FairCareMD aims to create the first efficient market for healthcare services by addressing two problems: double-digit premium increases and empowered patients who want to be involved in their care decisions. The document outlines FairCareMD's plan to allow patients to search for, select, and contract healthcare services in an online marketplace. It discusses studying other models that failed and succeeded, engaging stakeholders, iterating based on feedback, and starting small before thinking big. The goal is for FairCareMD to establish a new paradigm where care is fair to both patients and providers based on quality and cost.
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How to do the impossible: The creation of the FairCareMD Open Network for Healthcare
1. How to do the impossible: The creation of FairCareMD, the first efficient market for healthcare services Alex Fair Founder & CEO of FairCareMD Healthcare Experience DesignApril 11, 2011 www.FairCareMD.com (954) FAIR-CARE @FairCareMD (954)-324-7227
6. Making healthcare affordable for every American …B. Whatever it is, make sure it is something YOU are passionate about Why is passion important? Because no matter what I tell you, doing the impossible is not easy. It will cost you. And if you don’t care enough, There will come a moment where you will give in to the fear, pessimists, and doubt and you will quit, without the passion from a problem YOU need to solve. Copyright 2011 FairCare, LLC 2
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8. Handmade crafts are better than manufactured ones but those who make them are paid less than factory workers – Etsy
9. Garages are filled with junk that other people want and will pay good money for but can’t make it to your yard sale – eBay
13. Two Problems Environmental Factors Double Digit Premium increases Empowered Patients self-educating Physicians Willing to Negotiate The Rise of the High Deductible Health Plans It’s Not Fair That Doctors Train for 10+ years to be paid very little to care for people It’s Not Fair That People who Pay for care don’t have a good way to shop for it … and yet, no open marketplace exists online for healthcare Copyright 2011 FairCare, LLC 4
14. One Elegant Solution How it Works for Patients A healthcare marketplace where people can: SEARCH CONTRACT SELECT Colon Cancer Screening …for the care they need in 60 seconds or less. Copyright 2011 FairCare, LLC 5
15. The Best Idea in the World So what? Most People Stop Here Execution is what Matters
16. 3. Do Your HomeworkWhy wasn’t this done before? study failure as much as success Copyright 2011 FairCare, LLC 7
17. Who We Studied FairCare’s Unfair Advantages Provider Directories/ Lead Generation Provider Ratings Direct Marketplaces Discount Services 8 Confidential
18. 4. Design the business model Notes: business model is not the same thing as the idea or vision. Example: The original vision of Groupons was changing the world through collective action. Now their business model is group coupon enablement – but it took them a some time to get from the inspired vision to a viable business model. My advice is that after you do your homework, you should have a pretty clear idea of what works and what doesn’t. Not to say it won’t change, but you should at least have a plan that should be viable from the get go. Give yourself a path Copyright 2011 FairCare, LLC 9
20. 5. Get Out & Engage talk to people it matters to and listen! Notes: There is No substitute for talking to your customers. You can’t outsource it, delegating it is a bad idea. Get out and just go do it. People talk about “stealth mode” and NDAs and protecting the IP… but the fact is, if you have such a great idea, ten other people have it too… While you are protecting, they are doing Overcome your fear. Do what scares you most. Whoever executes best, wins and you will not execute well if you can’t sell it Copyright 2011 FairCare, LLC 11
21. 12 What I Did: 100 Days, 200 miles, 2,288 Office Visits, 479 conversations with Providers, 100 early adopters, 1 viable model My Daily Visit Sheet and record keeping WARNING: Wear good walking shoes! Take lots of notes and plan your research. Sell, listen, think, modify, repeat Copyright 2011 FairCare, LLC 12
22. 6. Make mistakes Initial reaction to our logo and our “Expose your fairest price” model was unfavorable (to say the least.) Only by taking risks and failing / recovering quickly will you arrive with the best design (unless you are perfect) Copyright 2011 FairCare, LLC 13
23. 6. WARNING: Obey the vision: listen and change, but don’t lose your way. Stay inspirational Copyright 2011 FairCare, LLC 14
24. Adapt, but obey the vision Fair and Negotiable Park Avenue / Concierge Non-negotiable SPECIALS (new) Priceless Care / Insured Care (new) Original Plan Copyright 2011 FairCare, LLC 15
25. 7. Insp(h)ire Notes: People do things for love or money, but if you have to choose one, go with love. When you talk about your impossible idea you will find people want to help you if you have inspired them. If you can’t inspire anyone to join, return to step 1. These are the only people you want to hire at first. The only difference between a prophet and a crazy person is how many people follow him. Copyright 2011 FairCare, LLC 16
26. The idea is only as good as the amazing people you inspire 17 Sunnie Southern, Howard Luks, MD, Simon Sikorski, MD, Mike Schwartz, Jim Rellis, Jeremy Senn, David Harlow Esq. (not shown,: Jacek Zagorski, Mike Pence, Matt Cowley, Adam Whittaker, and dozens of healthcare market makers across America)
28. Time Line Timeline and Goals A new Paradigm for care that is Fair to Patients and Providers and based on Quality as well as cost 19 Copyright 2011 FairCare, LLC 19
29. 9. Repeat as needed Copyright 2011 FairCare, LLC 20
30. How it Works: Three Steps to Get Great Care 1. SEARCH Patients search for services using our natural language search engine 21 Copyright 2011, FairCare,
31. 2.REVIEW & SELECT Patients Choose an Offering by Reputation, Quality, Services, and, (optional) Price. Price is a key factor to 1 in 3 patients. 22 Copyright 2011, FairCare, LLC
32. The patient reviews the deal and takes it as is or requests a change. Videos and great descriptions help Patients choose 23 Copyright 2011, FairCare,
33. 3. CONTRACT If selected and accepted* the system generates a “DoneDeal” - Emailed and printable _ Put it in the Chart! - Customizable Automated Contracting Copyright 2011 FairCare, LLC * You decide your acceptable price, not us 24
34. So… How’s it going? 25 Thousands of care searches per week Offers in every zip code in America Well developed NYC Network Open Healthcare Networks blooming all over America People saving up to 75% on care Physicians getting paid 25% better on average than typical payment Doctors signing up daily Copyright 2011 FairCare, LLC 25
35. The Effect of an Efficient MarketSample Results: One Procedure Where Innovation has driven down the cost of care but reimbursement rates are artificially high where innovators are rewarded 26 Copyright 2011 FairCare, LLC 26
36. 27 Man was not meant to fly Women can’t vote The cost of healthcare can’t go down The Patient Can’t be an Expert EMRs will never become mainstream Computers can’t think He will never walk again Disease can’t be cured Now what is truly impossible? Impossible just means no one has applied themselves to addressing the issue yet Dream it Sell it Build it Copyright 2011 FairCare, LLC 27
Pick the right impossible task – something big enough to scare you and make others dreamGlobal warmingRenewable energyYou local dictatorMaking healthcare affordable for ever americanWhatever you are passionate aboutWhy is passion important?Because no matter what I tell you, doing the impossible is not easy.It will cost you.And if you don’t care enough, There will come a moment where you will give in to the fear.
Solve it beautifully slideAn elegant solution that will inspire millions to engage Encyclopedias are expensive and difficult to maintain but the are merely the sum total of knowledge of humanity --- wikipedia Handmade crafts are better than manufactured ones but those who make them are paid less than factory workers – Etsy Garages are filled with junk that other people want and will pay good money for but can’t make it to your yard sale – eBayHealthcare is critical and expensive but talking about prices with your doctor is at best difficult, at worst taboo – FairCareMDAppeal to a wide audienceBe SimpleBe inspiringBe financially rewarding, preferably huge – 10 zeros huge
FLASH BANG WOWSo now you have a great idea. This is where most people stop.Execution is everything
Look at everything there is to know about the problemGo DeepTalk to the people who tried to solve it beforeBefriend an “enemy”Don’t get analysis paralysis – obey your vision, but it may need to be tweaked, especially in an industry as regulated as healthcare
Direct Competitorswww.PriceDoc.comwww.MediBid.comwww.doclopedia.comwww.Castlighthealth.comPriceDoc.com onlyDoctorsPricing.commyMedicalCostsOutOfPocketLeslieslist.comhealthcarebluebookMedical and Dental Discount PlansDentalPlans
Let me separate business model from vision.The original vision of Groupons was changing the world through collective actionThe business model is group coupon enablement – but it took them a few years to get from vision to viable business model.My advice is that after you do your homework, you should have a pretty clear idea of what works and what doesn’t. Not to say it won’t change, but you should at least have a plan that should be viable from the get goGive yourself a path…………………………………………………………………………………………………………………………………………………………………………………………………………………………..
There is No substitute for talking to your customers. You can’t outsource it, delegating it is a bad idea. Get out of your jammies and just go do it.People talk about “stealth mode” and NDAs and protecting the IP… but the fact is, if you have such a great idea, ten other people have too… While you are protecting, they are doingOvercome your fear. Do what scares you most.whoever executes best, wins and you will not execute well if you don’t sell your idea even before you write a line of code
So this is what I actually did. I first pitched the idea to an old friend and an amazing thing happened.He said he wasn’t sure about my idea but said I should go talk to all his referring physicians about it while marketing for him.Not to say this works for everyone, but you never know what will happen when you pitch. If you have an inspirational vision, people will offer interesting options.Be ready.
I’ll be honest. Our first Design both visually and as a business?Docs Did not respond well. Frankly, they hated it.The scales, the pile of money, too cheesy, too crass, totally wrong.More importantly, they were not comfortable posting their actual direct-pay fees online. Legal and business practice decisions make a 1 price approach non viable. We stuck to our vision, but added in
Be careful to not lose the original vision. Once you stray too far from your source of inspiration you lose your mojo, your drive, your secret sauce.Perfect example.Based upon the suggestions of our clients, FairCareMD is now also a great marketing systemBased upon our design and generosity with our google juice, we do amazing things for our provider’s SEOBut if we forget we are a marketplace intended to enable people and providers to meet and agree on fees that are fair to both, we are just another marketing company
People do things for love or money, but if you have to choose one, go with loveWhen you talk about your impossible idea you will find people want to help you if you have inspired themThese are the only people you want to hire at first
It is time to begin building…
Perhaps it is sad, but one of my favorite bits of advice comes right off the shampoo bottle:Instructions: Lather, Rinse, RepeatSo simple, yet so true.Of course, only repeat the steps you have toIn particular, keep listening to your customers
So , if we have time I can show you the results of this process