A bold new remedy for
the sprawling and wasteful health care industry
Where else but the doctor’s office do you have to fill out a
form on a clipboard? Have you noticed that hospital bills are almost
unintelligible, except for the absurdly high dollar amount? Why is it that technology
in other industries drives prices down, but in health care it’s the reverse?
And why, in health care, is the customer so often treated as a mere
bystander—and an ignorant one at that?
The same American medical establishment that saves lives and
performs wondrous miracles is also a $2.7 trillion industry in deep
dysfunction. And now, with the Affordable Care Act, it is called on to extend
full benefits to tens of millions of newly insured. You might think that this
would leave us with a bleak choice—either to devote more of our national budget
to health care or to make do with less of it. But there’s another path.
In this provocative book, Jonathan Bush, cofounder and CEO
of athenahealth, calls for a revolution in health care to give customers more choices,
freedom, power, and information, and at far lower prices. With humor and a
tell-it-like-it-is style, he picks up insights and ideas from his days as an ambulance
driver in New Orleans, an army medic, and an entrepreneur launching a birthing
start-up in San Diego. In struggling to save that dying business, Bush’s team
created a software program that eventually became athenahealth, a cloud-based
services company that handles electronic medical records, billing, and patient
communications for more than fifty thousand medical providers nationwide.
Bush calls for disruption of the status quo through new
business models, new payment models, and new technologies that give patients
more control of their care and enhance the physician/patient experience. He
shows how this is already happening. From birthing centers in Florida to urgent
care centers in West Virginia, upstarts are disrupting health care by focusing
on efficiency, innovation, and customer service. Bush offers a vision and plan
for change while bringing a breakthrough perspective to the debates surrounding
You’ll learn how:
Well-intended government regulations prop up overpriced
incumbents and slow the pace of innovation.
Focused, profit-driven disrupters are chipping away
at the dominance of hospitals by offering routine procedures at lower cost.
Scrappy digital start-ups are equipping
providers and patients with new apps and technologies to access medical data
and take control of care.
Making informed choices about the care we receive
and pay for will enable a more humane and satisfying health care system to
Bush’s plan calls for Americans not only to demand more from
providers but also to accept more responsibility for our health, to weigh risks
and make hard choices—in short, to take back control of an industry that is
central to our lives and our economy. Download and start listening now!