Where Does It Hurt?: An Entrepreneur's Guide to Fixing Health Care By Jonathan Bush,Stephen Baker

Special Edition Where Does It Hurt?: An Entrepreneur's Guide to Fixing Health Care with Free MOBI EDITION Download Now!

Kindle Store,Kindle eBooks,Business & Money Where Does It Hurt?: An Entrepreneur's Guide to Fixing Health Care Jonathan Bush,Stephen Baker

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Special Edition Where Does It Hurt?: An Entrepreneur's Guide to Fixing Health Care with Free MOBI EDITION Download Now!

A bold new remedy for the sprawling and wasteful health care industry.Where else but the doctor’s office do you have to fill out a form on a clipboard? Have you noticed that hospital bills are almost unintelligible, except for the absurdly high dollar amount? Why is it that technology in other industries drives prices down, but in health care it’s the reverse? And why, in health care, is the customer so often treated as a mere bystander—and an ignorant one at that?The same American medical establishment that saves lives and performs wondrous miracles is also a $2.7 trillion industry in deep dysfunction. And now, with the Affordable Care Act (Obamacare), it is called on to extend full benefits to tens of millions of newly insured. You might think that this would leave us with a bleak choice— either to devote more of our national budget to health care or to make do with less of it. But there’s another path.In this provocative book, Jonathan Bush, cofounder and CEO of athenahealth, calls for a revolution in health care to give customers more choices, freedom, power, and information, and at far lower prices. With humor and a tell-it-likeit- is style, he picks up insights and ideas from his days as an ambulance driver in New Orleans, an army medic, and an entrepreneur launching a birthing start-up in San Diego. In struggling to save that dying business, Bush’s team created a software program that eventually became athenahealth, a cloud-based services company that handles electronic medical records, billing, and patient communications for more than fifty thousand medical providers nationwide.Bush calls for disruption of the status quo through new business models, new payment models, and new technologies that give patients more control of their care and enhance the physicianpatient experience. He shows how this is already happening. From birthing centers in Florida to urgent care centers in West Virginia, upstarts are disrupting health care by focusing on efficiency, innovation, and customer service. Bush offers a vision and plan for change while bringing a breakthrough perspective to the debates surrounding Obamacare.You’ll learn how: • Well-intended government regulations prop up overpriced incumbents and slow the pace of innovation. • Focused, profit-driven disrupters are chipping away at the dominance of hospitals by offering routine procedures at lower cost. • Scrappy digital start-ups are equipping providers and patients with new apps and technologies to access medical data and take control of care. • Making informed choices about the care we receive and pay for will enable a more humane and satisfying health care system to emerge. Bush’s plan calls for Americans not only to demand more from providers but also to accept more responsibility for our health, to weigh risks and make hard choices—in short, to take back control of an industry that is central to our lives and our economy.

At this time of writing, The Ebook Where Does It Hurt?: An Entrepreneur's Guide to Fixing Health Care has garnered 8 customer reviews with rating of 5 out of 5 stars. Not a bad score at all as if you round it off, it’s actually a perfect TEN already. From the looks of that rating, we can say the Ebook is Good TO READ!

Special Edition Where Does It Hurt?: An Entrepreneur's Guide to Fixing Health Care with Free MOBI EDITION!

This is a useful book to understanding how to improve the healthcare system. Clayton Christensen who wrote the Forward labeled it a ‘bottom up’ view as opposed to the ‘top down’ view from the “The Innovator’s Prescription”. This feels accurate.The book is an easy read, a narrative in 4 parts written in colloquial language with personal anecdotes. Below are the principal ideas. Apologies for license in choice of words, omissions, or misinterpretations.I Observations from the front- general waste from underutilized high capital equipment (e.g. hospitals) vs specialist businesses that can employ continuous use for diagnosis or treatment (e.g. MRI in hospital vs MRI shop)- high capital based treatment options vs low capital options (not obvious high capital solutions necessarily produce better end results)- lack of market competition for procedures with patients sharing in any savings- no/limited treatment and insurance availability across state lines (e.g. analysis by expert radiologists or dermatologists via Internet … must travel to another state for expert services)- care organizations ownership can dictate type of treatment (e.g. home vs care facility for dialysis in doctor owned businesses)- system preserves profits for incumbents as opposed to allowing for alternatives (e.g. payment for blood dialysis and administration of EPO, an Amgen drug continued courtesy of big lobbying)- medical infomatics payment scheme broken … payment for doing it but without meaningful metrics to drive efficiencyII Disruption- inefficient “big” (academic) hospital hierarchy food chain … supporting community hospitals and clinics … clearly a role for “big” hospitals but role is solving complex cases, doing things others cannot do (not everything) * disruption by 1 stop shops (e.g. CT scans) or storefront businesses for high cap svcs (e.g. MRI) * disruption by 3d parties, WMT, WAG … to handle 70% of ER traffic * hospitals focused on ‘survival’ growth model by absorbing smaller players- better use of resources by coordination of primary care instead of pouring $$$ into hospitals, doctors providing chronic care and acting as coaches to patients for holistic careIII Technology- universal, accessible data … real time, fast- choices for technology based solutions should be made relative to the conditions of the patient rather than doing all possible always (e.g. recommended hysterectomy for 90 year old grandmother because of cancer)IV Conclusions, recommendations for …Government - encourage (enable) competition and innovation1) include entrepreneurs in the conversation2) trim ‘kickback’ laws that prevent patients from receiving rewards3) provide healthcare workers right to work and patients right to shop (across state lines, without licensing or purchasing barriers)4) expand Medicare Advantage5) provide Fannie Mae type financing for health insurance disruptor startups6) limit energy on tort reform (universal healthcare records will provide clarity and eliminate most suits)Doctors1) take risks - provide total care, packaged services2) organize instead of selling out and seeking refuge at inefficient, failed business model hospitals3) get connected on Internet ecosystemEntrepreneurs1) provide technology enabled services, not technology2) supply the ‘connective tissue’ to tie together healthcare elements3) think simple (to start)4) team up, band together to have a ‘voice’Patients1) learn about care2) know yourself3) demand/request your own dataAll sound right. However, it is hard to see solutions becoming a reality in a politically polarized world. The right wishes for a return to the dysfunctional system of the past. The left staunchly defends the dysfunctional system configured by the Affordable Healthcare Act that preserves everyone’s place at the trough and enriches the insurance companies. The right pines for an unfettered free market (albeit did not exist); the left wishes for social justice, healthcare as a “right”, and systems caring for all needs for everyone … medical, dental, psychiatric (not possible without reforms). Constructive change appears impossible given an electoral system with legislators who are eager and willing pawns of special interests with. "Special interests” are more than health care companies and big pharma. They include healthcare worker unions, professional associations, patient/worker unions, tort lawyers, pension plans and a host of others donating as much or more as corporations. In the background the populace is clamoring for low cost or “free” coverage for everything, wanting to be on par with the most privileged. As Europe has learned (France) - even while not providing the most advanced services - this is not affordable and not sustainable.

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Special Edition Where Does It Hurt?: An Entrepreneur's Guide to Fixing Health Care with Free PDF EDITION Download Now!

Special Edition Where Does It Hurt?: An Entrepreneur's Guide to Fixing Health Care with Free MOBI EDITION Download Now!

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Special Edition Where Does It Hurt?: An Entrepreneur's Guide to Fixing Health Care with Free MOBI EDITION Download Now!

Special Edition Where Does It Hurt?: An Entrepreneur's Guide to Fixing Health Care with Free MOBI EDITION!

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