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Prof. Ran Balicer  MD, PhD, MPH
Director, Clalit Research Institute
Director, Health Policy Planning, Clalit Health Services
Chair, Israel Society for Quality in Healthcare
rbalicer@netvision.net.il
• Population: ~8 Million
• Health Insurance: Mandatory, Free, capitation state funded
• Healthcare provision: 1 of 4 sick funds (insurer/provider)
• Emphasis on community clinic primary care
• Non‐for‐profit
• Very few moves between plans (~1.5%) → lifelong membership
• 90% ‘happy’ or ‘very happy’ with their health plan
Intro ‐ Healthcare in Israel
2
• Largest of the four sick funds
• Covers 53% of Israelis – 4.2 million members
• Owns 30% of hospital acute beds in Israel
• Operates 1,500 primary care clinics, country‐wide
– Family physician + multi‐disciplinary team
– ‘Cradle to grave’ membership – incentive for accountable care
Clalit Health Services:
Israel’s integrated healthcare provider
Relatively good outcomes
Life expectancy
Female Male
Infant Mortality Rates
Health in Israel
Source: OECD 2012
3
CVD Mortality in Israel
Source: Israel Ministry of Health
Maintaining health expenditures
4
Maintaining health expenditures
Start‐Up Nation
Israel is becoming 
a global digital health leader
5
Why Digital Health?
Multi-morbidityResources shortage
AgingComplexity
6
• The platform is burning
– A non‐sustainable system, that realized it   
is in desperate need of a paradigm shift
– Data‐driven Innovation is part of the 
solution 
• Some needs are clear, waiting for 
technology to support them
– Better or more efficient, preventive 
patient‐centered care models  
Why Digital Health?
• (Almost) unparalleled DATA
– Introduced through the Clalit case study
Digital Health: Why Israel?
7
Digital Health: Why Israel?
• Research hubs driven by value to patients 
Digital Health: Why Israel?
• Research hubs driven by value to patients 
8
Digital Health: Why Israel?
• Innovation already implemented IN PRACTICE
– Integrated setting willing to innovate
– While keeping lean and mean
Digital Health: Why Israel?
• Innovation already implemented IN PRACTICE
– The ‘Predictive Preventive Nephrology’ case
– Preemptive identification of high risk individuals
9
Digital Health: Why Israel?
• Innovation already implemented IN PRACTICE
– The ‘Predictive Readmission Prevention’ case 
– Preemptive identification of high risk individuals
• International recognition
“ Israel’s community‐focused 
information system sets an 
international benchmark in 
excellence and demonstrates 
commitment to quality monitoring 
and improvement. ”
OECD Report 2012
Digital Health: Why Israel?
10
Digital Health: Why Israel?
It is happening now, right here
11
Thank you!
rbalicer@clalit.org.ilContact: 

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