Life, Liberty, & Happiness

Innovation in Care Management


igital health innovations—from wearable sensors and portable diagnostic technologies to telemedicine tools and mobile health care apps—all have the potential to transform our country’s health care delivery system by empowering consumers to play an active role in their care and, more importantly, define what services are important to them.

These innovations may also help health care providers and insurers analyze a growing body of data about clinical experiences to identify unmet needs and measure treatment outcomes. The aim is that interventions could be tailored to a patient’s unique characteristics and situation. Since digital health tools can be used to engage consumers between office visits and in the course of their daily lives, these innovations may become a catalyst for individual behavior changes needed to improve health outcomes.

The need to constrain health care spending and the proliferation of payment models that hold health care providers accountable for the quality and costs of care have led to an increased interest in technology-enabled care tools.

One major area that clinicians, developers, and entrepreneurs need to focus is the needs of patients with complex and life-limiting medical conditions. The majority of health spending is attributable to the patients with these complex conditions, and there is substantial room to improve their care and outcomes. The care support models in use today by most health plans are vintage designs created over 20 years ago when care management was more about controlling utilization than consumer engagement and empowerment.  These aging care management models create antagonistic relationships between payers and providers and do little to engage the patient in the process of decision-making.

I believe that if we focus our innovation efforts to redesign these vintage care management models (as I am doing with Narus Health) we can create new care models that will not only enhance the quality of life for these high-need patients; but will also have a spillover effect -benefiting healthier patients as well. I also believe that, if designed properly, these new care support models will help us move toward the creation of a new health care economy based on enhancing the efficiency of the health care workforce and providing consumers convenience and value, while empowering them to take charge of their own health.

About Dr. Michael Burcham

Michael is an executive coach, entrepreneur, investor, and strategist with 30 years of experience leading investor-backed, high-growth organizations.

“I built and sold a $40M company with Dr. Burcham as my mentor. This is the thing: if you EVER get the opportunity to learn from this man, from that moment forward, you’ll list him as one of the most influential people in your life, even if you live to be 90. And, you’ll know how lucky you were to have that opportunity and you’ll immediately say YES to any chance to be in his presence again—his wisdom is that impactful.”

Sherry Stewart Deutschmann

Former CEO, Letter Logic

“If you are looking for a trusted mentor and coach for yourself or your leadership team, I highly recommend Michael Burcham. He has worked with me as my executive coach for well over a decade now. Our conversations and his feedback have helped me sharpen my critical thinking skills. He’s a trusted advisor that I can confidentially speak with about any issue—and I know I’ll get valued feedback. I highly recommend him.”

Ryan McGrath

CEO, Asset Living

“Dr. Burcham’s depth and breadth of experience makes even the most ADD entrepreneurial leader sit up and take notes! His coaching skills bring out the ‘best you’ possible. He selflessly shares the good, the bad, and the ugly—leaving you with an authentic and moving experience sure to spur action and professional growth!”

Julie Lenzer

Director, U.S. Department of Commerce


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