What if healthcare is not broken? And what if we're actually winning the opioid battle?

What if healthcare is not broken? And what if we're actually winning the opioid battle?

Dave Chase puts forth contrarian viewpoints in his new book, and predicts that millennials will redirect the future of healthcare – which is a good thing.

Here comes a counterargument to two widely held opinions: that the U.S. healthcare system is broken, and that we are losing the battle against the opioid crisis.

Instead, Dave Chase says, healthcare is already fixed because solutions exist to the industry’s biggest dysfunctions – and he has specifics to prove it, such as places in the U.S. that are turning around the opioid problem around entirely.

Chase, co-founder of Health Rosetta, is the author of the new book, The Opioid Crisis Wake-Up Call. And while there are bound to be plenty of skeptics to his argument, there’s also a lot to learn from considering his counterpoint to such widely-held perceptions.

Q. For starters, you make the case that "healthcare is already fixed," and now it's a matter of replicating those fixes. Can you elaborate?

A. When I say that healthcare is fixed, I mean that widely proven solutions already exist for healthcare's greatest dysfunctions. Read the rest of the answer on HIMSS Media.

Q. You also suggest that the American healthcare system is actually winning the battle against the opioid crisis. Given that many people will find that every bit as surprising as the idea that healthcare is already fixed, how are we winning?

A. It does sound surprising, because it's exactly the opposite of the narrative we're used to hearing. That's a big reason I wrote this book. To spread the good news about the healthcare revolution that's being spearheaded by everyday people all around the country. Read the rest of the answer on HIMSS Media.

Q. Since it’s our Focus on Innovation in September, what emerging technologies or business models do you see bringing about market transformation?

A. I'm really encouraged by the movements we're seeing from outsiders like Amazon, Apple and others venturing into the healthcare space. Read the rest of the answer on HIMSS Media.

Q. The subtitle of your book is "Healthcare is Stealing the American Dream." You refer to the opioid crisis as a self-inflicted wound in the text.

A. I use the phrase "self-inflicted wound" because unlike other public health crises of the past, like polio, HIV or ebola, our health care system has brought the opioid epidemic on itself through its misaligned incentives and flawed benefits purchasing structure. Read the rest of the answer on HIMSS Media.

Q. You put a certain amount of faith in millennials because of their power to transform markets. How do you envision the healthcare market evolving as that happens?

A. Millennials are going to redirect the future of healthcare for the better. I see millennials differently than most others. They're conscientious, they make purchases that align with personal values – not just economic ones – and they prioritize their personal time as well as their personal choices. Read the rest of the answer on HIMSS Media.

Q. Last question, the visionary one. When will health, hope and well-being be restored in our communities as you discuss in Part 3 of the book?

A. It's already happening. That's the good news. Read the rest of the answer on HIMSS Media.

For the complete interview, go to HIMSS Media.

__________

Dave Chase is the co-founder of the Health Rosetta (a LEED-like organization for healthcare), and author of the book, “The Opioid Crisis Wake-up Call: Health Care is Stealing the American Dream. Here's How We Take it Back.” Follow the link to the book for a free download of the book. Chase's TEDx talk was entitled "Healthcare stole the American Dream -- here's how we take it back." See the Health Rosetta website for how to get involved, resources and how to join others to support its mission.

Subscribe to the Health Rosetta newsletter to help transform healthcare and to stay ahead of healthcare changes. Follow Dave on Twitter

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Peter Grimes

President-aur Health Care Group

6 年

Dr. John Liebert, Well stated. Thank you. Some very less than prosperous already are ! Having worked closely with the City of Milwaukee Jail release program, we know that a vast majority of detainees, are indeed in for “under the influence crimes” . We therefore have a defacto behavioral health system, at the estimated cost of $62,000 /inmate/year. We continue to “punt” and overspend in both the physical health arena and prison system, when instead we need to address the issue head on as “addiction” and/or mental health. thnx again. ??

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John A Liebert, MD

Psychiatrist, Scottsdale, AZ: Master Psychopharmacology, Neuroscience Education Institute. Licensed in AZ

6 年

The landmark study of high utilizers of primary care by Wayne Katon et al at University of Washington is necessary translational research informing healthcare delivery.? The vast majority of primary care services are taken by a small percentage - about 10% - of our population.? Of this high utilizing population, one-half are primary psych patients in the wrong clinical pathways.? The other half is severely or terminal patient ill med/surg, 2/3rds of whom could also be better and more economically cared for in setting that prevent the cycle of nursing home to ER.? Although the University of Washington developed excellent and sophisticated tools to dissect this population of high utilizers, insurers refused to pay for the assessment and it was abandoned by the university.? Similarly, with the other high utilizing cohort in Rochester, NY, the project was abandoned, even though the state supported it due to considerable Medicaid savings.? By focusing on better triaging of the high-utilizing patient to more effective clinical care facilities, billions of dollars could be saved..? Re opiate epidemic and associated inner city drug wars adding many billions more?? Some very prosperous people must go to prison for a long time. ?

Sandra Raup

President at Datuit

6 年

I agree that it's not hard to fix the employer healthcare market where most of those covered are pretty healthy. I don't know if we're quite there for people who don't work for big companies. Maybe the public sector (states and federal governments) are getting better at managing costs, too, but I haven't seen a wave on that front yet.

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Peter Grimes

President-aur Health Care Group

6 年

Agreed that we may b at the forefront of turning this around, however do not ring the bell jst yet. Look at heroin deaths because of the cracking down on prescriptions. Look at the influx of “cash” clinics for siboxone because it is not recorded. Look at relapse to alcohol deaths which show up as “heart attacks”. We continue to run on an addiction cycle path that that will not end until we administer vivotrol to every man woman and (yes) child that is properly diagnosed and treated. A simple (yet telling) measure will be a DROP in our jails and prison population, then i believe we know that we r truly on the right track. Thank you. ??

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