Health Data Exchange - A solution for the halthcare industry
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Orginal thought piece from The Digital Insurer on how Data networks need to emerge more quickly to help transform the delivery of better healthcare
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Health Data Exchange - A solution for the halthcare industry
- 1. Access Health International Conference – 26th October 2017 Presentation by: Hugh Terry, The Digital Insurer
- 2. 2 8 minutes ….. Working together to accelerate the digital transformation of insurance 1) Identify the key problems in healthcare delivery 2) Look at the single most important macro trend in healthcare 3) To provide a point of view that the future in healthcare is not “doom and gloom” – and we at the dawn of a “new age” of discovery 4) To articulate a delivery model that leverages this macro trend and can radically improve healthcare delivery 5) And finally… to come back to earth and look at some of the roadblocks
- 3. 3 About TDI Working together to accelerate the digital transformation of insurance • The world’s largest knowledge base on digital insurance • The world’s largest community of 20,000+ digital insurance members • Working together to accelerate the digital transformation of insurance Knowledge Community Services Knowledge and community are supported by sponsors. Services are fee based. Visit www.the-digital-insurer.com for more information
- 4. 4 1. Key problems in healthcare delivery Working together to accelerate the digital transformation of insurance • Private healthcare is conflicted: hippocratic oath vs. profit • Private insurance is conflicted: contractual promises vs. profit • The consumer has not been empowered to take control • Whilst regulation & government has a role to play we know state ownership crowds out innovation “The existential problem in healthcare = creating a system that can manage conflicting motives of private stakeholders whilst allowing the resource allocation efficiency of free markets to operate”
- 5. 5 2. DATA is the macro trend in healthcare Working together to accelerate the digital transformation of insurance MORE DATA + DATA ANALYTICS + ACTIONABLE INSIGHTS = HEALTHCARE TRANSFORMATION “We will all have health data passport by 2030. Our personal health data will be more important than our financial data. Data is the change agent for the healthcare industry”
- 6. 6 3. There is no healthcare crisis Working together to accelerate the digital transformation of insurance 1) We are living longer and healthier lives 2) Science is progressing faster than ever 3) Data driven healthcare innovation is lower cost than other forms of innovation 4) Data enables measurable and cost effective preventative medicine and lifestyle modification solutions 5) Data will give more power to consumers (and reduces the dominance the medical profession has on healthcare provision) “The key challenge is to reorganise healthcare industry around the data. Current healthcare provision is siloed. “
- 7. 7 4. The Solution: Healthcare Data Exchanges (HDX) Single source of truth Data access for all Healthcare Data Exchange (HDX) A HDX enables the multiple handshakes needed in healthcare Working together to accelerate the digital transformation of insurance
- 8. 8 HDX as an enabler for innovation Working together to accelerate the digital transformation of insurance “a healthcare data exchange will be the enablng custodian and exchange centre of healthcare data for all stakeholders. The healthcare consumer My Health Passport Healthcare Data Exchange (HDX) Middleware for easy integration + data repository Clinics & Doctors Hospitals Pharmacies Med tech Fin Tech / InsurTech Financiers & Risk managers A network of risk managers and healthcare financiers Insurance companies State i.e. tax Family & Out of Pocket NGO Gift aid my health data My financial cover My “doc bot” My specialist health team My wellness team
- 9. 9 5. Paradise postponed? practical roadblocks Working together to accelerate the digital transformation of insurance 1. How can a HDX be created? How many are needed in each country? 2. What is the role of the state in an HDX? Can a consortium own it? Should a single private sector company be allowed to own it 3. Who owns the IP on the data insights? 4. What are the “rules of the road” on data privacy and ownership “Dynamic and vibrant” “Trusted guardian” HDX Wish list “Efficient and effective” “Dynamic and vibrant” “Do no evil…” “Powered by blockchain?”
- 10. 10 hugh.terry@the-digital-insurer.com WA: + 65 9144 4228 Thanks for your time
Notes de l'éditeur
- Obvious statement : health is super important and health systems in nearly all countries could do with improvement At the heart of the problem are two conflicts of interest (health providers - profit incentive vs hippocratic oath, insurers - profit incentive vs meeting contractual promises) and an unincentivised consumer ("make me better and let someone else pay the bill") . Healthcare value chains are further complicated by the addition of multiple services providers who are taking hidden fees from the system. Govt policy can either help or get in the way. As we see in singapore which is credited as one of the best systems in the world the insurers cannot break even Whats changed ?.. . it is going to be all about the data. Data is transforming both healthcare and health insurance and also , at last, allowing healthcare consumers to take more control So how do we use technology to help make delivery of healthcare simultaneously more efficient and effective? that is our opportunity Outline a 3 tier architecture for healthcare - front-end for delivery of access and preventative medicine, Middleware for industrial connectivity and back-end for claims (in particular) Share My view / thesis: success will be build from back and -front but value will be exponential when it is successfully connected (the handshake is key). Ref example Ping An Good Doctor with 100 million plus users. Out of industry reference - salesforce.com different countries will take different approaches - but how to create a vibrant and dynamic system that delivers efficiently and effectively, is not beaten down by over regulation or excessive govt intervention and does not fall prey to monopolistic / oligopolistic activity. I will then share my view around the winning features of what I call healthcare data networks. Perhaps add in a view on data privacy and ownership of IP around insights as both of these can help or hinder the new healthcare delivery systems that are emerging.
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