The Innovator’s Prescription: A Disruptive Solution for Health Care

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  • ISBN13: 9780071592086
  • Condition: NEW
  • Notes: Brand New from Publisher. No Remainder Mark.

Product Description
A groundbreaking prescription for health care reform–from a legendary leader in innovation . . . Our health care system is in critical condition. Each year, fewer Americans can afford it, fewer businesses can provide it, and fewer government programs can promise it for future generations. We need a cure, and we need it now. Harvard Business School’s Clayton M. Christensen—whose bestselling The Innovator’s Dilemma revolutionized … More >>

The Innovator’s Prescription: A Disruptive Solution for Health Care

5 Comments For This Post

  1. Dr Cathy Goodwin Says:

    It’s rare to find a book that provides a new conceptual approach to anything, let alone health care, and then presents ideas in a dynamic, interesting way. This book does both, combining a sophisticated understanding of business models with an appreciation of the way systems work in real life.

    Essentially, the authors say that medical providers play different roles, needing different types of institutions. A diagnostician needs different skills, tools and techniques than a surgeon or someone who’s managing a long-term condition. Their second point is that normally, the market replaces outmoded forms naturally, through entrepreneurial innovation.

    For instance, Netflix offers competition to storefront video rental stores. In the medical world, the Netflix equivalent would not be available to consumers because all the players in the system can protect their turfs.

    There are only a few questions I would raise.

    First, end of life care is the most costly part of our health care system. Other books – often by physicians – acknowledge that these costly measures tend to be invasive and actually force people to endure a painful, degrading experience just before they die. The authors barely acknkowledge this reality, noting only that end of life costs are related to chronic conditions such as diabetes or heart disease. Regardless, even after a healthy lifestyle, end of life costs can be overwhelming.

    Second, the authors praise HMOs, such as Kaiser or Group Health. These models do offer more efficient health care delivery, but participants pay a price: impersonal treatment, limited choice of providers, and few opportunities to appeal decisions. Providers are rewarded for conserving resources. Usually it’s a win-win but sometimes patients suffer consequences.

    Third, I can’t help wondering if the growth in alternative treatments represents a consumer response to an innovation. The same people who complain about $25 copays often pay hundreds or thousands or dollars for vitamins, supplements and alternative therapies, yet feel satisfied. It’s worth exploring.

    Finally, the authors seem to assume employers will always be part of the health care system. This assumption has become increasingly dangerous as more people seek self-employment.

    Alas, prescriptions don’t work unless you fill them and take as directed. The authors point out the challenges of getting any change into the system. Knowledge and awareness may be first steps but it’s hard to imagine where they will take us.
    Rating: 5 / 5

  2. R. Brush Says:

    The Innovator’s Prescription is an excellent analysis of the systemic problems we see in health care in the United States. It makes a compelling case for managing health (versus managing illness), and applies Christensen’s “Disruptive Innovation” model to point us down a path to help solve this.

    As a lay person I didn’t realize how ignorant I was regarding broader health care issues until I read this book. Highly recommended for anyone looking to better understand the problems and possible solutions.
    Rating: 5 / 5

  3. J. Groen Says:

    Once again, Clayton has written, this time with the help of two MDs, a phenomenal book extending the theory of disruptive innovation into the health care industry.

    To me, this is his most important book because it discusses how disruptive innovation will impact health care over the next years. It does this by category: hospital, doctors, pharmaceutical companies, medical device companies, insurance companies, etc. And, it is accomplished in a very analytical and straightforward manner – just the facts please.

    And there are the examples – this book is chock full of real world examples of companies, e.g. hospitals, insurance companies, etc., who are already doing it.

    As I’m telling everyone in this field, if you are in the health care field, you need to read this book. And then, use it to analyze your own company’s situation.

    It appears to me that major disruption is just around the corner in the health care industry and this will help you to be proactive, prepare for it and be a winner in the realities of the future.
    Rating: 5 / 5

  4. Joseph H. Schneider Says:

    The Innovator’s Prescription: A Disruptive Solution for Health Care

    This book explores the problems with the US health “system” and offers some disruptive solutions. Excellent

    Rating: 5 / 5

  5. Lance Manning Says:

    In Innovator’s Prescription, the authors spend less time reviewing the failures of the past, as was the case in Innovator’s Dilemma. Exhaustive examination of failed technology business models is replaced by more of what the future of the health care industry will look like. Hospitals as we know them are not yet extinct. Also, the inefficiencies of care remain insulated from full market elasticity. However, this is changing with HSA-driven, consumer cost consciousness, and quality-inducing Medicare/Medicaid reimbursements.

    Unlike contemporary books on this topic, the authors are careful not to blind readers with best technologies yet to come. More importantly, topics such as medical education and fee-for-service delivery models are deliberated with understandable eventuality amidst validated economic and market forces.

    The compelling vision that is the future of medical education deserves a book of its own. The diminishing role cited of today’s medical schools slaps a wake up call onto the face of this traditional cash cow. As the Toyota Production System impacts time, cost, and quality with a jump from series to parallel processes, it’s suggested that the same will happen for the medical school. Just how science learning and clerkship will merge together remains to be seen. Absent from this dialogue is the “speed to competency” movement gaining ground for medical simulation and certification.

    The unsustainability of medical education meeting the needs of the masses receives no better example than the following field and need disparity:

    -more are being trained and less are needed (specialists)

    -less are trained when more are needed (nurses)

    To resolve this issue, the current Administration seeks to adopt incentives (student loan reimbursement, etc.) to offset the imbalance. This trend, however, feeds the ongoing demand for specialty hospitals as maximized quality follows free market models versus mandated models.

    Innovator’s Prescription concludes that `fee for service’ and `direct to consumer’ health care will become more prevalent. The successful business models of the future in this market space reflect disaggregation of `hospital care as we know it’ services. Point-of-care diagnostics, outpatient surgery clinics, retail health clinics, are among the spectrum of simplifying innovations in health care standards of the future.

    Rating: 4 / 5

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