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

The Innovator's Prescription: A Disruptive Solution for Health CareAuthors: Clayton M. Christensen, Jerome H. Grossman M.D., Jason Hwang M.D.
Publisher: McGraw-Hill

List Price: $32.95
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Rating: 5.0 out of 5 stars 24 reviews
Sales Rank: 4689

Media: Hardcover
Edition: 1
Pages: 496
Number Of Items: 1
Shipping Weight (lbs): 2
Dimensions (in): 9.1 x 5.9 x 1.6

ISBN: 0071592083
Dewey Decimal Number: 362.1
EAN: 9780071592086
ASIN: 0071592083

Publication Date: December 4, 2008
Availability: Usually ships in 1-2 business days

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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 the business world—presents The Innovator’s Prescription, a comprehensive analysis of the strategies that will improve health care and make it affordable.

Christensen applies the principles of disruptive innovation to the broken health care system with two pioneers in the field—Dr. Jerome Grossman and Dr. Jason Hwang. Together, they examine a range of symptoms and offer proven solutions.

YOU’LL DISCOVER HOW

  • “Precision medicine” reduces costs and makes good on the promise of personalized care
  • Disruptive business models improve quality, accessibility, and affordability by changing the way hospitals and doctors work
  • Patient networks enable better treatment of chronic diseases
  • Employers can change the roles they play in health care to compete effectively in the era of globalization
  • Insurance and regulatory reforms stimulate disruption in health care



Customer Reviews:
Showing reviews 1-5 of 24



5 out of 5 stars Excellent analysis and a model for building a solution   October 30, 2009
R. Brush
1 out of 2 found this review helpful

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.



5 out of 5 stars A Must Read   August 2, 2009
Joseph H. Schneider
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




5 out of 5 stars Solutions for healthcare that are both brilliant and disruptive!   June 26, 2009
Arden Brion (Sylvania, OH United States)
2 out of 3 found this review helpful

Well researched and compellingly reasoned, "The Innovator's Prescription" is exceptional medicine everyone should be taking, especially those in Washington. The book's systemic view of the current state of healthcare industry is absolutely brilliant as Christensen, Grossman and Hwang apply their "disruptive innovation" vision to the future of healthcare.

Most compelling are the book's foundational assertions that the general hospital is not a viable business model because it mixes three types of business models under the same roof, and consequently, cost problems are due to overhead, and quality problems are due to poor integration.

Truly provocative thinking at its best. Two thumbs way up!







5 out of 5 stars A business perspective on the change needed for health care reform   June 15, 2009
Christopher Grell (San Francisco, CA)
3 out of 3 found this review helpful

According to the author, the current state of the health care industry is not unlike other heavily regulated industries before it, such as telecommunicationsand transportation, where initially providers were centralized and services were affordable only by the higherincome segment. In each case, it was not deregulation that led to change but disruptive innovation that followed it.

So the premise of the book is that health care reform cannot be achieved without disruptive innovation, and that this is mutually exclusive with a single payer model. Instead, what is needed is for disruptions in technology, business models, and value networks to act in concert to remodel the health care system. In order to allow new entrants that can disrupt existing networks and shift the sites of care from centralized to decentralized and the personnel for delivery from specialized to less specialized, there must be a heterogenous system tied together by electronic health records.

The current state of the industry is mired in centralized mixed business models that need to be separated into three types of businesses: "fee for service" solution shops that work heuristically with incomplete information to diagnose and treat disease ("intuitive medicine"), "fee for outcomes" value added process businesses that emphasize efficiency and repeatable results ("empirical medicine"), and "fee for membership" disease management networks that emphasize compliance ("precision medicine").

Right now the general hospitals have a mix of all three but still charge everything on a fee for service basis because of reimbursement policies. This has led to excessive overhead burdens on what should be "fee for outcomes" or "fee for membership" types of services. By separating these business models into separate corporate entities they can optimize their performance and value networks. The author also cites the contrast of integrated health systems such as Kaiser and Geisinger which by use of electronic health records and fee for outcome measurement can achieve much greater efficiencies, and can engender their own disruptive innovation internally because of their ability to capture the benefits.

Overall then, in order to lower the rate of cost increases in health care while maintaining quality and increasing choice, the prescription is to encourage disruptive innovation in technology and business models that enable decentralization of care and use of less specialized personnel, tied together by electronic health records to capture the outcomes data.



5 out of 5 stars exceptional take on healthcare   June 10, 2009
Nikolaos Kakavoulis (New York, NY)
1 out of 1 found this review helpful

Extremely interesting, well written, a great read for those interested in getting a better understanding of healthcare and disruptive technologies

Showing reviews 1-5 of 24





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