Blog :

modelH – Health Model Co-Creation Forum (part 1)

modelH – Health Model Co-Creation Forum (part 1)

Hello to all. I am working on a new project I am calling modelH  This project is a dynamic collaboration between me, Innovation Excellence, Batterii, and a bunch of great healthcare thinkers.

Batterii’s CoCreation® Platform powers this project, and my Business Model Method for Collaborative Healthcare Innovation guides it. Innovation Excellence’s worldwide Community of disruptive innovators fuels it.

Our goal is to create a business model canvas specifically designed to generate and evaluate healthcare business models that can create positive consumption experiences, improve care delivery, and align and control costs.  We then want to use our framework to co-create and test some innovative healthcare business models. The results will be compiled in a book to be released in 2014.

modelH - Health Model Co-Creation Forum
modelH – Health Model Co-Creation Forum

What is the problem we are trying to solve?

The American healthcare “ecosystem” in its basic form operates along 3 themes: care consumption, care delivery, and care financing. These domains are interdependent points of interaction along a value chain of healthcare. To impact one point, you really impact them all. Make no mistake – healthcare is a business! The problem is that very few people create business models that are considerate of all three points of view – and certainly no one has come up with a framework to make this easier.

Also, across the value chain of healthcare, there are four key stakeholders: patients, providers, payers, and purveyors. To put it in simple terms, the party who consumes the product of healthcare (the “patient”) is usually not the one who pays for it, or at least not most of it. The party that pays for it (the “payer”) is best served when it is not used, and is therefore motivated to push for less of it. Furthermore, the parties that deliver it (the “provider”), and the parties that support its delivery (the “purveyor”), are not aligned to place realistic boundaries on its cost, thus forcing the system into bankruptcy. Due to its divided nature, the ecosystem is overrun with inefficiencies and creates dis-incentives across themes and between stakeholders so that each maximizes their own value, often at the expense of the others.

But the system is not so much broken as made up of working parts not working together. Our diagnosis of the problem is a misalignment of the ecosystem’s building blocks. Our prescription is to reset these building blocks into a better working order. The outcome will be a healthy and aligned ecosystem that is both market-driven and cost conscious.

There is no better time to try and fix the healthcare system than amidst the current environment of reform. The team behind the modelH CoCreation Forum feels that a collaborative and systematic approach is the only means to overcome the interconnectivity barriers that exist to get past where others have failed. We have the means to accomplish this collaboration though Batterii’s CoCreation® Platform. We have the right approach for how to systemically validate a healthcare-specific business model through Kevin Riley’s Business Model Method for Collaborative Healthcare Innovation.  And through Innovation Excellence and our own networks, we have access to a community of radical innovators with representation across all key stakeholders, as well as business model experts, ready to engage with us in this year-long project.

This is where you come in! But before we ask you to get involved, let’s talk more about how we can solve this problem – together.

So, step up to the plate an get involved.

 

To your health,

The Team at imagine.GO

 

Are Healthcare Companies Focused on their Consumers Needs or their Own Products?

Are Healthcare Companies Focused on their Consumers Needs or their Own Products?

Insurance companies are trying to connect with consumers in the marketplace – but are they focused on the consumers needs or their own products?

I will be speaking at the World Congress 3rd Annual Leadership Summit on Ancillary Products and Voluntary Benefits on March 13-15 in Lake Mary, FL.  Please join me there.

What You Will Learn

During this session you will learn:

  • What is retail health, really?
  • What does a health solution look like?
  • What products are relevant to consumers for their health jobs-to-be-done?
  • Can you server members and non-members alike, simultaneously?

 

To your health,

The Team at imagine.GO

 

Teaching Health Plans on Building Startup Accelerators

Teaching Health Plans on Building Startup Accelerators

So you want to build a start-up accelerator?

Wednesday, March 13, 2013, 1:00 pm – 4:00 pm in Lake Mary, FL; 5th Annual Leadership Summit on Health Plan Innovation

Why not combine the best parts (contributions) of a start-up company with the necessary (working) parts of a legacy company to form something both new and necessary? There has been a lot of movement in the launching of healthcare vertical-specific accelerators that bring together legacy healthcare companies into partnerships with entrepreneurs and health start-ups. The quid pro quo is to create learning and business opportunities for the startups and affect the legacy company with agility and innovation. Some recent examples are DreamIt Ventures, Rock Health, Blueprint, Healthbox, New York Digital Health Accelerator and Startup Health to name a few. This panel is designed to inform and discuss a health plan or provider who might be looking at creating their own start-up accelerator.What You will Learn:

  • Reasons to create a start-up accelerator
  • What you can expect to achieve
  • Some rules of the road

Start-Up

To your health,

The Team at imagine.GO

 

Speaking on the Current Landscape of Retail Health

Speaking on the Current Landscape of Retail Health

Assessing the Current Landscape of Retail Health: Opportunities for Revenue, Member Engagement, and Care Coordination through Retail Stores and Urgent Care Clinics

Wednesday, March 13, 2013, 1:00 pm – 4:00 pm in Lake Mary, FL; 5th Annual Leadership Summit on Health Plan Innovation

In the mid 2000’s, there was a disruptive movement in healthcare to build nurse practitioner run clinics within grocery store settings. Retail Health was disrupted again when insurance companies started building retail stores to attract consumers and sell their insurance products. Recently, partnerships between health plans and urgent care centers/retail clinics have spurred even more opportunity for plans to identify options for additional non-emergency services instead of expensive emergency room visits, when appropriate.In this workshop, learn how insurers are exploring this changing dynamic to not only control costs, but also attract new customers and coordinate member care. Key takeaways include:

  • Understanding the purpose and use of a retail storefront
  • Assessing the impact on the plan-member relationship
  • Understanding the payment model for a retail care clinic
  • Assessing the impact on the plan-provider relationship
  • Incorporating retail clinics and urgent care centers into accountable care and changing models

 

This workshop will be split into three distinct sections:

  1. Part 1 – A brief history of retail health and its place in insurance
  2. Part 2 – Case Studies from successful organizations
  3. Part 3 – Open Discussion and Q&A on “The Future of Retail Stores and Clinics for Insurers”

 

To your health,
The Team at imagine.GO

 

Can a Legacy Health Plan Innovate?

Can a Legacy Health Plan Innovate?

Can a traditional, low risk corporate culture stimulate innovation to stay ahead of the curve? I believe they can. If culture eats strategy for breakfast, innovation has to be part of the digestif at the very least.

But how can health insurers innovate and become more flexible in a heavily regulated market? They need to develop an organizational culture that prioritizes innovation and ties it to the organization’s strategic direction.

Creating a Culture of Innovation for Health Plans

The intent of innovation within an organization is to transform the core models and marketplaces (incremental innovation) as well as disrupt the core model  (disruptive innovation).

You can see an extended version of the talk I will be giving in the Slideshare below.

 

To your health,

The Team at imagine.GO