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00:00Professor Hurtling you're known as the godmother of consumer driven solutions for health care as you look across the country and how the pandemic is being handled right now. How do you see solutions to the pandemic such as you know vaccines therapeutics and so on being handled in a more consumer friendly way. Greg Kress The pandemic of course is terrible. Every cloud has a silver lining and the pandemic did bring to bear of consumer driven interventions by consumer driven. I mean things that consumers want. So one thing they wanted in health care delivery yes they wanted it to be more convenient. After all they're called the patient as in you'll be patient. So busy people not. Not a good way to have to identify them. So what we've gotten is telemedicine which has been around for decades but has not been available for consumers. We've got retail medical clinics. CBS has 95 100 stores. Walgreens. Eighty nine hundred. Wal Mart has fifteen hundred. Amazon is opening and these are convenient retail locations . How obviously did not do it with brains or dreams. Yes but if she got a sniffle she's got him. Oh that's a great place to get your care. And a third. That's wonderful. It was a hospital to home program. So rather than a hospital. Some unfortunate by people who have coverage. We now have programs that can bring you back home. Are those the delivery mechanisms do you imagine for when we finally do get a vaccine for this. Because it would seem like states and local governments will be overwhelmed. I think the delivery mechanism is the strings and they'll stay because people like them and the consumer one step like them and their experience them. The insist still health . Another reason they've stayed is that insurance pays for them . So for a long time the only way you could get a free telemedicine is if you were in a prison or a rural area . Now the the enrollee is fully covered and the provider gets very well paid. So they're going to stick around. The vaccines are amazing too. There are these three Star Wars platforms that are being used for these vaccines and it's not all of them work for all of them. Were not only going to be great for Kobe. They're going to be great. Other viral infections. And we have diagnostics that are. Quick and convenient to them. It that we know whether you have covered them. There are no diagnostics there. You could do it at home. There were in about 15 minutes and there's the promise of drums that were and cheaper drugs or antibody drugs that will. It's not true. The Romans only rate . Most serving is. We have insurance. New kind of insurance coming out of Cobra. So Google has a life sciences partner or subsidiary called the Early and very is introducing one insurance product that if it does what they say insurer will pay them. And if it doesn't do what they say did not get sold for it. So lots of advances and it's very exciting. Professor . What concerns you about what might happen if there is some rollback of the ACA at the Supreme Court level in the next couple of years as as that would relate to consumer driven health care. You're painting such a rosy picture all that right now. Well it's not all rosy because everybody loves renovation except Jim said that happens to them. They don't want retail medical clinics. They don't want to out of a hospital care . So there'll be a big pushback from the status quo and there'll be a fight about making these available and making sure that they're insured. There's also a Palm G FTSE and the FDA is ready to resist political pressure. And so great agency of the Food and Drug Administration. I think I great. It isn't safe but it's under a lot of political issues. So there worries about whether all of these things will stay . Regardless of your very personal question which is what happens if the Supreme Court abrogates the ACA arguing that once the individual mandate which issued the penalty for not insured is is gone that the rest of the ACA is gone. Most legal scholars think this is a very good case but let's say it does go forward . So the trumpet ministrations has nothing. Not a political statement. A professorial statement. President trumps no interested in health care. And he has nothing to replace it . Vice President Biden has a public option plan which could replace the ACA. His plan essentially enables control . Buying into Medicare and Medicare rates are much slower than those of commercial insurers. So they could get cheap insurance policy . He has a plan that would kind of provide us safety net if the ACA goes. Final question your biggest concern for the US consumer . Post poll ID and all of those consumers that didn't get treated for whatever else was going on with them because they couldn't . During Kolbert times we didn't get to replace the delivery systems through these two or establishments and through chairman and IT and wearable sensors and all of that. But my biggest concern is we're very rich country . Which is to in the world. And we still have 20 million people who don't have health insurance. If you don't have health insurance and you get sick maybe the good lord be with you. So the problem that we have yet to solve is . Although . More on a Clinton Kovic will help it because all these innovations will control if not low in the cost of health care and enable more people to be insured. We've got to solve this problem. We have to make sure that everybody has insurance. So if they get sick they don't have to fork out hundreds and thousands of dollars to be well treated .

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Pandemic Caused 'A Lot of Consumer-Driven Innovation': Harvard's Herzlinger

The "Godmother of consumer-driven health care" Regina Herzlinger of Harvard Business School and Bloomberg's Vonnie Quinn discuss how the pandemic is a wake-up call for how U.S. health care is incentivized, and what can be done to improve the delivery of American medicine. (Source: Bloomberg)

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