Opening Keynote:
Replatforming
Healthcare:
New Rules for Disruption
10th Annual Healthcare Unbound
Conference & Exhibition
July 2013, Denver, CO
Vince Kuraitis JD, MBA
Principal and Founder, Better Health
Technologies
vincek@bhtinfo.com
Note: Additional content and attributions are
available in the PowerPoint slides speaker’s notes
at http://e-CareManagement.com/?p=2931
What do all these have in common?
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address books
video cameras
pagers
wristwatches
maps
books
travel
games
flashlights
home telephones
cash registers
Walkmen,
day timers
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alarm clocks
answering machines
The Yellow Pages
wallets
keys
transistor radios
personal digital assistants
dashboard navigation
systems
newspapers and magazines
directory assistance
travel and insurance agents
restaurant guides
pocket calculators
Commonality:
all being disrupted by smartphones
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U.S. Smartphone OS Market Share
2005 -- 2012
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What lessons can healthcare
learn from telecom?
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Replatforming Healthcare:
8 Rules for Disruption*
1) NETWORKS & NETWORK EFFECTS, not silos**
2) PLATFORMS, not just products
3) BUSINESS ECOSYSTEMS, not just business models
of individual companies
4) PULL, not just push
5) PATIENT ACCESS & CONTROL, not just provider
control of health records
6) STRATEGIC OPENNESS, not “Hoarding” of data and
workflow**
7) PERSONALIZED CONTEXT, not just centralized
locations
8) DIGITAL VALUE CREATION, not just physical value
creation
* working title of Vince’s forthcoming book, end of 2013
** covered in today’s presentation
NETWORKS &
NETWORK EFFECTS,
not silos
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In the Connection Economy, value will be
created through:
Digital connections
Personal connections
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A 20th Century View of Network Effects
Metcalfe’s Law – the value of a
network grows with the square
of growth in its user base
BEWARE! People on
the network do NOT have
equal value.
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Network Effects:
Hypergrowth Kicks in Past the Tipping Point
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21st Century View of Network Effects –
Much More Granular
• Multi-Sided platforms – increasingly
common
• MUST discern types of network effects
– Direct (same-sided, cross-sided)
– Indirect
– Positive or negative
• Potential for winner-take-all markets?
• HOW TO LAUNCH NETWORK
EFFECTS?
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Network effects example:
Patient Portal of Physician EHR...
MDs
Patients
EHR
Platform
...potential for 4 network effects
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Let’s add a remote patient monitoring
(RPM) app to the platform...
MDs
Patients
EHR
Platform
RPM
App
...potential for
9 network
effects!
Where are we seeing network effects in
healthcare...
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• A handful of community/public Health Information
Exchanges (HIEs)
• Many private HIEs (likely)
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Potential for network effects....
• Alliances
– Commonwell Alliance
– EHR | HIE Interoperability Workgroup (NYeC)
– Blue Button +
• EHR platforms
• QualcommLife 2net
• MyDirectives
• ...many others
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One ear perked and listening...
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Creating Network Effects:
Launch past the atmosphere (tipping point)...
...or fall back to earth
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Network Effects Action Items
1) Map the network (business ecosystem)
2) Understand/prioritize network effects
3) Strategize for successful launch
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STRATEGIC OPENNESS,
not “Hoarding” of data &
workflow
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Openness Strategies Disrupt Industries
Is this you?
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From Hoarding to Sharing:
3 Phases of Industry Evolution
1) Closed (default)
2) Forced (Involuntary) Openness
3) Strategic Openness: Openness as
Competitive Advantage
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Example: ACO/IDS patient leakage and
open data networks
• “Our network is leaky. 30-45%+ of patients
go to outside providers.”
• “We’re flying blind.”
• “We need a strategy and a plan.” Options
– Closed strategy
– Strategic openness
• “We’re at risk for care outside our network.
Sharing data now makes economic sense.”
• “In fact, we insist you accept our data and
use it to improve quality & reduce costs.”
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Use Cases/Business Models Promoting
Strategic Openness
• Leaky patient networks
• ER overutilization
• Out-of-network care
providers
• Government policy
pressure
• Patient demand
• Required by payer
• MU requirements
• Liability/malpractice
pressures
• Privacy as a competitive
differentiator
• Open source
• Care management
• Minimize anti-trust
concerns
• ACO efficiency and cost
savings.
• ACO differentiation
• Reduce reliance on HIEs
• Right thing to do!
– View, download, transmit
– Shared care plans
– Specialty referrals
• Best analytics depends on
best data
• Readmission avoidance
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Healthcare promises to become the
“ultimate” connection platform
Brief Bio – Vince Kuraitis
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Vince Kuraitis JD, MBA is Principal and founder of Better Health Technologies, LLC
(http://e-CareManagement.com). BHT consults to companies in developing strategy,
partnerships and business models for clinical care and care management
platforms/applications delivered in homes, workplaces, and communities.
BHT’s clients -- both established organizations and early-stage companies -- include: Intel
Digital Health Group, Philips Electronics, Office of the National Coordinator (ONC) for
Health IT, Amedisys, Joslin Diabetes Center, Ascension Health System, Samsung
Electronics, Siemens Medical Solutions, Medtronic, Varian Medical Systems, Disease
Management Association of America, and many others.
Vince brings 30 years health care experience in multiple roles: President, VP Corporate
Development, VP operations, management consultant, and marketing executive. His
consulting and work projects span 100+ different health care organizations, including
hospitals, physician groups, medical devices, pharma, health plans, disease management,
e-Health, IT, and others.
Vince speaks frequently at industry conferences and corporate events. He has been the
opening keynote speaker at the Healthcare Unbound conferences between 2004 and 2013
and has spoken at about 35 conferences in the past 3 years. He has experience leading
strategic planning retreats for Boards and physicians.
Vince’s experience includes: Principal, Better Health Technologies; President, Health
Choice (medical call center), VP Corporate Development and VP Specialty Operations, Saint
Alphonsus Regional Medical Center; Regional Director of Marketing, National Medical
Enterprises (hospital chain with 100 facilities); Senior Consultant, Amherst Associates,
national health care management consulting company.
His education includes MBA and JD degrees from UCLA, and a BS degree in business
administration from USC.
Contact: vincek@bhtinfo.com, 208-395-1197
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BHT Clients
Pre-IPO Companies
Established organizations
RMD Networks
HealthPost
Cardiobeat
EZWeb
Sensitron
Life Navigator
Medical Peace
Stress Less
DiabetesManager.com
CogniMed
Caresoft
Benchmark Oncology
SOS Wireless
Click4Care
eCare Technologies
The Healan Group
Fitsense
Elite Care Technologies
Healarium
Intel Digital Health Group
Samsung Electronics, South Korea
-- Global Research Group
-- Samsung Advanced Institute of Technology
-- Digital Solution Center
Office of the National Coordinator for Health Information
Technology
Amedisys
Ascension Health System
Midmark
Medtronic
-- Neurological Disease Management
-- Cardiac Rhythm Patient Management
Siemens Medical Solutions
Philips Electronics
Joslin Diabetes Center
GSK
Disease Management Association of America
PCS Health Systems
Varian Medical Systems
VRI
Washoe Health System
S2 Systems
CorpHealth
Physician IPA
Centocor
Clinical Groupware Collaborative
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