8.

Promoting Reverse Innovation and Value-Based Health Care

How to Get Started

Having spent many years studying innovation and, more recently, the health-care industry, we predict that American health care is about to change radically. We think it will change the same way that Ernest Hemingway famously described the way he went broke: “Gradually and then suddenly.”

And we think value-based innovations will drive that change.

But we also think a top-down, legislated solution alone is unlikely to suffice—and may not be forthcoming anytime soon. Rather, as we’ve shown in this book, we’re convinced that the answer lies in innovations that start at the bottom and work their way to the top. Our research shows us that innovation can come from just ...

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