What can we learn from CivicaRX?
Business Model Innovation drives Transformation

What can we learn from CivicaRX?

Back in early 2016, Dan Liljenquist was kind enough to invite me to lunch for a discussion around an "idea he had". He started walking me through what eventually became Civica Rx As I listened to him describe this, it hit me that CivicaRX could be one of the greatest business model innovation efforts in Healthcare. This announcement, https://shorturl.at/2cA7C reinforces the power of creating a new business model. Remember, generic drugs are just that; generic. The product cannot be innovated around, which is why it makes CivicaRX so powerful. The business model design changed so much about a "generic" offering.

Over the years, I had learned so much about business models and value propositions over the years from Alexander Osterwalder that I couldnt "unsee" what Dan was sharing. Dan could have said we are going to renegotiate with the generic drug manufacturers, try to find substitute drugs, buy in different quantities, etc. There are so many traditional things he could have done. Those are all good; those are incremental improvements and we need those over and over again due to their compounding effect.

However, we need a new lens to think through; a business model lens. Dan, Carter Dredge and many colleagues rebuilt the business model of generic drugs. Take a look at these three slides and it will show the difference in the models. The first slide I gathered from Dan. It does a good job of showing the fundamental flaw in the generic drug environment. The last two slides are Cory Smith William Prows and my high level interpretation of the difference between the traditional model and CivicaRX.

Dan does a great job of setting up the environmental problem around generic drugs
This was the original canvas that my team and I built to explain the model before CivicaRX
This is the rough sketch version of CivicaRX back in 2019...I am sure it has changed

The intention of these high level slides are to show the power of having a tool, language, and approach to business modeling! When teams visually map out their current business model, it allows them to start seeing potential ways to renovate the model. When teams do business model portfolio management, it allows them to see which ones to create or eliminate.

With that being said, a key issue at hand for organizations is they don't yet have a scalable and standard system that focuses on their business model portfolio and then a documented business model innovation system that guides teams in how to renovate, create, or eliminate models within that portfolio. In my opinion, powerful transformation comes by creating a system of business model innovation. One key example and focus area to spark a dialog, from my experience, needs to be the business model of kidney health. If we look at the business models around organs, we will often see opportunities because we are using a new dimension to understand. A business model is a longitudinal unit of competition vs an episodic encounter.

Business Model innovation drives transformation and delivers more value to consumers, customers, and companies. If you organization is working to transform, reach out.


Ann-Somers Hogg

Health care innovator | Speaker | Podcast host | Author | Research leader making work and life better for moms

5 个月

Love that you highlighted this great example of business model innovation, Todd! If anyone wants a deeper dive on the intricacies of their business model approach, I wrote about in depth here: https://www.christenseninstitute.org/publication/doh-improve-transform/ . Interviewing Dan Liljenquist was a highlight of the research process!

Janet Guptill, FACHE, CPHIMS

President & CEO, Scottsdale Institute

5 个月

Great insights, Todd Dunn and definitely powerful leadership in Dan Liljenquist! We need some major business model reinvention to get us focused on a system of health rather than a system of sickness care.

Cory Smith

Healthcare Technology Professional

5 个月

Thank you Todd Dunn! Great article. This was such a powerful exercise to go through learning. Products don't win. Business Models win.

Scott Wolfson

Curious Human | Friendly Stranger | Strategic Innovator

5 个月

"All models are wrong, but some are useful." – George Box Cheers to the power of Alexander Osterwalder and Strategyzer's extraordinarily useful business model canvas as one of my favorite "wrong" models to use, as you so brilliantly and eloquently illustrate, Todd Dunn! As I love to say, 'show your thinking' is the new 'show your work,' and this article is an AWESOME example of the incredible possibilities that can be unlocked with shared #VisualThinking...just like Dave Gray evangelizes ??

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