Conference Presentation, Panel
Health-care Disruptors: New Models Changing the Landscape
- The global population of individuals with Parkinson's disease is projected to double over the next 25 years.
- Telemedicine initiatives aim to serve over 300 patients in New York State through direct home visits via HIPAA-compliant video conferencing, with plans to establish clinic-based care options for those uncomfortable with home technology.
- Civica Rx intends to stabilize essential generic medication markets by securing "take or pay" arrangements to ensure predictable demand, with a goal to lower market prices for its drug basket by more than 50% through transparent pricing and operating as a producer of last resort in non-functioning markets dominated by single players.
- Civica Rx currently counts 10 governing members, including three philanthropies and seven health systems, and plans to contract with additional hospital systems nationwide while committing via unanimous vote to remain a non-stock, non-profit corporation.
- Geisinger anticipates a 25% reduction in emergency department visits and a 75% decrease in hospitalizations by the end of 2019, correlating with a target to provide 1.5 million meals to food-insecure diabetic patients by that date.
- Geisinger plans to scale its Fresh Food Pharmacy program nationally with a partner and globally by transmitting lifestyle medicine knowledge, despite regulatory constraints that currently prohibit CMS from allocating food based solely on social need.
- Geisinger intends to innovate value-based payer models by assuming increased risk to reduce costs and improve outcomes across all insurance types, utilizing disease-specific approaches such as opiate programs, genomics, and the "Free to Be Mom" initiative.
- Mount Sinai possesses algorithms for the next decade but lacks the necessary data structures, prompting a redesign of care environments to generate data for data-driven medicine and aiming to replace traditional primary care with superior alternatives.
- Mount Sinai is implementing FHIR protocols to open electronic health records, partly driven by Apple, and notes that research kit trials have enrolled tens of thousands across 40 states, though attrition rates remain high.
- Disease transition predictions from health to disease are currently considered impossible due to a lack of information on actual health states.
- The University of Rochester has struggled to address racial disparities in telemedicine, with some studies showing 97% white participation.
- A lack of specific drug rotation protocols can result in mortality rate fluctuations where hospital-acquired infection survivability drops from 90% to 40%.
- Civil Rx expects to operate under standard regulatory rules without special favors from Washington regulators.
- Civica Rx's model aims to socialize financial gains by setting a fully transparent price with only a sufficient margin to maintain operations.