2016年-德勤全球_Top_10_health_care_innovations_29页_2mb

Summary of Deloitte's Top 10 Health Care Innovations: Achieving More for Less

Core Content

Deloitte has identified the top 10 health care innovations that have the potential to achieve "more for less"—improving value, outcomes, convenience, and access while reducing cost, complexity, and time. These innovations are expected to transform the health care system over the next decade by breaking current performance trade-offs and expanding the realm of what is possible in health care delivery and management.

The report emphasizes that the traditional fee-for-service (FFS) payment model is a major constraint in the health care system, as it does not align provider incentives with the goal of delivering more value for less. The shift toward value-based care (VBC), consumerism, and the availability of new data sources is driving the need for innovation and business model transformation.

Main Viewpoints

• Innovation Definition: Innovation is defined as a combination of activities or technologies that break existing performance trade-offs to deliver more value, better outcomes, greater convenience, access, and simplicity for less cost, complexity, and time.
• System Constraints: The current health care system is constrained by rules, policies, regulations, technologies, and stakeholder preferences. These innovations aim to expand the frontier of what is possible in health care.
• Need for Business Model Change: Incorporating these innovations into business models will require changes in how health care organizations prevent, diagnose, monitor, and treat disease.
• Role of the Public Sector: The federal government can play a critical role in fostering innovation through pilot programs, evolving regulations, and supporting research initiatives like the Precision Medicine Initiative and the National Cancer Moonshot Initiative.

Key Innovations

The following are the top 10 health care innovations, each with the potential to achieve more for less:

1. Next-generation sequencing (NGS)

   • Enables personalized medicine through early detection and targeted therapies.
   • Has seen dramatic cost reductions and increased data output.
   • Requires demonstration of clinical validity and safety to gain reimbursement.

2. 3D-printed devices

   • Offers highly customized, low-cost medical solutions.
   • Applications include prosthetics, implants, and surgical planning.
   • Challenges include proving safety, developing reimbursement frameworks, and provider adoption.

3. Immunotherapy

   • Has the potential to significantly improve cancer survival with fewer side effects.
   • Includes checkpoint inhibitors and CAR-T therapies.
   • Needs further research, scalable manufacturing, and evidence of long-term efficacy.

4. Artificial Intelligence (AI)

   • Enhances diagnostic accuracy, streamlines administrative tasks, and accelerates drug development.
   • Requires improved accuracy and cost efficiency, as well as trust from clinicians and patients.

5. Point-of-care (POC) diagnostics

   • Enables faster and more convenient testing, improving care coordination and reducing costs.
   • Examples include glucose, pregnancy, and HIV tests, with new developments in cancer and stroke diagnostics.
   • Needs better technology and integration with VBC models.

6. Virtual reality (VR)

   • Offers simulated environments for behavior change and patient engagement.
   • Can be used for training, therapy, and education.
   • Potential to improve outcomes and reduce hospital stays.

7. Leveraging social media to improve patient experience

   • Provides real-time insights into consumer experience and population health trends.
   • Helps health care organizations tailor services and improve patient engagement.
   • Requires data privacy and security measures.

8. Biosensors and trackers

   • Enable continuous health monitoring through wearable and embedded devices.
   • Can improve early detection and chronic disease management.
   • Challenges include data interoperability and user adoption.

9. Convenient care: Retail clinics and urgent care

   • Offers lower-cost, more accessible care for common health issues.
   • Aligns with consumer demand for convenience and transparency.
   • Supports the shift to VBC by reducing unnecessary visits and improving outcomes.

10. Telehealth

    • Provides a more convenient way for patients to access care and manage self-care.
    • May reduce ER visits and travel time, improving care efficiency.
    • Requires regulatory support and infrastructure development.

Key Considerations for Implementation

• Ecosystem Development: Organizations should build ecosystems that include nontraditional players and knowledge sources.
• Pilot Programs: Early adopters are likely to be those experimenting with new business models and payment structures.
• Adaptability and Agility: Leaders must be agile in adapting strategies as innovations evolve.
• Regulatory Alignment: Innovation and regulation must work in tandem to ensure safety, accessibility, and trust.
• Data Utilization: Leveraging new data sources and improving interoperability is essential for maximizing the value of these innovations.

Conclusion

The top 10 innovations outlined in this report are not only promising in terms of their potential to improve health outcomes and reduce costs but also represent a shift in how health care is delivered, managed, and reimbursed. Their successful integration into the health care system will require a transformation of existing models, collaboration across sectors, and a commitment to innovation and patient-centered care.