The document outlines several problems with the current US healthcare system including rising costs, waste, poor outcomes, and disparities. It then proposes numerous solutions such as changing reimbursement policies to reward prevention over sick care, educating healthcare professionals in areas like digital health and population management, increasing research funding for prevention, creating innovative virtual care delivery models, empowering patients with their health data and information, and addressing social determinants of health. Overall the solutions aim to shift the system from sick care to prevention and empower both patients and physicians to take a more active role in health.

1. Arlen Meyers, MD, MBA
President and CEO, Society of Physician Entrepreurs

2. The Problems
 Cost
 Waste
 Poor outcomes
 Disparities
 HIT issues
 Chronic disease and aging
 No Moore’s Law
 Education and training
 Research and innovation failing

3. Solutions
 Change the rules. Access and reimbursement policies
should reward disease prevention and health
maintenance. Change the sickcare EMR to a
healthcare EMR. Change sickcare insurance to
healthcare insurance.

4. Solutions
 Change how we educate a 21st century healthcare
workforce, providing them with
the bioentrepreneurship, digital health, and
population management knowledge, skills, and
attitudes they need to serve their
communities. Creating more MD/MBAs won't get us
there.

5. Solutions
 Target research and development funds to supplement
disease prevention research and deployment and make
innovative universities into entrepreneurial ones.

6. Solutions
 Create innovative non-brick and mortar eCare delivery
channels that are easy to use, cheap and
accessible. What is your digical health strategy?

7. Solutions
 Empower patients to take control of their care and
information e.g. using Open Notes and provide them
with value transparency to they can make informed
resource utilization decisions.

8. Solutions
 Encourage appropriate DIY medicine and use
behavioral econometric and other techniques to
change behavior of both doctors and patients.

9. Solutions
 Support patient and physician entrepreneurs and
other community based innovation networks.

10. Solutions
 Give patients the information, resources, networks,
and incentives to take care of themselves and other
family members.

11. Solutions
 Create an integrated health information whole
product solution that is patient centric

12. Solutions
 Create the intellectual property, reimbursement and
regulatory affairs infrastracture to catalyze biomedical
and health innovation and entrepreneurship

13. Solutions
 Address the non-medical socioeconomic determinants
that drive the majority of health outcomes.
like poverty, wage growth, employment, education,
reproductive and women'r rights, minority
opportunity and immigration.

14. Solutions
 Continue to refine health data science and
cybersecurity. Treat digital health gaposis.

15. Solutions
 Figure out how to change doctor and patient behavior.

16. Solutions
 Eliminate the barriers to sick care innovation.

17. Solutions
 Learn to say no and ration supply and demand
rationally

18. Thank you. Questions?
Arlen.meyers@ucdenver.edu
303-548-0654