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Sharing information—the payer’s perspective

In 2001 Humana, a health insurer headquartered in Kentucky with revenues of US$31bn in 2009, was looking into ways of automating its interactions with physicians’ offices. But it faced a quandary.

Going mobile at Methodist

When Methodist Hospital, a 460-bed facility serving the San Gabriel Valley near Los Angeles, wanted to create a computerised provider order entry system and digitise patient records, the IT department faced a number of challenges in coming up with a solution that would appeal to the doctors and nurses that had to use the new technology.

Virtua goes paperless

In late 2005 when Virtua, a diversified health-services company that operates four hospitals in the US state of New Jersey, decided to open a new hospital, the board decreed that it would be a paperless facility. By the time the IT department completed an assessment of what would be needed to make one facility paperless, the board decided that if the organisation was going to invest the money and human resources to do it in one facility, it may as well roll out the same technology in all its locations.

Does it work? Does that matter?

Perhaps the most visible element of mHealth is the profusion of phone apps, especially ones related to fitness and wellness. Tens of thousands are already available, and different market research firms have issued predictions for global downloads in 2012 that vary widely from just over 40 million to nearly 250 million.

A tale of two countries--India and the UK

The UK and India reflect the stark differences between developed and emerging markets in mHealth. For the latter, mHealth can address pressing healthcare needs; for the UK, it is simply an added luxury.

Early adopters: driven or desperate

With most disruptive technologies, the early adopters tend to be those who are ill-served by existing provision or not served at all. mHealth is no exception. The two types of patients in the Economist Intelligence Unit’s survey most attracted by its products and services are those with poorly managed chronic diseases and those who pay more than 30% of their household income towards healthcare. Both groups are better informed about mHealth, are much more likely to be using such applications and services already, and are noticeably more willing to pay for them (see chart 7).

NICE way to keep costs down

Efforts to reconcile healthcare quality with cost control within the National Health Service (NHS) in the future will depend in part on the National Institute for Health and Clinical Excellence (NICE). Established in 1999, NICE’s role is to provide independent national guidance about health promotion and disease prevention for England and Wales, The agency’s remit covers public health, clinical guidelines and technology appraisals.

Regional differences

In order to chart the likely impact of a public spending squeeze in the rest of the United Kingdom, it is necessary to bear in mind some regional variations. Fiscal policy is set from Westminster, meaning that the tighter funding environment will have an impact on all of the countries within the UK, but Scotland, Wales and Northern Ireland have taken different paths from England in setting health policy that will affect their room for manoeuvre in a financial crisis.

The use of market data

One particular type of data that life sciences companies have grown increasingly interested in is market data: 27% have moved towards basing decisions about product development more on the likelihood of market adoption and 30% expect to do so in the next three years. Overall, nearly six in ten fi rms believe that using data to model market trends would be of significant use in shaping innovation strategy.

Going slow on the information superhighway

One of the hottest topics in healthcare is integrated care. More than 20% of Americans, for example, suffer from more than one chronic condition, such as diabetes, arthritis or heart disease. Potentially, they will have several doctors. But they do not have access to all their medical records, and may lack the knowledge to be able to convey details of their treatments to every medical professional who treats them.

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