Digital Health
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FTI Consulting
provide a roadmap for improving treatment while also increasing patient engagement, the prerequisite of improved health management. The Cleveland Clinic, a non-profit hospital system, specialising in cardiac surgery, publishes a wide range of outcome statistics; it now has one of America’s lowest mortality rates for cardiac patients.
Create agile structures Healthcare integration is critical to the management of chronic diseases, and their costs, and must reach beyond the four walls of the hospital or clinic. This is especially important in Asia, where healthcare outside urban areas is most often fragmented and difficult to access. But while goals of integrated, technology-assisted healthcare are universally understood and accepted, current payer models do not reward physicians and institutions for the investments needed to reach into communities with preventative programmes, wellness initiatives and treatment follow-up networks to manage the health of patient populations outside the clinical environment. To do so requires the development of new delivery and clinical governance models that emphasise the importance of scale and take a new approach to risk. And both demand organisational agility. For payers this could mean engaging consumers/
patients differently by emphasising cost awareness and preventative care. It could mean negotiating contracts with providers that include pay-for- performance (outcomes) models. In the US, some payers have even entered the provider space, creating integrated healthcare systems where they have direct control over the cost and quality of care,
98 Global Opportunity Healthcare 2015 | Issue 01
and a greater ability to reap economies of scale, showing movement toward the more universal government sponsorship model. Whatever model is adopted will mean developing a strong partnership between clinicians, administration and staff, making sure that the collective strategy is clear and broadly communicated to all stakeholders and clearly evaluating the costs and benefits to ensure return on investment and a clear understanding of the value to the payer and the patient.
Conclusion The downside of the much of the world’s rising standard of living is the increased prevalence of the chronic, lifestyle-related diseases formerly associated with the West. At the same time, many parts of the world are experiencing challenges unique to their geographies or culture, such as disparate urban-rural splits in healthcare availability and sophistication, characteristic of every health economy around the globe. Each country has to confront a highly-complex, often unique path to its own healthcare transformation. Pushing for integration too quickly when a national health care system is ill-prepared can be detrimental Advice about what works, what doesn’t can be gained from the challenges that the US and to a lesser extent the UK healthcare systems have confronted and may provide ideas for other countries to follow, learn from or avoid.
Further information Tel: +44 (0) 20 3727 1000
www.fticonsulting.co.uk
global-opportunity.co.uk
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FTI Consulting
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