Our Latest Book
Healthcare at a Turning Point:
A Roadmap for Change
By Rita E. Numerof, PhD and Michael N. Abrams, MA
If the furious debate around the state of healthcare in the US has led to any consensus, it’s that the system should be delivering better quality for less cost. Instead, we have a sprawling mix of competing interests in which those of patients are valued least. Too much discussion of the problem has devolved to simplistic scapegoating, and too few comprehensive, constructive solutions have been offered. It’s time for a fresh vision.
In straightforward language, Healthcare at a Turning Point: A Roadmap for Change outlines a new market-based business model that aligns industry financing mechanisms with the goals of prevention, improved quality, and reduced costs. Drawing on more than 25 years of cross-industry consulting experience, the authors:
- Articulate a market-based vision of the industry;
- Examine past efforts to reduce costs, their failures and their unanticipated consequences;
- Spotlight perverse incentives that distort the way the healthcare system operates and make it less than it could be;
- Present concrete recommendations for change within the healthcare delivery, insurance, pharmaceutical, device and diagnostics sectors; and
- Explain the changes that employers, consumers and policy makers can make to create a more customer-responsive system that delivers more value.
For all the uncertainty in the current environment, there is also a rare opportunity to fundamentally redefine who wins in this market. Healthcare at a Turning Point provides guidance to executives ready for that contest, and a roadmap for change.
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“Healthcare at a Turning Point is a refreshing look at the ever fluid healthcare landscape that grounds us in the gritty realities we face in the present and near future. As a board member of the sixth largest Catholic healthcare system in the nation, it further prepared me to understand my role as a strategic leader and integral agent of change.”
Reginald R. Mebane
Board Member, Sisters of Mercy Health System
“Numerof and Abrams have offered a fresh look at the current state of healthcare in America, providing a detailed diagnostic assessment of what’s wrong, and importantly offer a comprehensive strategy to fix the problems. They identify clearly and objectively the obstacles that must be overcome and gaps that must be closed by each of the important participants in the healthcare ecosystem, and then as the book’s title implies, they deliver a roadmap, which is not only plausible, but if followed, will undoubtedly succeed in getting all of us there.”
Harlan F. Weisman, M.D.
Former Chief Scientific and Technology Officer
Medical Devices and Diagnostics
Johnson & Johnson
“In a time where healthcare is on everyone’s mind and healthcare administrators, providers, insurers, and suppliers are scrambling for resources to help them strategically prepare for the necessary changes to be best prepared for the future, I found this book to be a timely, thought-provoking, insightful resource.”
Vice President, Commercial Operations
Biomet Orthopaedics US
“An elucidating, relevant discourse on the precarious future of medical care.”
“For every professional engaged in the financing and delivery of medical care, this book is essential. Like it or not…we find ourselves in the midst of a major transformation in the healthcare sector of the economy. The convergence of biomedical breakthroughs, new medical technologies, new organizational structures is upon us. But the authors got it right: change will be frustrated, and energies will be diverted into unproductive channels, unless and until we change healthcare financing and put the patient in the center of the process as the key decision-maker.”
Robert E. Moffit PhD
Senior Fellow, Center for Policy Innovation
The Heritage Foundation
“…It is important to have a clear bridge between the issues of today and the possibility of a much brighter future. Without glossing over serious issues — this book describes a way forward for those inside and outside the healthcare system.”
Jeff Thompson, MD
Chief Executive Officer
Gundersen Lutheran Health System
“Numerof and Abrams have conducted a thorough analysis of the implications of market and non-market forces on all players in the health industry — carriers, care providers, governments, consumers and employers. They have hit the nail on the head that it will take disruptive innovation and a collaborative approach across all these stakeholders to drive solutions to the fundamental problems of high cost and poor quality in healthcare.”
President, Central Region
“I appreciate that Rita and Michael call out the “ultimate objective” in the debate — to improve health outcomes at lower cost. It would seem that all sides can agree we save money when we decrease and change the demand for services. There are two approaches that allow us to do it. Approach 1 is to ration care. Approach 2 is that we incentivize and align consumers AND providers toward a plan for health which the authors rightly refer to as the consumer-driven market model.”
Amanda L. Adkins
“Numerof and Abrams have crafted a thoughtful, and often provocative, analysis of the challenges and opportunities facing the healthcare industry today. At its heart is a clarion call for the sector to become much more patient and consumer-centric — before their existing business models become obsolete.”
Director and Senior Fellow
Center for Medical Progress
Manhattan Institute for Policy Research
“Healthcare at a Turning Point: A Roadmap for Change by Rita Numerof and Michael Abrams is a classic. A book that covers every aspect of the factors that created today’s problems with our healthcare system and looks at a future that ‘can be’: an attractive, sensible, customer-centric system that entails spending less on healthcare, a healthier nation, and a better alignment between cost and quality….The authors have written a fascinating book that is easy to read, very understandable, and will be of help to everyone interested in healthcare — and that means all of us.”
Robert Z. Gussin
Retired Vice President for Science and Technology
and Chief Scientific Officer
Johnson & Johnson