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Friday, August 10, 2012

The Stanford Lectures: So, Is Software (Really) Eating the World?

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The Stanford Lectures: So, Is Software (Really) Eating the World?
By BLAKE MASTERS

Here at THCB  we really can't think of many lectures we'd rather sit in on than Peter Thiel's Stanford course on entrepreneurship. And we can't think of a better guest to catch than Netscape co-founder Marc Andreeson.  In this talk, Andreeson talks about how healthcare IT is changing in the Facebook and Big Data Era era, the privacy issue and how the cloud may or not be eating software.

If it’s true that software is eating the world, the obvious question is what else is getting or will soon get eaten? There are a few compelling candidates. Healthcare has a lot going on. There have been dramatic improvements in EMR technology, healthcare analytics, and overall transparency. But there are lots of regulatory issues and bureaucracy to cut through.

It’s hard to say when these sectors will get eaten. Suffice it to say that people should not bet against computers in these spheres. It may not be the best idea to go be the kind of doctor or lawyer that technology might render obsolete. Read more.


The Most Powerful Health Care Group You’ve Never Heard Of
By BRIAN KLEPPER AND PAUL FISCHER

Excessive health care spending is overwhelming America's economy, but the subtler truth is that this excess has been largely facilitated by subjugating primary care. A wealth of evidence shows that empowered primary care results in better outcomes at lower cost. Other developed nations have heeded this truth. But US payment policy has undervalued primary care while favoring specialists. The result has been spotty health quality, with costs that are double those in other industrialized countries. How did this happen, and what can we do about it. Read more. 
 

Costs Continue to Rise. What Can Employers Do? The Answer May Be Direct Primary Care.
By DARRELL MOON

The U.S. Supreme Court ruled on Jun 28th by a 5-4 vote to let the individual mandate portion of the Affordable Care Act (Obamacare) stand. Immediately following, a CEO of one of the nation’s largest insurance companies was asked if people can expect their premiums to go up as this law is implemented. The answer was yes.  So what can employers do to protect themselves from the inevitable? Read more. 


Do You Believe Doctors Are Systems, My Friends?
By DAVID SHAYWITZ, MD

In the current issue of The New Yorker, surgeon Atul Gawande provocatively suggests that medicine needs to become more like The Cheesecake Factory – more standardized, better quality control, with a touch of room for slight customization and innovation.

The basic premise, of course, isn’t new, and seems closely aligned with what I’ve heard articulated from a range of policy experts (such as Arnold Milstein) and management experts (such as Clayton Christensen, specifically in his book The Innovator’s Prescription). The core of the argument is this: the traditional idea that your doctor is an expert who knows what’s best for you is likely wrong, and is both dangerous and costly. Read more. 


Lessons from MinuteClinic
By JOHN GOODMAN

After entering the clinic a thought occurred to me: why do we need doctors? Then a second thought: why do we need nurses? Ah, but I’m getting ahead of myself.

About a decade before the Obama administration started touting electronic medical records and evidence-based protocols there was MinuteClinic. The entity came into existence primarily to cater to patients paying out of pocket. There was no need for a law requiring price transparency. In every market where the dominant buyers are patients spending their own money, prices are always transparent. Read more. 


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