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Doctor as asset manager

This awesome video from the RockHealth Health Innovation Summit on healthcare delivery  summarizes so much of what excites me about working in healthcare right now.  Because of the Affordable Care Act, the system will be changing in huge and significant ways over the next 10 years, and models like One Medical Group and HealthLoop will be adopted more and more.

And with this systems change hopefully will come a philosophical shift in how doctors see patients.  Jordan Shlain says that he views himself as an asset manager for health, making small and regular adjustments to a “portfolio” of a client’s overall health and wellbeing and providing regular and preventative care when things don’t seem to be running smoothly.  It’s a great idea, and one that comes naturally to those who have regularly-scheduled activities to maintain other assets like cars, houses, and retirement portfolios.

All of this does make me wonder, though – what happens to the 15% of Americans living below the poverty line?  Does this vast shift in service provision apply to them too?  Is it even possible to apply this extremely time and care-intensive model to people in areas that just don’t have very good health services?

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