This week, we attended roundtable discussions with Chief Medical Officers and C-level executives from leading health plans on personalized Medicine.
Part of the focus was on what health executives can do to get personalized medicine adopted more quickly.
Personalized medicine was described as vertical integration of care for the plan member that includes home, job and medical environment. Plus, personalized medicine gets down to the local level. Plans and must look at local determinants to care down to a patient’s zip code to understand the choices that are impacting members. Get into the community, the patient homes and get real with the issues.
Beyond the community, it gets down to the member driving the conversation – and the member at the center changes everything. Because to meet the member’s needs, and recommend and deliver localized coordinated care, requires finding the needle in a haystack every time.
In the context of the new programs and technology to produce better outcomes for the member at the personal level, we need to leverage what a person needs holistically not in silos. We need to leverage partners in payment and community resources to make healthcare better.
The challenge is that some see the health plan as the barrier to personalized care. Think of 8, 10 or 12 different contracts with health plans, all of who have their own ideas. This is fragmenting, not integrating as a model. In California, the physician practices are sophisticated enough to drive this initiative without the dependence on the health plan.
It means that the physician is crucial to this process to deliver personalized care as the patient describes it. At the same time, we must leverage technology for integrated and holistic solutions for independent physicians.
How do we integrate a high technology approach with an integrated personal, local solution? In the end, we need to leverage what a member needs holistically not in silos. Plus, we must leverage partners in payment and community resources to make healthcare better.
The bottom line gleaned from these executives was — as the member takes center stage, it will require a responsive, local, integrated health care system to meet his or her needs in the home, job and medical environment. And, in the US, we need to do it for 325 million people one at a time.