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Two megatrends are locking in: Massive incentive change and information liberation, says Todd Park, CTO of the US Department of Health and Human Services. The federal programs must lead the way in changing from fee-for-service to incentives for value in healthcare.
Medicare, Medicaid, and the Veteran’s Administration represent the largest repository of public health data in the world. More information about the public health, stripped of personal identification, is being made available so that innovators can use it to learn more about public health, and create health-maximizing options. Private insurers adopt the same pay structure as the federal programs, therefore, HHS must be the one to initiate more efficient means of delivering, and charging for, health value.
Park identifies three parts to data liberation in the health care industry: 1) Patient data liquidity—including making records available to the patients themselves; 2) market transparency—listing benefits and pricing of every public and private insurance plan available in the U.S. through healthcare.gov; and 3) a health data initiative to let people know what data is available on the population at large, and releasing it for anyone’s use. Some private innovations from this data release include Asthmapolis, which helps people control their asthma, and iTriage.
Coordination of service, identification of gaps, methods of efficiency developed in industries outside of health care need to be brought in to rework the healthcare industry, according to Park.
Reverse and frugal innovation approaches have their limits when it comes to health impact for the poor. We need more ways to provide high-quality, affordable products to low-income people.
Funders are devising new approaches that account for the impact that
social issues have on people’s health.
The causes of health inequity are diverse and entwined; the solutions will be as well.
Community-based organizations, philanthropic institutions, and federal agencies—all are needed to support and sustain revitalization efforts.