U.S. HEALTHCARE REALITIES Misaligned incentives: Treatment over wellness; “More is better” Misaligned incentives: Treatment over wellness; “More is better”

U.S. HEALTHCARE REALITIES

•Misaligned incentives: Treatment over wellness; “More is better”•Affordable Care Act impacts•Nationwide Primary Care shortage

U.S. HEALTHCARE REALITIES

•Physician shortages•Increasing costs, declining reimbursement•Potential impacts: Costs, Recruiting, Network robustness

2025: 130,600 U.S. Physician shortage

U.S. Population will grow 18-24% - 45% will have chronic disease - 60M will have 5+ chronic diseases

52% reduction in physicianschoosing primary care

EMPOWERED PATIENTS

•The Millenials•The changing Physician-Patient relation•Health care as a commodity: What drives patient choices?•Choice drives cost and health•Health drives individual readiness

What drives healthcare choice…..

Choice drives cost…..

TOMORROW

•Training: Radical change, many fronts•Increasing dependence on I.T.•Emerging diseases •Theater engagement: The role of medical

Many Changes…On Many FrontsA world different than we envisioned….

"We have slain a large dragon, but we live now in a jungle filled with a bewildering variety of poisonous snakes. And in many ways, the dragon was easier to keep track of.“ James Woolsey

Many Changes…On Many FrontsNot Your Father’s Sick Call

From this …..