1 Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare TomorrowJohn Hammergren (CEO, McKesson) & Phil Harkins

1 2008: $2.2 trillion 2016: $4 trillion Source: John Hammergren & Phil Harkins, Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow

1 … 25 to 30 percent of our $2.2 trillion goes to wasted care* in the form of preventable errors, incorrect diagnoses, redundant treatment, unnecessary infections, and extra time spent in the hospital. *and another 20% to paperwork Source: John Hammergren & Phil Harkins, Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow … 25 to 30 percent of our $2.2 trillion goes to wasted care* in the form of preventable errors, incorrect diagnoses, redundant treatment, unnecessary infections, and extra time spent in the hospital. *and another 20% to paperwork Source: John Hammergren & Phil Harkins, Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow

1 140,000,000 illegible prescriptions per yearJohn Hammergren & Phil Harkins, Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow

1 **1,500,000,000,000 claims per year **30% errors **15% lost **25% paper-based Source: John Hammergren & Phil Harkins, Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow

1 I can receive a BlackBerry message from a colleague climbing a mountain, yet I still show up at a doctors office [and after a 45-minite wait] learn that my hospital test results have not arrived weeks after they should have.John Hammergren & Phil Harkins, Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow

1 Up To 500,000 Lives: The medical system has been unable to turn proven remedies into everyday care.* Half the people who need to be treated to prevent heart attacks are not treated and half who are treated are treated inadequately. Patients go home with the wrong drugs or the wrong doses or misimpressions about the importance of taking their medications. *More: 55% chance of receiving the best recommended carewhich means getting scientifically appropriate, evidence-based medical treatmentThe New York Times, from John Hammergren & Phil Harkins, Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow

1 The private insurance industry has little incentive to see people live healthy lives beyond 65 when their customers automatically drop out of the employer-based system and enter the government-based system. John Hammergren & Phil Harkins, Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow

1 How will you know when the healthcare industry has finally entered the 21 st century? When error rates at hospitals are close to zero. When doctors and nurses use evidence-based protocols in your treatment. When you can decide how much to spend on treatment, and you have the information and the opportunity to determine the best value. When your primary care physician is in charge of your extended care team, operating as your command central. When all members of the medical communitynurses, doctors, pharmacists and specialistswork together seamlessly on your behalf. When their combined efforts are tracked, measured, and reported onand the insurance reimbursements awarded to them are based on performance. When you see that hospitals, pharmacies and doctors are working harder in all aspects to make sure you are an informed consumer who has trust and confidence in the services they offer and the prices they charge. John Hammergren & Phil Harkins, Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow

1 … 25 to 30 percent of our $2.2 trillion goes to wasted care in the form of preventable errors, incorrect diagnoses, redundant treatment, unnecessary infections, and extra time spent in the hospital. Team-based medicine, bar- code prescription scanning, evidence-based medicineall of these are systems and innovations that are being put into place to eliminate waste so that we can re-apply the money. John Hammergren & Phil Harkins, Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow … 25 to 30 percent of our $2.2 trillion goes to wasted care in the form of preventable errors, incorrect diagnoses, redundant treatment, unnecessary infections, and extra time spent in the hospital. Team-based medicine, bar- code prescription scanning, evidence-based medicineall of these are systems and innovations that are being put into place to eliminate waste so that we can re-apply the money. John Hammergren & Phil Harkins, Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow

1 We spend more time and effort buying a disposable good like a car than we do looking after an indispensable goodour health. John Hammergren & Phil Harkins, Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow