Bringing value to healthcare: practical steps for getting to a market-based model

Content: A Vision for Tomorrow Vision of a Fundamentally Different Future Seeds of Disruption Healthcare Isn't the First Industry in Transition Where Are We Currently?  Whose Agenda Controls Your Healthcare? Why a Market-Based Model for Healthcare Is a Good Thing How Did We Get into This Mess? End of the Model Year Understanding Healthcare Reform as Business Model Change Central Role of Payment Reform Unintended Consequences: The Hospital Example Unintended Consequences: The Primary Care Example Healthcare Is Big Business Creating a Competitive, Functioning Market There Is a Solution, and It's Closer Than Some Think Endnotes  In the Eye of the Storm: The Role of Consumers and Employers Introduction A Personal Example Shopping for Cancer Care: An Illustration A Glimpse of the Business Model of the Future Whose Agenda Controls Your Healthcare? Another Look Perversion of the Concept of Insurance New Sources of Competition for the New Consumer Patient Transparency in Healthcare-Coming to Your Health System Soon! Where Do Employers Fit into the Equation? What Can Consumers and Employers Do? Change Is Never Easy but Is Possible Endnotes  The Role of Data: Creating an Environment for Change Comparative Effectiveness Research: An Overview Drivers of CER Why Is the Federal Government Specifically Involved? Focus of CER Endnotes  Redesigning Healthcare Delivery: Hospitals Were Never Meant to Be Destinations of Choice Introduction Adapting to the Changing Landscape of Healthcare Shrinking Reimbursement and Pressure for Transparency Are Reshaping Healthcare Delivery Accountable Care Is Needed
 ACOs Are Not Endnotes  The Next Chapter in Healthcare Delivery At-Risk Contracting: The Next Step in Improving Quality and Reducing Cost What It Will Take to Deliver Value Tomorrow Competing with a Bundled Price Building the Value Narrative for Consumers, Employers, and Insurers How Should Hospitals and Health Systems Change? How Is Value Defined? The Future of Rural Hospitals: Are They Still Viable? Endnotes  A Brave New World for Payers Introduction Adapting to the Changing Landscape of Healthcare Insurance Needed Here, Too: A Transfusion of Fresh Thinking Rethinking the Customer Rethinking Products Implications for Healthcare Insurers What Payers Can Do Are You Ready for Disruptive Innovation? Endnotes  Big Pharma: How to Regain Success Introduction Sovaldi: Spotlight on Pharmaceutical Value Vulnerabilities of the Current Model Market-Driven Business Model Pressures on Innovation Role of Comparative Effectiveness in the Pharmaceutical Industry Prudent Responses and Defensive Strategies Looking Ahead Endnotes  A New Day Is Dawning for Medical Device and Diagnostics Manufacturers Getting Products to Market When Value Is the Focus Evidence Requirements: The Threat for Medical Devices Healthcare Delivery Pressures: Additional Threats for Medical Devices Prudent Responses and Defensive Strategies for Medical Device Companies Comparative Effectiveness: The Opportunity for Diagnostics Prudent Responses and Defensive Strategies for Diagnostics Where Do Medical Device and Diagnostics Companies Go from Here? Endnotes  Putting Value at the Center of Healthcare What Is the Legitimate Role of Policy? Recent Legislative Solutions and Why They Won't Work Accountability for Care Is a Good Concept Enabling Markets to Create Access to Care Supporting Innovation: Finding the Right Balance at the Food and Drug Administration Patent Life: Shooting Ourselves in the Foot Endnotes  Creating a Roadmap for Change Revisiting the Challenge of Industry Transition Safety in Size? The Rush to Affiliation Additional Challenges for Manufacturers Reprising the Consumer Creating and Sustaining a New Business Model Harnessing Consumer Choice and Competition to Ensure Accountability: Final Thoughts for Policy Makers End Game Endnote