Reverse Innovation in Health Care: How to Make ValueBased Delivery Work

HealthCare Solutions from a Distant ShoreHealth care in the United States and other nations is on a collision course with patient needs and economic reality. For more than a decade, leading thinkers, including Michael Porter and Clayton Christensen, have argued passionately for valuebased healthcare reform: replacing delivery based on volume and feeforservice with competition based on value, as measured by patient outcomes per dollar spent.Though still a pipe dream here in the United States, this kind of valuebased competition is already a realityin India. Facing a giant population of poor, underserved people and a severe shortage of skills and capacity, some resourceful private enterprises have found a way to deliver highquality health care, at ultralow prices, to all patients who need it. This book shows how the innovations developed by these Indian exemplars are already being practiced by some farsighted US providersreversing the typical flow of innovation in the world.Govindarajan and Ramamurti, experts in the phenomenon of reverse innovation, reveal four pathways being used by healthcare organizations in the United States to apply Indianstyle principles to attack the exorbitant costs, uneven quality, and incomplete access to health care. With rich stories and detailed accounts of medical professionals who are putting these ideas into practice, this book shows how valuebased delivery can be made to work in the United States. This bottomup change doesnt require a grand plan out of Washington, DC, agreement between entrenched political parties, or coordination among all players in the healthcare system. It needs entrepreneurs with innovative ideas about delivering value to patients. Reverse innovation has worked in other industries. We need it now in health care.