Precision Medicine Saves Dollars & Makes Sense: How Population Health Screening Can Save Lives for Less
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Precision Medicine Saves Dollars & Makes Sense: How Population Health Screening Can Save Lives for Less
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ナレーター：
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著者：
Where did you grow up and what attracted you to a career in medicine?
What is precision medicine?
This phrase has been used primarily to describe a different approach to cancer care.
- tumor profiling – molecular characterization of a person’s cancer cells what drives it
- but your POV is prevention, and implementing an pathway to integrate genetics and genomic information into the healthcare ecosystem to be acted upon at different points of care along a patient’s journey
When you started to build the program at The Christ Hospital in Cincinnati, how did you decide what you were going to go after? [HerCan testing + PGx]
- early detection -- St I-II
- prevention – prophylactic surgery
- avoid side-effects or drug interactions [adverse events]
You must compete for resources. What motivated the hospital to want to invest in this kind of program which does not yield ROI immediately?
- Was there pushback?
- Who needs to champion this vision and work?
What were the results?
- # patients tested
- people in high-risk programs
- money saved on unnecessary procedures or therapy
BOD of MADP Alliance for Disease Prevention-
Forgot to mention: MADP has rebranded from "Microbiome Alliance for Disease Prevention" to simply "MADP Alliance for Disease Prevention." Founders wanted to focus on Microbiome, but we've dramatically expanded scope :)
CDC Chronic Disease fast facts
Addressing Chronic Disease
Medicare—93% & Medicaid—82% in 2022 – chronic disease spending
People with chronic disease use a disproportionate share of health care resources
90% prescription drugs = $4.5 trillion
3-of-every 4 (75%) healthcare dollars spent on people with chronic conditions
- Diabetes: ~$413 billion (2022) in medical costs and lost productivity.
- 38M have diabetes + 98M pre-diabetes
- CKD $96 billion
- Heart Disease & Stroke $234 Billion/yr 🡺 $2 trillion by 2025
- kills more American than anything (1-in-4 deaths)
- HBP $79 billion
Employers loss of productivity – people w/top 10 chronic conditions absent/person ea yr = 164M work days lost = $184 billion in lost productivity
- Depression – 25.6 days
- Cancer 17 days
- Respiratory – 15
- Asthma – 12
- Migraines – 11
- Allergies – 8
- Heart Disease – 6
- Arthritis – 6
- Diabetes – 2
- HBP – 1