Consumers must drive the systems by being responsible for their own healthcare decisions and own their healthcare dollars even if they are subsidized by the government.
Another critcal element in business model for the future state is effective tort reform . Ideally defensive medical testing has to be eliminated completely. Defensive medical costs the healthcare system between $300-500 billion dollars a year
A summary of the misalign insentives must be understood and examine . There is a way to align all the primary and secondary stakeholders incentives . It must be agreed too that consumers are the primary stakeholders and physicians are next. Most of the control and power in the system has shifted to the secondary stakeholder namely the government, the hospital systems and mostly the healthcare insurance industry.
The government must understand that the only way to reduce cost is to shift the responsibility of controlling costs from the government to consumers.
My ideal Medical Saving Accounts are an excellent way of providing financial incentives to achieve good health in a consumer driven system. The achievement of good health will drive down the costs to the healthcare system. The incidence of costly complications of disease will be reduced.
My ideal Electronic Medical Record is an important innovation. It is inexpensive to physicians. The data belongs to patients and their physicians and set up in a way that it is not punitive to physicians. It should be a fully functional EMR.
All physicians know that medical care decisions making and judging the quality of medical care by electronic data is faulty. All the EMR's are expensive. They also put physicians in a vulnerable position to be judged by faulty data. My Ideal EMR helps physicians track their patients and improve their medical communications and care.
It is important that consumer become responsible for their own Personal Medical Record . The ideal EMR permits patients to download their records with their tests to their own computer or flash drive. Consumers should carry their medical records at all times in case of emergency.
Social Networking is the key to a consumer driven healthcare system. The possibilities are compelling.