We design, speak, and consult to inspire health. Let's work together.

Grant
Grant Harrison

What Do We Do?

We identify business opportunities and design practical and elegant solutions that positively impact health and happiness. Sometimes we identify the opportunity and find the right partners to execute it and sometimes we build it ourselves. Other times, we help guide clients so their product or service is simple, elegant, and wrapped up with a business strategy that leverages their core competencies.

What Have We Done?

Jay
Jay Parkinson, MD, MPH

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Order Yaz (Crisanta LS) Online Now, Clay Shirky recently wrote an excellent article, The Collapse of Complex Business Models. He focuses on the internet and what it's doing to industries still trying to play by the old rules of the 20th Century, online buying Yaz (Crisanta LS) hcl. Australia, uk, us, usa, He is often asked by leaders of the media world, "Would online video generate enough money to cover their current costs?" He responds:

In 1988, Yaz (Crisanta LS) coupon, Yaz (Crisanta LS) from canadian pharmacy, Joseph Tainter wrote a chilling book called The Collapse of Complex Societies. Tainter looked at several societies that gradually arrived at a level of remarkable sophistication then suddenly collapsed: the Romans, where can i order Yaz (Crisanta LS) without prescription, Buy Yaz (Crisanta LS) online cod, the Lowlands Maya, the inhabitants of Chaco canyon, Yaz (Crisanta LS) over the counter. Buy cheap Yaz (Crisanta LS), Every one of those groups had rich traditions, complex social structures, Yaz (Crisanta LS) for sale, Purchase Yaz (Crisanta LS) online no prescription, advanced technology, but despite their sophistication, order Yaz (Crisanta LS) no prescription, Buy cheap Yaz (Crisanta LS) no rx, they collapsed, impoverishing and scattering their citizens and leaving little but future archeological sites as evidence of previous greatness, Yaz (Crisanta LS) samples. Tainter asked himself whether there was some explanation common to these sudden dissolutions, Order Yaz (Crisanta LS) Online Now. Buy generic Yaz (Crisanta LS), The answer he arrived at was that they hadn’t collapsed despite their cultural sophistication, they’d collapsed because of it, order Yaz (Crisanta LS) from mexican pharmacy. Order Yaz (Crisanta LS) online c.o.d, Complex societies collapse because, when some stress comes, buy Yaz (Crisanta LS) from canada, Buy Yaz (Crisanta LS) from mexico, those societies have become too inflexible to respond. In retrospect, buy Yaz (Crisanta LS) without prescription, Where can i buy cheapest Yaz (Crisanta LS) online, this can seem mystifying. Why didn’t these societies just re-tool in less complex ways, Yaz (Crisanta LS) trusted pharmacy. Order Yaz (Crisanta LS) Online Now, The answer Tainter gives is the simplest one: When societies fail to respond to reduced circumstances through orderly downsizing, it isn’t because they don’t want to, it’s because they can’t...

He turns the question around and says the real statement the media executives are saying is:
“Web users will have to pay for what they watch and use, or else we will have to stop making content in the costly and complex way we have grown accustomed to making it. Buy Yaz (Crisanta LS) no prescription, And we don’t know how to do that.”

And finally concludes with this:
When ecosystems change and inflexible institutions collapse, their members disperse, where can i find Yaz (Crisanta LS) online, Buy cheap Yaz (Crisanta LS), abandoning old beliefs, trying new things, australia, uk, us, usa, Purchase Yaz (Crisanta LS) online, making their living in different ways than they used to. It’s easy to see the ways in which collapse to simplicity wrecks the glories of old, order Yaz (Crisanta LS) from mexican pharmacy. Where can i find Yaz (Crisanta LS) online, But there is one compensating advantage for the people who escape the old system: when the ecosystem stops rewarding complexity, it is the people who figure out how to work simply in the present, buy generic Yaz (Crisanta LS), Yaz (Crisanta LS) from canadian pharmacy, rather than the people who mastered the complexities of the past, who get to say what happens in the future.

What does this have to do with the future of health, where can i buy cheapest Yaz (Crisanta LS) online. Buy Yaz (Crisanta LS) without prescription, I think the future of health will follow the same path as media. The costs of producing "health" in our society are quickly becoming out of reach for individuals and our government, Order Yaz (Crisanta LS) Online Now. When mandates go into effect in 2014, where can i order Yaz (Crisanta LS) without prescription, Order Yaz (Crisanta LS) online c.o.d, the average premium for each employee will cost employers about $14,000 per year, buy cheap Yaz (Crisanta LS) no rx. Premiums will be about $30,000 by the end of the decade.

source of graph

So what is the solution.

Simplicity.

Ninety-percent of Americans spend only 20% of healthcare dollars in America-- they're "light users" of healthcare. Order Yaz (Crisanta LS) Online Now, Let's solve the "light user" problems first because their problems are relatively simple. Let's focus on creating Apple Store-like healthcare experiences for 90% of Americans-- engaging, humanizing experiences that solve 90% of problems.

The first place to start is in acute care. We need a highly networked series of acute care "spas" that range in complexity from nurse practitioner retail facilities to urgent care experiences that focus on everything that doesn't need to go to a fully-equipped, complex emergency room. More importantly, the first point of engagement with these services needs to be a simple, engaging website enabling a triage service that directs customers to the most appropriate services for the most cost-effective, transparent price. And when light users develop chronic illnesses, there should be focused health services-- "life coaches"-- that help them manage their life, not their "disease," to keep them out of the bankrupting "heavy user" category, Order Yaz (Crisanta LS) Online Now.

The reality is many Americans (in fact nearly 90% of us) in the next decade will have high deductible health insurance plans. Today's version of micro-managed, pre-paid, co-pay healthcare will be priced way out of reach for the vast majority of Americans. We'll be responsible for the first $5,000 out of our own pockets. The companies that realize this now and start building true consumer experiences that focus on solving "light user" problems and actively engage consumers in their health, not their sickness, will be the real long-term winners in the minds of 90% of Americans. Order Yaz (Crisanta LS) Online Now, In essence, a new healthcare "system" will spring up that plays by different rules than today's version to help "light users" manage their first $5,000.

If you simply and effectively solve problems when 90% of people are in a bind, they'll be life-long customers.

Today's version of health is bankrupting each individual. There are going to be 90% of Americans demanding a new transparent, affordable experience to keep them well-- to keep them out of the expensive sickness industry.

The real question for health companies is...do you know how to create health in any other way than costly, complex ways. Do you know how to stop making things so complex and create effective health-producing simplicity for consumers. Do you know how to build engaging, humanizing health services that people love.

Do you know how to do that?

illustration by Nick Dewar .

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  • drseanogrady

    This article reminds me of a talk by Doblin's Henry King to a class of I.D. students where he spoke of invasive species in the business environment. Mr. King identified those groups that were most likely to seize new opportunities in business were also the most capable of adapting quickly to changing environments. He made the analogy to that of an invasive species that prospers in a new environment because it is generally small enough to adapt its culture to survive and grow. In the context of health start-ups, those that maintain the ability to adapt to the needs of the users will be the ones to create the next apple experience for health. I can't wait.

  • http://tysoncrosbie.com tysoncrosbie

    I think they would've had a better chance adapting prior to the legislation.

    Insurance is a bandaid, one they should've ripped off and thrown away.

  • jamiemichelle

    I want to like your article, and I support simplicity. However, I can't get over the misrepresentation of the graph that you have included.

    First, you took out the source. When data is presented, I like to know how it got there.

    Second, you use the graph in connection with the mandates that will go into effect in 2014 when they are actually representations of the numbers PRIOR to ANY reform. Since there is no source, I had to Google “Hewitt, Exploding Cost of Coverage” and searched around before I found the actual origins of the chart and figures you gave. In my search I found this:

    “With health care reform bills threatening to add hundreds of billions to government spending, the Business Roundtable, an association of chief executive officers of leading U.S. companies, decided that instead of debating the cost of health care reform, the question that needs to be asked is: “What is the cost of doing nothing?” “

    It turns out that these figures aren't the result of the mandates and the recently passed reforms; but it is actually a representation of the system that we have had in place for many years which obviously needs to be changed (I still have my qualms with the data, but that's not your problem….)

    Obviously, this graph and the numbers were not the point of your post. I agree that we should be moving toward simplicity. I believe that the real reform will not come from the government or the populace, but the doctors and clinics.

    Also, the full article and data behind the Business Roundtable chart can be found here:
    http://www.businessroundtable.org/sites/default…

  • http://blog.jayparkinsonmd.com/ Jay Parkinson, MD

    Hi Jamie…thanks for the response. Here is the summary of the report by someone I, and many other healthcare industry leaders, deeply respect:
    http://www.healthpopuli.com/2009/09/health-cost…
    Unfortunately, the link you provided didn't seem to work.
    However, the health insurance reform bill has no hard and fast plan to curb healthcare costs. And with increasing regulation and mandates to cover more healthcare services, total costs will very likely increase at a faster rate than this graph and mimic what we've seen in Massachusetts:
    http://www.boston.com/news/health/articles/2009…
    and
    http://www.boston.com/business/healthcare/artic…

    Health insurance reform spreads the cost of premiums across three entities— employers, individuals, and the government. Costs are being redistributed to land less on employers and individuals and more on the government. The total cost of healthcare continues to skyrocket. But ultimately, citizens front the bill for skyrocketing costs.

  • jamiemichelle

    I agree, the recently passed insurance reform bill is only taking us further down the rabbit hole. The concept of insurance only works if the actuaries are allowed to do their job and mitigate risk. If the pool of insured individuals is equal to the population, then basic probability leads to the conclusion that insurance companies must raise their prices to stay profitable. Essentially, the risk analysis is gone and we are just distributing wealth (which was the original concept of insurance before it became a business).

    The problem that the government is trying, but has yet, to solve is the total cost of healthcare. As you noted, we are heading towards high-deductible (or catastrophic) insurance. While this along with your suggestions of acute care “spas” makes sense, how does this target and solve healthcare for the lower class? In any solution I come to, I have yet to find one that works across all social classes.

  • Dave Near

    Great post. It will be interesting to see who gets to this first. Will it be the likes of Take Care Solutions (Walgreens), Kaiser, Mayo, others? Who will first succeed by making health profitable and sickness unprofitable?

  • Liz

    My bet on who it will be that makes this simple world profitable would be someone already focused on happiness–the Kripalu and Canyon Ranches of the world. That's healthy bliss. Too bad I don't live closer. I need a monthly dose of what they offer.