The Coming Healthcare Revolution

Expert review of how the antiquated United States healthcare system is transforming The Coming Healthcare Revolution: The 10 Forces that Will Cure America's Health Crisis identifies and describes five top-down macro forces and five bottom-up market forces that have sufficient strength to transform the U.S. healthcare industry from the outside-in. The powerful macro forces are demographic determinants, funding fatigue, chronic pandemics, technological imperatives, and pro-consumer/market reforms. The equally powerful market forces are whole health, care redesign, care migration, aggregators' advantage, and empowered caregivers. Written by David Johnson and Paul Kusserow, professional healthcare advisors operating at the intersection of healthcare economics, policy, strategy, and capital formation, this book provides expert insight on how the U.S. healthcare system is becoming cheaper, better, more balanced between prevention and treatment, easier to access, and more empowering for both frontline caregivers and consumers. In this book, readers will learn about: Factors leading to rising healthcare costs, including an aging population, perverse economic incentives, armies of middlemen, and expensive breakthrough therapies U.S. healthcare in comparison to other high-income countries—twice as expensive per-capita, and inferior in terms of health status metrics Similarities between the U.S. automobile industry crisis in the 1980s and today's adapt-or-die situation for healthcare providers and suppliers How the healthcare industry is reorganizing to decentralize delivery of whole-person health in ways that will improve health outcomes and overall societal health The Coming Healthcare Revolution is a must-read for professionals and organizations seeking to understand and react to the paradigm-shifting forces revolutionizing the healthcare ecosystem.

Foreword xi Introduction: Healthcare’s Roaring 2020s 1 Part I Macro Forces 19 Introduction: Look Out Below 21 Force 1 Demographic Determinants 25 Force 2 Funding Fatigue 43 Force 3 Chronic Pandemics 69 Force 4 Technological Imperatives 91 Force 5 Pro-Consumer/Market Reforms 115 Part II Market Forces 137 Introduction: It’s Complicated 139 Force 6 Whole Health 145 Force 7 Care Redesign 167 Force 8 Care Migration 197 Force 9 Aggregators’ Advantage 227 Force 10 Empowered Caregivers 259 Conclusion: Guns and Butter 287 Notes 293 Glossary of Acronyms 311 Acknowledgments 315 About the Authors 321 Index 325