The Healthcare Cure: How Sharing Information Can Make the System Work Better
More than 250 million Americans have health insurance coverage. Yet the majority of these healthcare consumers have little understanding of how the healthcare system works or their role in it. They often experience confusion and frustration when they try to navigate their way through the tangled web of benefits and care.
In this lucidly presented and forward-looking book, Jeff Margolis—an industry expert with many years of experience creating innovative solutions for the healthcare industry—proposes a needed and workable solution to the challenge of providing affordable health care for all Americans. Margolis takes a fresh look at the healthcare system from the perspective of various industry participants, to reveal how the system can be adjusted to produce better results by combining information technology with the right incentives. Drawing on real-world examples from other industries such as retail and automotive that consumers can understand, Margolis describes how a better system can be designed and is in fact within our grasp.
As both a healthcare executive and a healthcare consumer living with a severe chronic illness, Margolis offers a unique perspective that combines both management and consumer viewpoints. He understands health care and is able to evaluate it from the outside and inside as an overall system. His vision for health care is called Integrated Healthcare Management (IHM) and it employs a systems science approach to optimize the coordination of benefits and care to ultimately provide more value for every healthcare dollar spent.
IHM is practical because it builds upon our healthcare model today and describes specific steps to create the system of tomorrow—affordably and sustainably. Both professionals working in health care and members of the public interested in a healthcare solution will find the insights in this book informative and useful.
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A sensible, achievable set of actions to address what ails healthcare,
Jeff Margolis takes a logical, step-by-step approach to how U.S. health care is organized, what ails it (as he says, it was never engineered in the first place, so no wonder most attempts to re-engineer it go nowhere), and how to fix it. I like the fact that he focuses on where we are today and builds from there. Yes, it’s an almost impossibly complex and hugely expensive system, but he shows how following evidence-based medical protocols, incenting consumers to behave in healthier ways, reimbursing doctors based on results (rather than number of tests run or visits logged) and creating a culture of health where everyone is aligned can make a huge positive difference. There’s a great chapter on electronic records and also some tough medicine: we need to start thinking about and saving for health care the same way we do college and retirement. If you don’t think institutions like Medicare will ever fail, think about all the people who just lost their fortunes thanks to investing in GM bonds.
All in all, a terrific book with some nice illustrations that shows us how our experience of health care could be much improved in only five years’ time.
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