re: Healthcare Apps Could Be Doctor's Best Friend
Thanks for the comment. There's innovation if you want to call iterative improvement innovation. My own definition of innovation is more along the lines of Kurzweil's destructive innovation concepts. The problem we have in medicine is we're really slaves to what pays. Everyone is working hard to get better at what we do but if we were really innovative we'd be helping people shop, cook, exercise and do much better end-of-life planning that would suck the wind out of most organizations profits.
I'm really trying hard not to be cynical but it's not unusual for me to be told to my face that if even a 3rd of the physicians practiced "the way you do" we'd all be out of business.
Innovative changes in payment would accomplish more innovation that we ever could do from the provider side. I've seen some evidence in this with our own organizations involvement in an at-risk ACO. The problem is we have a window of maybe 2-3 years and if during that time a majority of payers do not drop fee-for-service and move to value-based reimbursement we won't be able to make enough from the ACO savings to cover the losses in our fee-for-service world.
Change the payment and you'd see a wholesale dramatic change in healthcare. Question would be would it be for the better or worse?