american health care system

American Health Care SystemA Strategic Overview

A Presentation for

Industry Status and Outlook

Industry Segmentation

The Medical Profession

Physical Therapy

Health Insurance

American Consumer Analysis

Medical Devices Market

Software Suggestions

T a b l e o f C o n t e n t s


INDUSTRY STATUS

INDUSTRY SEGMENTATIO

N

MEDICAL PROFESSION

THERAPY WORLD

HEALTH INSURANCE

CONSUMER ANALYSIS

MEDICAL DEVICES

Health Insurance vs. Providers

Providers vs. Consumers

Health Insurance vs. Consumers

Influence of Legal Costs

Definition of “Essential Health Benefits”

H E A L T H C A R E R E F O R M

The Healthcare Industry is in transition

An industry in development

Connectivity and Integration difficulties – Multiple vendors with different standards

HIPAA - The Health Insurance Portability and Accountability Act of 1996 Privacy and Security Rules

Integration with Suppliers and Supply Chain

E H E A L T H

P O L I T I C A L L A N D S C A P E

Congress and Lobbyists

Consumer Groups and advocacy

Political parties and divisive HC issues

SOFTWARE SUGGESTION

S

Nursing Care Facilities

Community Care Facilities for the Elderly

Residential Mental Health Facilities

Other Residential Care Facilities

General Medical and Surgical Hospitals

Other Specialty Hospitals

Psychiatric and Substance Abuse Hospitals

Healthcare Industry Segmentation

INDUSTRY SEGMENTATION

INDUSTRYSTATUS

MEDICAL PROFESSION

THERAPY WORLD

HEALTH INSURANCE

CONSUMER ANALYSIS

MEDICAL DEVICES

Office of Physicians

Home Healthcare Services

Offices of Dentists

Offices of Other Healthcare Practitioners

Outpatient Care Centers

Other Ambulatory Healthcare Services

Medical and Diagnostic Laboratories

AMBULATORY SERVICES HOSPITALSNURSING &

RESIDENTIAL CARE FACILITIES

SOFTWARE SUGGESTION

S

Healthcare Industry Facts

Hospitals provide complete medical care, ranging from diagnostic services, to surgery, to continuous nursing care.

Some hospitals specialize in treatment of the mentally ill, cancer patients, or children.

Hospital-based care may be on an inpatient (overnight) or outpatient basis.

The mix of workers needed varies, depending on the size, geographic location, goals, philosophy, funding, organization, and management style of the institution.

As hospitals work to improve efficiency, care continues to shift from an inpatient to outpatient basis whenever possible.

H O S P I T A L S

Hospitals employ 34.6% of the HC Workforce

Source: U.S. Bureau of Labor Statistics


Nursing care facilities provide inpatient nursing, rehabilitation, and health-related personal care to those who need continuous nursing care, but do not require hospital services.

Nursing aides provide the vast majority of direct care. Other facilities, such as convalescent homes, help patients who need less assistance.

Residential care facilities provide around-the-clock social and personal care to children, the elderly, and others who have limited ability to care for themselves.

Workers care for residents of assisted-living facilities, alcohol and drug rehabilitation centers, group homes, and halfway houses.

Nursing and medical care, however, are not the main functions of establishments providing residential care, as they are in nursing care facilities.

N U R S I N G A N D R E S I D E N T I A L C A R E F A C I L I T I E S

Is a Growing Segment with Aging Population



About 36 percent of all healthcare establishments fall into this industry segment.

Physicians and surgeons practice privately or in groups of practitioners who have the same or different specialties.

Many physicians and surgeons prefer to join group practices because they afford backup coverage, reduce overhead expenses, and facilitate consultation with peers.

Physicians and surgeons are increasingly working as salaried employees of group medical practices, clinics, or integrated health systems.

O F F I C E O F P H Y S I C I A N S

The Emerging Trend is Toward Consolidation



Skilled nursing or medical care is sometimes provided in the home, under a physician's supervision.

Home healthcare services are provided mainly to the elderly.

The development of in-home medical technologies, substantial cost savings, and patients' preference for care in the home have helped change this once-small segment of the industry into one of the fastest growing healthcare services

H O M E H E A L T H C A R E S E R V I C E S

Excellent Market for Portable Devices



This segment of the industry includes the offices of chiropractors, optometrists, podiatrists, occupational and physical therapists, psychologists, audiologists, speech-language pathologists, dietitians, and other health practitioners.

Demand for the services of this segment is related to the ability of patients to pay, either directly or through health insurance.

Hospitals and nursing facilities may contract out for these services.

This segment also includes the offices of practitioners of alternative medicine, such as acupuncturists, homeopaths, hypnotherapists, and naturopaths.

O F F I C E S O F O T H E R H E A L T H P R A C T I T I O N E R S

Will Be Substantially Affected by HC Reform



This segment includes outpatient care center and medical and diagnostic laboratories.

These establishments are diverse including kidney dialysis centers, outpatient mental health and substance abuse centers, blood and organ banks, and medical labs that analyze blood, do diagnostic imaging, and perform other clinical tests.

87% of the total Healthcare Establishments belong to this category, but they only employ 42% of the total Healthcare workforce.

In an industry wide consolidation trend these establishments will be seriously affected by the Healthcare Reform

A M B U L A T O R Y H E A L T H C A R E S E R V I C E S




Technological advances have made many new procedures and methods of diagnosis and treatment possible.

Advances in medical technology also have improved the survival rates of trauma victims and the severely ill, who need extensive care from therapists and social workers as well as other support personnel.

In addition, advances in information technology have a perceived improvement on patient care and worker efficiency.

Cost containment also is shaping the healthcare industry, as shown by the growing emphasis on providing services on an outpatient, ambulatory basis.

Enrollment in managed care programs—predominantly preferred provider organizations, health maintenance organizations, and hybrid plans such as point-of-service programs—continues to grow.

Cost effectiveness also is improved with the increased use of integrated delivery systems, which combine two or more segments of the industry to increase efficiency through the streamlining of functions, primarily financial and managerial.

R E C E N T D E V E L O P M E N T S



The Medical ProfessionIndustry Outlook and Characteristics

Medicine Industry Facts

Many physicians and surgeons work long, irregular hours.

Acceptance to medical school is highly competitive.

Formal education and training requirements—typically 4 years of undergraduate school, 4 years of medical school, and 3 to 8 years of internship and residency—are among the most demanding of any occupation, but earnings are among the highest.

Job opportunities should be very good, particularly in rural and low-income areas.

S I G N I F I C A N T P O I N T S



MEDICAL PROFESSION

INDUSTRYSTATUS

THERAPY WORLD

HEALTH INSURANCE

CONSUMER ANALYSIS

MEDICAL DEVICES


N

SOFTWARE SUGGESTION

S

Medical Doctor (M.D.)

Doctor of Osteopathic

Medicine (D.O.)

Types of Physicians


Types of Physician

s

M.D.s also are known as allopathic physicians.

D.O.s emphasize on the body's musculoskeletal system, preventive medicine, and holistic patient care. are most likely to be primary care specialists although they can be found in all specialties. About half of D.O.s practice general or family medicine, general internal medicine, or general pediatrics.

both M.D.s and D.O.s may use all accepted methods of treatment, including drugs and surgery

A Physician may have one or more specialties

Medical Profession Overview

Race/Ethnicity NumberPercentag

e

White 519,840 54.5

Black 33,781 3.5

Hispanic 46,507 4.9

Asian 116,412 12.2

American Native/Alaska Native 1,594 .16

Other 13,019 1.3

Unknown 223,071 23.4

Low percentage of Ethnic Physicians

* 8.5 Percent of Hispanic and Black physicians is low when the general population of the combined minorities is over 30% of the total population

Source: Physician Characteristics and Distribution in the US, 2010 Edition. American Medical Association.


To practice medicine as a physician, all States, the District of Columbia, and U.S. territories require licensing.

All physicians and surgeons practicing in the United States must pass the United States Medical Licensing Examination (USMLE)

For osteopathic physicians, the Comprehensive Osteopathic Medical Licensing Exam (COMLEX).

To be eligible to take the USMLE or COMLEX, physicians must graduate from an accredited medical school. Although physicians licensed in one State usually can get a license to practice in another without further examination, some States limit reciprocity.

Graduates of foreign medical schools generally can qualify for licensure after passing an examination and completing a U.S. residency. For specific information on licensing in a given State, contact that State’s medical board.

L I C E N S U R E A N D C E R T I F I C A T I O N



M.D.s and D.O.s seeking board certification in a specialty may spend up to 7 years in residency training, depending on the specialty.

A final examination immediately after residency or after 1 or 2 years of practice is also necessary for certification by a member board of the American Board of Medical Specialists (ABMS) or the American Osteopathic Association (AOA).

The ABMS represents 24 boards related to medical specialties ranging from allergy and immunology to urology.

The AOA has approved 18 specialty boards, ranging from anesthesiology to surgery. For certification in a subspecialty, physicians usually need another 1 to 2 years of residency.

L I C E N S U R E A N D C E R T I F I C A T I O N


Medical Profession OverviewMore Than 150 Specialties and Subspecialties

Medical specialty certification in the United States is a voluntary process.

While medical licensure sets the minimum competency requirements to diagnose and treat patients, it is not specialty specific.

Board certification—and the Gold Star—demonstrate a physician’s exceptional expertise in a particular specialty and/or subspecialty of medical practice.

The Gold Star signals a board certified physician’s commitment and expertise in consistently achieving superior clinical outcomes in a responsive, patient-focused setting.

Patients, physicians, healthcare providers, insurers and quality organizations look for the Gold Star as the best measure of a physician’s knowledge, experience and skills to provide quality healthcare within a given specialty.

V A L U E O F S P E C I A L I Z A T I O N I N T H E U . S .

American Board of Allergy and ImmunologyAllergy and ImmunologyAmerican Board of AnesthesiologyAnesthesiologyAmerican Board of Colon and Rectal SurgeryColon and Rectal SurgeryAmerican Board of DermatologyDermatologyAmerican Board of Emergency MedicineEmergency MedicineAmerican Board of Family MedicineFamily MedicineAmerican Board of Internal MedicineInternal MedicineAmerican Board of Medical GeneticsClinical Biochemical Genetics*Clinical Cytogenetics*Clinical Genetics (MD)*Clinical Molecular Genetics*

American Board of Physical Medicine and RehabilitationPhysical Medicine and RehabilitationAmerican Board of Plastic SurgeryPlastic SurgeryAmerican Board of Preventive MedicineAerospace Medicine*Occupational Medicine*PH & General Preventive Medicine*American Board of Psychiatry and NeurologyPsychiatry*Neurology*Neurology in Child Neurology*American Board of RadiologyDiagnostic Radiology*Radiation Oncology*Medical Physics*American Board of SurgerySurgery*Vascular Surgery*American Board of Thoracic SurgeryAmerican Board of Urology

American Board of Neurological SurgeryNeurological SurgeryAmerican Board of Nuclear MedicineNuclear MedicineAmerican Board of Obstetrics and GynecologyObstetrics and GynecologyAmerican Board of OphthalmologyOphthalmologyAmerican Board of Orthopaedic SurgeryOrthopaedic SurgeryAmerican Board of OtolaryngologyOtolaryngologyAmerican Board of PathologyAnatomic Pathology and Clinical Pathology*Pathology - Anatomic*Pathology - Clinical*American Board of PediatricsPediatrics

Medical Profession OverviewG E N E R A L C E R T I F I C A T E S

SOURCE: American Medical Association, 2009 Physician Characteristic and Distribution in the US.

Medical Profession OverviewInternal, Family & Pediatric Medicine

are 41%

MEDICAL PROFESSION

INDUSTRYSTATUS

PHYSICAL THERAPY

HEALTH INSURANCE

CONSUMER ANALYSIS

MEDICAL DEVICES


N

20.1

12.4

9.6

5.65.55.2

54.1

32.5

Percentages of Medical SpecialtiesInternal medicine

Family medicine/general practice

Pediatrics

Obstetrics and gynecology

Anesthesiology

Psychiatry

General Surgery

Emergency Medicine

Other

SOFTWARE SUGGESTION

S

The Physical TherapistIndustry Outlook and Characteristics

PHYSICAL THERAPY

INDUSTRYSTATUS

HEALTH INSURANCE

CONSUMER ANALYSIS

MEDICAL DEVICES


N

MEDICAL PROFESSION

SOFTWARE SUGGESTION

S

PT Profession OverviewInternal, Family & Pediatric Medicine

are 41%

PHYSICAL THERAPY

INDUSTRYSTATUS

HEALTH INSURANCE

CONSUMER ANALYSIS

MEDICAL DEVICES


N

MEDICAL PROFESSION

Employment is expected to grow much faster than average.

Job opportunities should be good.

Today’s entrants to this profession need a post-baccalaureate degree from an accredited physical therapist program.

About 60 percent of physical therapists work in hospitals or in offices of other health practitioners.

S I G N I F I C A N T P O I N T S

SOFTWARE SUGGESTION

S

SOURCE: American Board of Physical Therapy Specialties, 2010

PT Certified Specialist StatisticsOrthopaedics accounts for more than

50%

148 1461109

841

6157

101185482

Certified Therapists per Specialty Cardiovascular & Pulmonary

Clinical Electrophysiology

Geriatrics

Neurology

Orthopaedics

Pediatrics

Sports

Women's Health

PT Industry Facts

All States regulate the practice of physical therapy. Eligibility requirements vary by State. Typical requirements for physical therapists include graduation from an accredited physical therapy education program; passing the National Physical Therapy Examination; and fulfilling State requirements such as jurisprudence exams. A number of States require continuing education as a condition of maintaining licensure.

Advancement. Physical therapists are expected to continue their professional development by participating in continuing education courses and workshops. Some physical therapists become board certified in a clinical specialty. Opportunities for physical therapists exist in academia and research. Some become self-employed, providing contract services or opening a private practice.

L I C E N S U R E

Consolidation in Hospitals is the latest trend


PT Industry Facts

The American Physical Therapy Association’s accrediting body, called the Commission on Accreditation of Physical Therapy Education (CAPTE), accredits entry-level academic programs in physical therapy. In 2009, there were 212 physical therapist education programs.

Of these accredited programs, 12 awarded master's degrees; and 200 awarded doctoral degrees. Currently, only graduate degree physical therapist programs are accredited. Master's degree programs typically are 2 to 2.5 years in length, while doctoral degree programs last 3 years.

Physical therapist education programs include foundational science courses, such as biology, anatomy, physiology, cellular histology, exercise physiology, neuroscience, biomechanics, pharmacology, pathology, and radiology/imaging, as well as behavioral science courses, such as evidence-based practice and clinical reasoning.

Some of the clinically-based courses include medical screening, examination tests and measures, diagnostic process, therapeutic interventions, outcomes assessment, and practice management. In addition to classroom and laboratory instruction, students receive supervised clinical experience.

E D U C A T I O N


PT Industry FactsThe NorthEast has the Highest Concentration

The Health InsuranceIndustry Outlook and Characteristics

Patient Protection and Affordable Care Act


HEALTH INSURANCE


N

MEDICAL PROFESSION

THERAPY WORLD

INDUSTRY STATUS

CONSUMER ANALYSIS

MEDICAL DEVICES

#1Unitedhealth Group

#2Wellpoint Inc. Group

#3Kaiser Foundation Group

#4Aetna Group

#5Humana Group

#6HCSC Group

#7Coventry Corp. Group

#8Highmark Group

#9Independence Blue Cross Group

#10Blue Shield of CA Group

T O P 1 0 H E A L T H I N S U R E R S

Source: National Association of Insurance Commissioners

T R E N D S D R I V I N G H E A L T H I N S U R A N C E

I N V E S T M E N T#1

Health plans spend on technology and business process operations.

#2

Integrated HealthManagement

#3

Health Analytics and Business Intelligence

#4

Expansion of Individual Ins. Markets and Retail Purchasing

#5

Cost Reduction and Improved Operational Effectiveness

#6

SOFTWARE SUGGESTION

S

Health Insurance “Trigger Points”

Profits for the 10 largest U.S. insurance companies jumped 250% between 2000 and 2009 while millions of Americans have lost coverage, according to a report released Thursday by the U.S. Department of Health and Human Services.

The report found that the five biggest insurance companies -- WellPoint (WLP), Cigna (CI), UnitedHealth Group (UNH), Aetna (AET) and Humana (HUM) -- saw their profits increase 56% in 2009, a year in which 2.7 million people lost their private coverage.

What's more, the report found that the companies combined earned a total of $12.2 billion last year. And lest we forget, on the executive compensation, CEOs of the top five received $24 million on average in 2008, the report said.

H I G H C O S T A N D P E R C E P T I O N O F A B U S E

General consensus is mistrust and suspicion

U.S. Department of Health and Human Services.


An average family health insurance policy now costs more than some compact cars, and four in 10 companies will likely pass more of that expense on to workers, according to a closely watched survey of businesses released Tuesday.

The average cost of a family policy offered by employers was $13,375 this year, up 5% from 2008, the Kaiser Family Foundation and the Health Research & Educational Trust survey found. By comparison, wages rose 3% over that period, the study said.

The annual survey of more than 2,000 companies also found that 40% of small-business employees enrolled in individual health plans pay annual deductibles of $1,000 or more. That's almost twice the number who paid that much in 2007.

H I G H P R E M I U M S




Since 1999, health insurance premiums for families rose 131%, the report found, far more than the general rate of inflation, which increased 28% over the same period. Overall, health care in the United States is expected to cost $2.6 trillion this year, or 17% of the nation's economy, according to the non-partisan Congressional Budget Office.

As insurance costs increase, workers are also picking up a larger share, the survey found. The average employee with family coverage paid 26% of the premium, the study found, but 41% of companies said they are "very likely" or "somewhat likely" to increase the amount employees pay for coverage in the next year.

H I G H P R E M I U M S



Patient Treatment Table of Responsibilities

Patient Examination

Prescribe testing and lab work

Referral to specialists

Consult with other physicians and health professionals

Prescribe treatment

PHYSICIAN INSURANCEPHYSICAL

THERAPIST

Patient Examination

Proposes treatment plan pending physician and Insurance approval

Executes treatment plan

Reports treatment progress to Insurance and physician

Defines coverage

Defines fees for treatment

Defines treatment instances and frequency

Pays providers for treatment

Cross Functional Treatment Flow Chart

PA

TIE

NT

PH

YS

ICI

AN

INS

UR

ER

TH

ER

AP

IS

T

Goes to Primary

Care Physician

Examines Patient and Prescribes

Searches for preferred provider

Evaluates patient and creates

treatment Plan

Approves Treatment

Plan

Sends Plan of Care with

approval

Defines Quantity and Frequency of

Session

Reports on treatment sessions

Refunds and evaluates progress

The Consumer AnalyticsIndustry Outlook and Characteristics

CONSUMER ANALYSIS

INDUSTRYSTATUS

HEALTH INSURANCE

PHYSICAL THERAPY

MEDICAL DEVICES


N

MEDICAL PROFESSION

SOFTWARE SUGGESTION

S

Source: 2008 Survey of Health Care Consumers Deloitte LLP

Zones of Healthcare Consumer Activity

82% currently have a PCP

60% currently use prescription Drugs

15% had a hospital stay

21% switched treatments or Prescriptions

18% switched doctors

T R A D I T I O N A L H E A L T H

S E R V I C E S

Behaviors in the Five Zones of Health Care Consumer Activity

14% delayed a recommended treatment

13% decided not to pursue a course of care altogether

30% questioned their physician about a treatment recommendation

38% expressed a brand preference for a medication to their physician

65% say they adhere to Rx recommendations

S E L F - D I R E C T E D C A R E

20% used an alternative approach to treatment12% consulted an alternative provider9% substituted an alternative therapy for a prescription medication21% purchased medications through mail order or online16% used a retail clinic and 3% traveled outside the U.S. for care

A L T E R N A T I V E / N O N - C O N V E N T I O N A LH E A L T H S E R V I C E S


Behaviors in the Five Zones of Health Care Consumer Activity

To compare quality, 26% used a health plan web site, 11% used a hospital site, and 9% used a physician site

To compare prices, 22% used a health plan web site, 6% used a hospital site, and 5% used a physician site

For health information, 30% used a physician web site, 22% used a plan site, and 14% used a hospital site

Consumers use online resources and pharmacists for information about new prescription

I N F O R M A T I O N S E E K I N G

88% currently have health insurance of some kind3% have a high deductible plan/consumer-directed plan19% called their plan to inquire or complain about care

F I N A N C I N G


6 Healthcare Consumer Segments

Content & Compliant;

29%

Sick & Savvy; 24%

Online & Onboard;

8%

Shop & Save; 2%

Out & About;

9%

Casual & Cautious;

28%

Consumer Segment Definitions

The Content & Compliant segment (29%) includes consumers who tend to prefer traditional approaches to care and accept what doctors recommend. Consumers in this segment, on average, are more compliant and satisfied than others.

Content & Compliant consumers are less likely to seek information or use value-added services offered by doctors, hospitals and health plans.

They are least interested in shopping for and customizing their insurance.

26% of the Content & Compliant consumers report annual household income of $100,000 or higher, compared to 22% or less in the other segments.

C O N T E N T & C O M P L I A N T



The Sick & Savvy segment (24%) includes the highest percentage of consumers who report having one or more chronic conditions (52%).

This segment uses the health care system more than other segments. Similar to the Content & Compliant, the Sick & Savvy prefer traditional approaches to care. However, Sick & Savvy consumers take greater charge of their own care, preferring to rely on themselves more than their doctors when making care-related decisions.

They are more sensitive to quality differences among providers than the Content & Compliant, and also seek information, use value-added services, and want to shop for and customize their insurance to a greater extent.

S I C K & S A V V Y



Also similar to the Content & Compliant, Sick & Savvy consumers adhere to treatment decisions once they are made and are generally satisfied with the care they receive.

These two segments are somewhat older than the other segments, with mean ages of 48 years (Content & Compliant) and 49 years (Sick & Savvy). They also include the highest proportions of Caucasians among all the segments (81% of the Content & Compliant, 85% of the Sick & Savvy). Gender is a key difference:

The Sick & Savvy include a higher percentage of women (61%) than the Content & Compliant (48%).

S I C K & S A V V Y



The Online & Onboard (8%) segment includes high users of the system who prefer traditional approaches but who are also receptive to care provided in non-conventional settings.

Consumers in this group lean toward relying more on themselves than their doctors in making decisions and use online tools and value-added services more than any other segment.

Online & Onboard consumers seek information and are sensitive to quality differences. They tend to be compliant with treatment decisions and satisfied with their care.

The Online & Onboard segment includes a high percentage of consumers who report having one or more chronic conditions (47%), but does not stand out with respect to any of the key demographic characteristics: Mean age is 45 years, 53% are women, 92% are insured, 69% are Caucasian, and 19% report annual household income of $100,000 or higher.

O N L I N E & O N B O A R D



Shop & Save consumers (2%) are prone to switching doctors, treatments and health plans, and make changes to their insurance far more than others.

This group is more sensitive to the prices of health care services than others. Consumers in this segment tend to prefer doctors who use traditional approaches and lean toward allowing doctors to make decisions for them.

Shop & Save consumers are open to alternative approaches and non-conventional settings and are much more likely than others to purchase prescription drugs through mail order or online sources, use a retail clinic, and travel outside their community and the U.S. for care.

They take advantage of value-added services offered by doctors, hospitals and health plans, but tend to be less satisfied and less compliant than others.

This segment has the lowest average age (38 years) and includes the largest proportion of men (64%) and lowest proportion of Caucasians (62%).

S H O P & S A V E



The Out & About segment (9%) uses alternative approaches to treatment, consults alternative health care practitioners, and substitutes alternative or natural therapies for prescription medications more than the other segments.

Consumers in this group are independent, generally preferring to make their own decisions.

They tend to be sensitive to quality, seek information, use some value-added services and want to shop for and customize their insurance.

The Out & About segment is the least compliant and least satisfied of all the segments.

Gender is its most notable demographic distinction: 64% of Out & About consumers are women.

This segment is similar to other segments with respect to age (mean of 43 years), race (70% Caucasian), income (18% report annual household income of $100,000 or higher) and health status (43% have one or more chronic conditions).

O U T & A B O U T



The Casual & Cautious segment (28%) is the healthiest segment, with only 19% having one or more chronic conditions, and nearly the youngest segment, with a mean age of 40 years.

This group is also the least-insured group – only 80% report having insurance compared to 89% or more in each of the other segments.

This group uses the system and seeks information less than others; it appears to be waiting for the need to arise.

The Casual & Cautious are sensitive to the price of health services more than all other segments except Shop & Save. More than all other segments, the Casual & Cautious feel less prepared financially to deal with their future health care needs and fewer say they understand their insurance.

These consumers currently lean toward preferring traditional approaches, but are inclined to rely somewhat more on themselves than doctors when making decisions. They also generally report being less compliant and satisfied than others.

In addition to being relatively healthy and young, just over 55% of Casual & Cautious consumers are men, nearly 75% are Caucasian, and 21% report having an annual household income of $100,000 or more.

C A S U A L & C A U T I O U S


Preference for Traditional vs. Non-Traditional Health Services



Consumer Opinion Regarding Adherence to Evidence-BasedStandards as a Basis for Physician Payment


Use of Healthcare Innovation

Healthcare is a Consumer Market

K E Y F I N D I N G S

#1

The consumer market is not homogeneous: It is a complex anddemanding market comprised of six unique segments.

#2

Consumers want to make their own decisions and want tools to help them do this. The source for these tools is up for grabs.

#3

Consumers are embracing innovations that are “disruptive” to stakeholders who provide traditional health services and health plans.

#4

Consumer Behavior Conclusions

Medical DevicesIndustry Analysis and Trend

MEDICAL DEVICES

INDUSTRYSTATUS

HEALTH INSURANCE

PHYSICAL THERAPY

CONSUMER ANALYSIS


N

MEDICAL PROFESSION

SOFTWARE SUGGESTION

S

Recession Impacts Medical Device Market

2009 Recession

Impact

Cap Ex Spending Patient Volumes

Destocking/Inventory Management

HC Reform Looming

Internal Resources

Investment Spending

Source: Frost & Sullivan -Medical Devices Market Ready To Skyrocket, 2010

Source: Frost & Sullivan -Medical Devices Market Ready To Skyrocket, 2010

Strategic Technology ImprovementsInterface and Database Features to maximize value to provider and patient

SOFTWARE SUGGESTIONS

INDUSTRYSTATUS

HEALTH INSURANCE

PHYSICAL THERAPY

CONSUMER ANALYSIS

MEDICAL DEVICES


N

MEDICAL PROFESSION

Internet Connectivity, Reporting Usage via web

Monitoring Systems for equipment status and failure prevention and reporting

Secure Connectivity with Interface of mobile devices such as iPad, iphone and other mobile devices to command the application of force, frequency and intensity.

Secure storage of patient treatment plan and history available to all equipment operators via The Cloud

PT Interface and Knowledgebase Usability Suggestions

A dynamic and anatomically correct image of the human body with the complete muscle skeletal system, muscle chains, where the professional may pinpoint, evaluate, comment and diagnose each individual muscle and/or muscle chain and notate dated observations regarding volume, treatment plan, session history and all represented in a graphical interface of the human body with a touch navigation system inherent to the Apple digital navigation standards

PT Interface and Knowledgebase Usability Suggestions

Intelligent real time knowledgebase access where the system suggests diagnosis and other areas to examine based on treatment and diagnosis history of all cases in the database.

Where as the physical therapist pinpoints and notates observations, the system will intelligently suggest further areas to look, possible diagnosis, muscle chains involved, possible trigger points and other important aspects relevant to the Salo Darder method

PT Interface Suggestions

Grabar test fascial y resultados test diagnóstico salo-darder sobre imágenes de los diferentes segmentos corporales y de las cadenas musculares y grabar marcando las líneas y zonas afectadas

Que se pueda grabar progresión tratamiento, certificada por nuevos test

PT Interface Suggestions

GRABAR TEST FASCIAL Y RESULTADOS TEST DIAGNÓSTICO SALO-DARDER

Incluir templates del SOAP assessment

american health care system

Documents

complete medical care

continuous nursing care

american health care

healthrelated personal

hospitalbased care

consumers health insurance

outlook industry segmentation

health insurance portability