2015-06-10-奥纬咨询-Help_Patients_to_Help_Themselves_2页_340kb

Oliver Wyman's Ideas for Healthcare Reform

Core Challenges

• The US healthcare system is inefficient, wasteful, and costly due to irrational behavior, lack of transparency, and poor consumer engagement.
• High costs stem from excessive procedures, low-cost options underutilized, and financial insulation of consumers through insurance.

Proposed Solutions

• Consumer Engagement: Provide better information and incentives for patients to make value-based choices, focusing on lifestyle changes.
• Behavior Change: Utilize education, social interactions, high-touch support, and quantified-self tools to encourage healthy habits like diet, exercise, and medication adherence.
• Systemic Reforms: Align incentives with patient benefits, increase transparency, apply technology for efficiency, and leverage market power to drive innovation.

Evidence and Impact

• Innovators like Iora Health reduced hospitalizations by 40% and emergency room use by 50%.
• CareMore demonstrated lower mortality rates and reduced specialist use for vulnerable populations.
• Large-scale implementation could save the US up to $500 billion in healthcare costs (15% of the $3 trillion market).
• Benefits include improved outcomes, better lifestyles, and significant cost reductions beyond healthcare savings.

Needed Changes

• Scale successful models across broader populations, improve behavior change techniques, and foster industry-wide adaptation to transform healthcare delivery and customer relationships.