Friday, November 7, 2008

Comments on a Health Care X PRIZE

When we announced our partnership with WellPoint, Inc. to explore the possibility of an X PRIZE in Health Care, we opened up a section of the "Health Care page to get ideas from the public about what they think we should be trying to fix. We've received a number of great ideas already, and I want to share some of them with you over the coming days.

The first one I want to share is this:


"I see 3 categories for this challenge:

1) Behavior change: What are the best methods for clinicians, payers, or other entities to encourage people to make better choices about their health that prevent long-term cost burdens on the system?

2) Administration and delivery of care: It's no longer economical for physicians to oversee all aspects of a patient's cycle of care. What are the largest administrative and consultation burdens for MDs that can be done by more cost effective players like health coaches, disease management providers, and NPs and PAs? In other words, how can we use MDs to set the direction for a patient's care, and have other more cost effective entities see it through?

3) Value-driven competition: How do we set up systems where providers and payers compete on outcomes in addition to cost. Member facing quality and cost transparency is a third rail for some doctors and payers. How do we get them to get over their paranoia and allow patients to see how effective and safe hospitals and doctors are?"


What do the rest of you think of these categories? Aree these the right areas to explore? Especially for a prize? Do you think that a prize can change behavior?


Let us know here, or on the Health Care page: http://www.xprize.org/wellpoint

2 comments:

Alanna said...

I think that the issue of behavior change to improve health actually doesn't belong within the health care system. The incentives and obstacles to better health behavior are situated primarily outside the health care system. They are better address though other kinds of national policy - improving access to nutritious food, making neighborhoods walkable, and so on. You average person has very little contact with health care providers; it is unreasonable to place the burden on them to improve preventative behaviors.

Mark Clare said...

Working with patients and family members to initiate and sustain health-related behavior change is the key to resolving the healthcare crisis in the US. Fore going the obvious point about prevention, behavior change is at the core of effective treatment of both chronic and acute conditions. For example, just changing behavior to insure medication compliance could save billions.

I agree with the previous post that the entire issue of managing health risks and behaviors should not fall on healthcare delivery but a substantial portion naturally does. The system is currently focused on "break and fix" and that must be expanded to include the behavior change of "heal and prevent".