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KEYNOTE: 8 Disruptive Issues in
Healthcare
Holly Buckley, JD
Partner, McGuireWoods LLP
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Clayton Christensen and The Innovator’s Prescription
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
USA’s first face transplant
World’s first fully cellular 3D
bioprinted liver tissue
First person to live with mind-controlled
robotic arm
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dis · rupt
Verb
1. to break apart
2. to throw into disorder
3. to intercept the normal course or unity of
Synonym
1. disturb
2. rattle
3. unsettle
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1. Presidential Healthcare Policy
• Repeal and Replace
• Patient Protection and Affordable Care Act v. American Health Care
Act
• Republican Tax Cuts
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2. Private Equity Investment
• Approximately $1 Trillion in private equity dollars ready to be invested
• First wave of consolidation of physician practice management (PPM)
models in dermatology, vision, and dental sub-specialties
• Second wave in oncology, urology, vascular, and neurology specialties
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3. Artificial Intelligence (AI)
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4. Genetic Medicine
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5. Retailers as Primary Care Physicians (PCPs)
• Retail medical services disrupt traditional and independent primary care
practices
• Speed and convenience
• Usage of lower-costing healthcare providers (e.g., nurse practitioner v.
physician)
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6. Millennials as Consumers
• 83.1 Million Millennials in the United States today (born between 1982
and 2000)
• New demands for speed, telemedicine, increased outcomes, and
consumer-oriented service through social media
• Disrupting processes and service methodologies
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7. The Internet of Medical Things (IoMT)
• Internet of Medical Things (IoMT) is the collection of medical devices
and applications that connect to healthcare IT systems through online
computer networks
• Monitor, inform, and notify providers and caregivers of healthcare
issues so as to facilitate early intervention
• 3.7 Million medical devices in use and monitoring various parts of the
body to inform healthcare decisions
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8. Non-Traditional Entries Into the Market
• Amazon and Apple become market players
• Amazon moving into healthcare with its health venture with
JPMorgan Chase and Berkshire Hathaway
• Apple to open new medical clinics in California
that would deliver “compassionate, effective
healthcare to the Apple employee population.”
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