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I'm a twenty billion dollar push for health care to go high tech is taking shape in a conference in Chicago this week as 200 company -- off the health care of the future.
-- health CEO Jonathan bush joins me now in an exclusive interview and Jonathan was honored last night.
And the industry figure of the year and health care technology last night.
Good morning don't think they did he can actually -- -- Can't just these bloggers you can't cut the analog as you'd ever know elected me to be on TV -- know who the real movers are.
Thanks for having me and I'm thrilled.
To be out here and -- these.
Major this is largely the big health systems opinions.
Society to trade show and and and meeting.
And they -- out really swirling around you can't believe the level of energy.
Although interestingly focused more on financial stuff in clinical stuff I think maybe all of them had a little tweaking their bond ratings or something.
And are -- kind of focused on making sure they have cash flow which is terrific for networks like -- -- But the Obama stimulus that you mentioned is getting doctors and health systems particularly the doctor part.
Of health system which is where all this stimulus money is going into the position office rather than.
Very small amount going to the hospital okay it's very focused on that.
I don't -- a little bit about that high tech program basically -- twenty billion dollars.
Daddy -- -- to upgrading electronic records across the country over five years what did your business how does have an -- you.
Now I got him in three days it's ridiculous I can't believe they did this but anyway here we are enjoying it we've been growing stratospheric -- -- -- -- -- just doing the billing and medical records for doctors' offices and just making you know from the money that can be made from that and now there's an opportunity for each doctor.
To get about 44000.
Dollars more over a four year period from Medicare.
If they can start showing meaningful use of online clinical information technology I'm hoping that means they actually have to report clinical information to the government.
There are programs today you can get a little more more money if you demonstrate that you're writing prescriptions online.
But today even if you write the prescription.
It doesn't necessarily get delivered on line which is why we announced -- sure scripts partnership sure -- is one of these early software enabled services that.
Connecting all the pharmacies -- a doctor writes a prescription it actually shows up somewhere electronically besides the printer yeah I think.
-- up we think that Obama will want.
Yeah anything that's called -- prescription program how -- know.
That that kind of program is safe casino in the doctor's office they hold their prescription -- so tightly for fear that -- -- -- -- piece of paper.
And write their own prescription -- -- descriptions say.
Well obviously there's lot to level the -- prescription and that's what people are talking about one -- the doctor.
Does all this elaborate technical stuff and enhance your piece of paper anyway out the back -- a printer that's not so great prescription.
The really good stuff is when you connect into a network to the doctor writes it.
And the prescriptions delivered directly from the doctors -- -- securely to the pharmacy that the patient is gonna go to.
That way the doctor can know that the prescription got the right place and most importantly with chronic disease management being our greatest source of opportunity to save money.
The doctor knows of the patient picked it up or not.
And 28% of the time the patient but go -- -- use -- dollars and they've been prescribed which drives up costs so.
This is actually a really neat opportunity to save paperwork to the doctor.
And also give better surveillance back to the doctor.
On which patients are kind of scared of their drugs don't understand them or just you know -- can't you a little poke in the -- -- go and take good care of themselves.
OK so I look I.
Most people in this country including many doctors agree electronic health records brilliant idea -- -- that.
-- -- not sure about we're not sure about where.
We're headed in terms of the health care community where we're headed in terms at -- protection.
From our insurance companies.
What what what good dialogue been like about that how concerned should we be about the future of health care whether it's universal or otherwise.
Yeah I think right now the conversation is still way up high and the people a thing with who are these and would -- Medicare Advantage and.
Healthcare is a very black box deal you know you get the little plastic card until I got health -- like of the binary thing like this which is on I've got it.
Switches off I don't which has.
Not true and if yes the forty million people who don't quote have health -- they go to the doctor right they're not idiots they -- they just pay.
The -- the opportunity.
To really break that open -- -- on transparency relies on getting this information on line and then being able to report thing.
One thing I looked at every day the percentage of orders the doctors send out -- laboratories pharmacies or even other doctors that never come back with a result.
-- -- -- -- -- Right now it can be as high as 50% of what -- doctor ordered.
In the paper world you never know that stuff -- you don't know if the patient if you're spending millions of dollars on something that's not working.
That idea of getting everything connected the way people used to get a bank card and -- only if their bank and then you know a couple banks formed a network and that you could use the information.
At multiple banks that you gender card wherever you are in the world right.
Obama in Turkey -- him his card in there and pull out.
Turkish currency -- -- all be settled up.
-- his -- that's what we need health care if -- activity starts happening we think the understanding of cost we'll start improving dramatically and oil out of the -- looks.
-- -- -- folks coming to Washington are excited about using that data that they're gonna try to get on line with its stimulus bill.
It's too bad -- -- the governor got the governor Kathleen Sebelius she is of course there was to be health clinic health and human services secretary.
And you're prioritize.
Your -- -- her look.
Number one number two number three -- the heat -- three priorities that she needs to address over this next administration when she is confirmed.
-- -- -- Get the data.
And then get the model so that the data keeps coming.
Get don't pay anybody anybody.
Don't pay anybody anything who can't give you a clinical picture of the reasons why they did stuff.
With electronic medical records that stuff can be delivered easily it doesn't -- the doctor down because the -- that you need.
Isn't actually put in by the doctor it's the medical assisting you don't go to the doctor there's somebody who.
Get fed data and then when the doctor -- there's somebody had filled the orders.
Those -- the data that we need and if you get that data you -- look at a whole different set of benefits instead of having his black box it either on or off.
Type of health care.
Not all that make it cheaper because it seems awfully expensive to go to the doctor right yes it's absurd right.
Everybody can only drive an escalade of healthcare today right nobody they would -- like one of bicycle what if I wanna drive a minivan.
There's no product diversity because the data that information that makes up the price of your health insurance.
Is up in a black box.
When we break it open there's going to be a huge amount of opportunity for entrepreneurship.
Diversity of product development at a lot more people have a lot more access.
Two different types of health care -- just going to be terrific comeback and you're trying to get a college you know one of many but anyway yeah I know you are well -- as a.
Always a you know you always put a smile on our face sound very -- is he won -- -- last night congratulations and keep it up.
Because I know profits are doing incredibly well as well as margin thanks so much could have -- Thank you like the fifth and our.
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