The Problem:

A Sinking Titanic?

  • At 17.8% (the latest estimate), healthcare’s share of U.S. GDP is 1.5 times that of second-ranked France; by 2025, the Office of the Actuary for the Centers for Medicare & Medicaid Services) has projected that this share will be 20.1%


  • On our current path, the Congressional Office projects that by 2040 the public debt will exceed 100% of U.S. GDP, with what we spend on health care alone being by far and away the biggest contributor

  • Yet, the Commonwealth Fund and others report that U.S. health outcomes continue to be mediocre at best (e.g., 27th among OECD countries nations in life expectancy at birth) and marked by severe health inequities

  • Our underachieving and unsustainable approach is increasingly jeopardizing not only patient/consumers but each of the stakeholder groups enacting roles that in one way or another impact them

  • What is lacking given our market-oriented approach to health and health care:  a shared environment that fosters improved stakeholder role performance predicated on the ongoing use of measurement and management that tracks and orients each group's bottom line impact toward improved outcomes and reduced costs