2000_02 | Payor, Provider, Patient: Healthcare by... -
[Cached Version]
Published on: 2/1/2000
Last Visited: 2/9/2002
Thomas C. Hawkins, M.D., Medical Director, Customers and Product Management, Harvard Pilgrim Health Care
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From left: Nancy Dickey, M.D., discusses direct-to-consumer advertising with Thomas Hawkins, M.D., Michael Kaufman, M.D., Jerry Reeves, M.D., and James Astuto.
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THOMAS HAWKINS, M.D.: The concepts of patient choice and how we might balance finances so the consumer has more participation in the cost and choice - that, colliding with the information revolution, is just going to be amazing.
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HAWKINS: Guidelines are very much dependent on patient compliance.Patients have to be accountable to themselves to effect a lifestyle change, to take the Tums.People come to the physician, they want an immediate solution, and they want it done in seconds.Where the cookbook breaks down is that it involves an interactive relationship.Three parties to the contract are necessary to effect change.When patients become active participants, outcomes are wonderful.
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HAWKINS: We catch a lot of flak for three-tier pharmacy systems.But it is absolutely going to change the dynamic.The really amazing benefit of this is that the physician and the patient are going to have to talk about cost and quality trade-offs.
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HAWKINS: I disagree.You are out of touch with the age of consumerism.
ASTUTO: Wait a minute, Tom!
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HAWKINS: OK, Jerry Springer, here we go!
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HAWKINS: I think there is among some of the most exasperated players in this game a complete wish to begin to collaborate.Out of chaos comes opportunity.That is the good part about this - it's so messy right now that people throw their arms up and say, "Forget that.Let's sit down and rethink this whole thing."
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HAWKINS: I am most excited about the possibility that we will be able to use information systems to squeeze out huge waste.There is a lot of hidden money that could be tapped into all kinds of programs.But the connections are all broken. [It's like] banking. [Years ago], the typical transaction cost was $1.50.When they went to phone-based systems, it dropped to a buck.When they went to ATMs, it dropped to 75 or 50 cents.Now on the web, it's 10 cents.That money can be plowed back into service and things that people want.