might look like, and what the employer's role and the provider's role might be.

Michael Barrett

Managing Partner
Critical Mass Consulting

Mike is Managing Partner of Critical Mass Consulting, a healthcare and life sciences consultancy focused on information technology use by physicians, consumers, hospitals, health plans, and medical device and pharmaceutical firms. Before founding his own firm, he was Senior Analyst at Forrester Research for health care. Mike has evaluated hundreds of products, companies, business models and business plans in healthcare, pharmaceuticals, and medical devices. He’s also written extensively on IT’s role in healthcare and the life sciences for the California Health Care Foundation (CHCF) and Forrester. Reports for CHCF include Patient Self-Management Tools: An Overview (June 2005) and Electronic Medical Records: A Buyers’ Guide for Small Physician Practices (October 2003), both available for viewing at www.chcf.org. Projects for Forrester include When EMRs Meet Clinical Trials (March 2003), Making ePrescribing Pay Off (April 2002), and Web Clinical Trials Break Through (July 2001). Mike is the originator of Forrester’s Healthcare Unbound concept. He conceived the idea and wrote Forrester’s early, seminal report of the same name. Critical Mass Consulting focuses much of its research and strategic analysis in this area, in conjunction with work for clients on personal health records, disease management programs, and physician-patient messaging. Prior to embarking on a consulting career, Mike served as CEO and General Counsel of an independent practice association (IPA) consisting of 95 surgeons specializing in ear, nose, and throat disorders, and of a healthcare system composed of 70 home health nursing agencies in Massachusetts, Connecticut, and Rhode Island. Mike ran daily operations and legal affairs as these operations contracted with insurers, delivered services to patients, purchased technology, and negotiated with medical supply and pharmaceutical companies. Before entering the private sector, Mike practiced law and ran successfully for four terms in the Massachusetts State Senate. As Senate chair of the Committee on Health Care, he focused on HMO reform and biotechnology’s role in the state economy. Mike graduated from Harvard College magna cum laude and from the Northeastern University School of Law. After law school, he served as law clerk to Federal District Court Judge June L. Green in Washington, DC. He is an active member of the Massachusetts Bar. Mike can be reached at mbarrett@cmass.us.

 

Posted by: Michael Barrett
5/21/2007

 

Agree w/ all of the previous comments. What I was most struck by was the "technological" possibilities that are creating the possibility of innovation in healthcare. Not the normal incremental progress, but rather "disruptive" care delivery models. How people get paid is uncertain...and will likely remain uncertain for some time. Perhaps the "disruptive" payment scheme comes from a number of known and unknown places.

James Fisher

Director
PricewaterhouseCoopers

 

Posted by: James Fisher
5/22/2007

 

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