USER GUIDE - seas.harvard.edu Affairs... · Harvard University February 2014 Joshua Rosenthal, PhD...
Transcript of USER GUIDE - seas.harvard.edu Affairs... · Harvard University February 2014 Joshua Rosenthal, PhD...
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Harvard University February 2014
Joshua Rosenthal, PhD Dr. Sujata Bhatia, MD, PhD
USER GUIDE
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Context
Exit
Exit w/ Good Multiple
Idea
Prototype
Funded
1 %*
1 %*
1 %*
1 %*
*Health Care Start Ups fail at astounding,
disproportionate rates
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Alternatives
Better Odds (seriously) Default
Better Odds (w/ life insurance) Not an Alternative (infra)
Noble, but hard & < 10 years left
See “Default”
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Note: Payer buying Provider
Most ‘Successes’, Aren’t
User Guide
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User Guide
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User Guide (ALT)
Consultants / Professional Services,
Providers
SaaS-based data / analytic
platforms
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> * KickStarter.com gave more $ to the arts last year than the NEA. Cf. WarbyParker & eyeglasses for Africa
Hey, what about Social / Public Good?
You’re always better off if you create market value (even if you’re a non-profit) With finite budgets, non-profits will compete against each other; need market reinforcement/acceleration Can go for-profit w/ public/social good for broader usage/greater impact*
MPH?
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Context
Easy Hard
Low Biz Value
High Biz Value
?
? Most: Cool Tech Complex Data
Figure out how to create value from tech / data
Start with Biz Problem, figure out data / tech
Comp Sci. Interests
VC / Accelerator
Public Data Big Data
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Health care has not done so well
“Just wait ‘till next year Financial Services & Energy!”
In this race vs. other verticals
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Lots of Bodies
Health Care, Where Good Ideas Go to Die
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Lots of failure (DTC*)
*Direct-to-Consumer Note: People don’t like to pay out of pocket for something they don’t like to do or don’t want to know about
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Lots of noise & fluff
Speaking at a major health care conference near you
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Noise
I have better engineering / architecture
Hmm, ‘fixing the pipes’ was not the answer
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Fluff
I have better design & experience
Hmm, the pretty colors on my social app didn’t stop me
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Lots of ‘false indicators’
My data is bigger than yours Hmm, this fixation indicates...
Silly boys
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Lots of market perversities
* Source: Dartmouth Atlas for Unwarranted Variation
*
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Review
Health Care Start Ups fail at astounding,
disproportionate rates
FAIL
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Old Paradigm – Fee for Service
Payers aggregate – but some have not historically been “health care”
“Actually, I make more money off of bad drivers.”*
(Read w/ accent)
* Note: Affordable Care Act changes this
Cf. Medicare Advantage
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Old Paradigm – Fee for Service
Some Hospitals/Providers may historically generated revenue by filling rooms*
Keep patients away?!?
I was trying to book you for an extra night!
* Note: Affordable Care Act changes this
Cf. Medicare Advantage
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Shift: Demographic –> Market
MBA test:
“To stay ahead of the game, the market I should look at is ____________ .”
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Market Shift = New Profit Paradigm
WRONG – This isn’t the end, it’s just the beginning!*
* Cf.
P4P to incentivize market (including payers)
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Government is releasing lots of data*
* Expertly captained by
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Need market to adopt – use to create value Cf. Weather & Geo-Location data
Thanks, government!
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So?
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Do Good…
... but you are probably not profitable
If P < EHC x DWS, then 501c3
P: Profit; EHC: Employee Head Count; DWS: Dog Walker’s Salary; 501c3: Non-profit
It’s easy to do good...
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… and Create Value
... but you are probably doing bad things
“I’ll bill you.”
It’s easy to make money...
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It’s tough to do good & create value in Health Care
So let’s practice
together
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Practice : Generalism … Psst, not just business, but entrepreneurialism
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Practice : Un-sexxxy-ness Find the least glamorous pain point… … and eventually, you’ll be trendy with deep expertise ahead of the herd
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Practice : Doing the wrong thing Use the mechanisms of another system to advance your own
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Practice : Discriminating Turning down even ‘good’ offers to find false indicators
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Practice : Starting, then failing 90% of the time – it’s about conquering the blank page and just getting something out and calling it good for now 10% it’s letting it percolate – and readiness to trash the first version of what ever you have
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Practice : Then getting a bit further Designing for scale means, failing until you get it right, but getting it right
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Seriously… Practice! … at least he’s dancing