1. U.S. HEALTHCARE REALITIES Misaligned incentives: Treatment over wellness; “More is better” Misaligned incentives: Treatment over wellness; “More is better” Affordable Care Act impacts Affordable Care Act impacts Nationwide Primary Care shortage Nationwide Primary Care shortage

2. U.S. HEALTHCARE REALITIES Physician shortages Physician shortages Increasing costs, declining reimbursement Increasing costs, declining reimbursement Potential impacts: Costs, Recruiting, Network robustness Potential impacts: Costs, Recruiting, Network robustness 2025: 130,600 U.S. Physician shortage U.S. Population will grow 18-24% - 45% will have chronic disease - 60M will have 5+ chronic diseases 52% reduction in physicians choosing primary care

3. EMPOWERED PATIENTS The Millenials The Millenials The changing Physician-Patient relation The changing Physician-Patient relation Health care as a commodity: What drives patient choices? Health care as a commodity: What drives patient choices? Choice drives cost and health Choice drives cost and health Health drives individual readiness Health drives individual readiness

4. What drives healthcare choice ….. Choice drives cost…..

5. TOMORROW Training: Radical change, many fronts Training: Radical change, many fronts Increasing dependence on I.T. Increasing dependence on I.T. Emerging diseases Emerging diseases Theater engagement: The role of medical Theater engagement: The role of medical

6. Many Changes…On Many Fronts A world different than we envisioned….

7. Many Changes…On Many Fronts Not Your Father’s Sick Call From this …..