Crowdsourced Health Predictions for 2015 (a free gift of wonder) Curated by Dr. Gautam Gulati

a gift of
Dear You,
To all those who have inspired me over the
years to do the unimaginable, the impossible,
the unusual, I give you you a small token of
appreciation to stir your sense of wonder and
curiosity for the new year. I hope you enjoy it
and have a wonderful holiday season!
Always #ThinkUnusual.
Dr. Gautam Gulati
Speaker, Author, + Founder, The Unusual Group
@drgautamgulati
www.weareunusual.com
WONDER
1st annual edition
A crowdsourced ﬂip book of the
community’s wildest predictions for
health in 2015.
free
December 2014 www.drgautamgulati.com
theunusualgroup.
curated by
“Wisdom begins in wonder.”
SOCRATES

theunusualgroup.www.weareunusual.com
As a professional speaker, author, entrepreneur and product innovator, I consider myself extremely lucky
to be able to converse with some very interesting people that have helped to shape, steer, and twist my
perspectives in unusual ways.
This past year, for whatever reason, I found myself in the middle of a number of ‘pay it forward’
experiences that, quite frankly, made me feel good about myself. That feeling has inspired me to
continue the tradition by giving the ultimate gift to the world…the gift of wonder.
The new year always brings a renewed sense of hope and aspirations as we charter with wide-eyes into
the unknown of what lies ahead. Health has always been a conundrum and mystery that even the
brightest futurists scratch their heads when trying to unravel the predictions of a complex ecosystem.
Given this years excitement and generous participation from the community, it is my hope to be able to
provide this ‘gift’ to you each year, and perhaps even extend it beyond just health predictions.
I openly invite you all to join me in ‘paying it forward’ and sharing this gift of wonder to the world.
With sincerest gratitude to all those who inspire me,
Gautam
@drgautamgulati
Speaker, Author, and Founder of The Unusual Group
www.drgautamgulati.com
WHY THE GIFT OF WONDER?

theunusualgroup.www.weareunusual.com
• This is not a scientiﬁc analysis or prediction of the future by any means.
• It is simply a fun odyssey into the minds of the community in an attempt to uncover what
they believe will be the biggest transformational change in health for 2015.
• The community was given 72 hours to respond to a simple question (see next page).
• The ‘community’ in this case includes those who are a part of my personal and extended
social and professional network.
• Answers were culled from a variety of channels including email, LinkedIn, Facebook, Twitter,
Quora, and other forums.
• Aside from occasional corrections in grammar & formatting, entries were untouched.
THE APPROACH
Our sincerest gratitude goes out to the everyday thinkers and do’ers who selﬂessly and
joyfully contributed to this annual edition as a generous gift to the world.
You inspire us! Together, we can accomplish anything!

We asked a simple question to our networked community
What do you believe will be the single
biggest transformational change in
healthcare in 2015?
@drgautamgulati www.drgautamgulati.com

and this is what they said.

‘Negative innovation’ will accelerate delivering
similar results for lower cost. 3rd party payers
(and others) will preferentially publish risk-
adjusted provider outcome data to their
insured or interested parties together with
tangible incentives for prospectively efﬁcient
choices.
Bruce Tizes, MD, JD
Managing Member, Alpha Econometrics
@drgautamgulati

In the rhapsody of wearables, the dreams of big data
and the appeal of apps, we forget that the fundamental
power of technology lies in its ability to connect people
to other people. The engaged, empowered, informed
patient is a byproduct of this connection. I think in 2015
we will start to see the power of crowd-sourced health.
We will start to see the power of connecting people in
highly effective groups that can help fast-track research,
treatment and cures.
Lynda Brown-Ganzert
Founder & CEO, Curatio

The role of wearable devices (watches and bracelets)
capable of measuring and transmitting biometrics
will grow rapidly. These devices will become far
more sophisticated than previously imagined.
Although in the early stages, their potential will
become evident by the end of 15.
Daniel Walker
Human Capital Entrepreneur

We'll be closer to the patient being the
center of his/her care. All physicians will
know how to work in teams.
Margaret Cary, MD, MBA, MPH
CEO, The Cary Group

In 2015 we'll see better doctor patient
conversations. New home based tools for
tracking and monitoring will make patient
feedback even more valuable to doctors.
Paul Barnett
CEO, Now What

The greatest transformations will occur because people
developing digital tools and technologies will remember and
act on two important concepts in 2015: context and
convergence. Context means integrating technologies into the
ﬂow of people's lives and health journeys rather than air
dropping them in and expecting the masses to develop new
habits and adopting many different technologies. Convergence
means focusing on new ways that data, devices, software and
more can be used together to improve health, well-being and
happiness.
Fard Johnmar
Futurist & Founder, Enspektos

Given the focus on technology and the role it plays on
improving patient outcomes, the conversation will
change from what could work to improve patient care
while driving down costs to a focus on case studies and
programs that deliver results. Viable models will begin to
surface to the top as the hypothetical becomes reality. In
support of this, the role of marketing will evolve from
delivering a message to delivering better outcomes with
a solid ROI.
Jeff Rohwer
Partner, Sentient

2015 will be the year of the wearable and integration
into personal health that will energize patient
engagement. The initial early adopters will be
supplemented by broader groups who are either
suffering from or at risk of chronic disease and need
more support and engagement to help them transition
to healthier lifestyles.
Nick van Terheyden, MD
CMIO, Nuance Communications
@drnic1

I believe the biggest transformation in healthcare
will be the Apple Watch, as it will be a device
which will collect more data about ones health
and daily activity. This will enable consumers to
monitor and track health and lifestyle data.
Hari Nair
Managing Partner, Aumkara Group

A shift in leadership style. We'll be moving into a
more conscious and intuitive approach to health
and wellbeing. Programs will become slightly more
heart centered and compassionate. Cost-cutting
and efﬁciencies will no longer pass as visionary.
Christine Kraft
@ChristineKraft

1. Deep Learning tools will be married to Avatars for optimal personalized motivation and will
contribute to the "behavioral symphony of wellness and mindfulness".
2. The dystopian vs eutopian debates over AI and the Singularity will intensify. Many years from now
the debate will be structured within a formal dyadarity that respects and formalizes transparency into
and values based debates over how to manage the machine side of the human computer interaction.
3. The question of "who owns your avatar and why do you care? (Mattison, 2009) will emerge more
openly in the zeitgeist.
4. Consolidation and collaboration between pharma players will intensify as personalized medicine
creates greater market segmentation, and smaller market share for individual drugs. Good news =
faster innovation and execution. Bad news = more risk for publication bias and other forms of bias.
Solution: greater transparency earlier in life cycle.
John Mattison, MD
CMIO & Assistant Medical Director
Kaiser Permanente

People and Communities recognizing the
tools for lasting change were there, within,
all along.
Whitney Bowman-Zatzkin
Access Our Medicine | Flip the Clinic

Retail pharmacy redeﬁning itself as being in the business
of health will be a disruptive innovation that will
transform the industry in 2015. While traditional
healthcare providers have struggled for years with
changing patient behavior, these mega-retailers are
MASTERS at shaping purchasing and other behaviors of
customers. It won’t be long before you’re getting your
MRI at CVS or Wal-Mart, forcing change in the traditional
delivery system.
Laura Adams
President & CEO, Rhode Island Quality Institute

I’m optimistic. Development and mass
production of an effective vaccine against
Ebola.
Michael Golub, MD, FACP
Chief Medical Ofﬁcer, Digitas Health LifeBrands

It will be the acknowledgement that it is not simply what
we eat that’s important, but how we produce what we
eat. How healthy soil gives us healthier food, reduces
manmade carbon in our atmosphere, and improves the
health of virtually all human inputs. The impact of this
can help reduce disease and save hundreds of billions
on healthcare costs.
Larry Kopald
President & Chief Optimist, Kopald/Stranger

The greatest Healthcare transformation in 2015
will be the continued focus on building and
investing in the skills and capabilities that will
enable the US to improve population health.
Paulo Machado
@pjmachado

2015 will be the year when the shift towards a more outcomes-
based approach to physician and patient communications
becomes tangible -- in unexpected ways. We will see multiple
examples enter the marketplace from major companies (i.e.
pharma and medical device companies) that historically have
been committed primarily to direct brand promotion. This will
be positive for patients, for Healthcare Professionals, and for the
entire healthcare ecosystem, as "promotion" becomes more
about "promoting wellness."
Bill Drummy
Founder & CEO, Heartbeat Ideas

Old ways of doing business are gone; the market is morphing so quickly now that we are
rapidly seeing the focus shift from paying for expensive acute episodic care to paying for
prevention and maintenance of well care. The NCQA's PCMH programs are reaching a tipping
point; approximately 25% of primary care practices have now achieved that recognition. I
estimate that once it reaches 30%, that the medical home model will be viewed as the new
standard of care, and those that have not achieved it will be 'sub-standard' and susceptible to
pay cuts. Beneﬁt design is driving patients to seek high performing and PCMH practices. Payers
are still incentivizing P4P but we can expect to see more and more risk shifting to providers
within the next couple of years through beneﬁt design, ACO, PCMH and PCSP models.
Meanwhile, new coding, such as CPT codes for 2015 moving from 'complex chronic care' to
'care management' and the advent of payment for general telemedicine will help to move
practices into the care management business. And let's not forget about new disruptors in care
delivery, such as UberHealth. In 2015 we are truly seeing healthcare moving into territory that
has never been explored before.
Susanne Madden, MBA
CEO, The Verden Group

I think we will move from big data to little actions. This
will largely come from he early adoption of wearable
technologies and the subsequent creation of ﬁlters of
relevance. We will also begin to appreciate that
healthcare is a people business in need of technology,
not a technology business in need of people. This will
be slow, like everything in healthcare.
Jordan Shlain, MD
Founder & Chairman, HealthLoop
Physician, Private Medical
@drshlain

Hospitals and health care systems will begin to
plan for, design and implement a culinary
medicine farm and garden--a new type of
therapeutic landscape which feeds, inspires and
educates all at the same time.
John La Puma, MD
ChefMD & Founder, Chef Clinic Santa Barbara

Task shifting: Increased adoption of smarter clinical
decision support applications to create an army of
healthcare professionals and consumers that can
diagnose and care for conditions previously only
physicians could treat. This will improve affordability,
accessibility and clinical outcomes at the same time as
freeing up limited physician resources to focus on the
conditions where their expertise can have the most
impact.
Clive Pinder
Director, Expert24

Patient-centered health information exchange
coupled with further distancing from fee-for-
service reimbursement. If implemented well, these
changes have the power to drive meaningful
change in cost and quality.
David Harlow
Lawyer, Consultant, Speaker
The Harlow Group, LLC

Using technology to monitor health on-the-go will become
more ubiquitous - but wearables will have to prove
themselves as more than mere devices. The ﬂood of
information is increasing at an exponential rate, but we’re not
seeing enough efforts to help people make sense of this data
and turn it into action. To succeed in the new digital
healthcare arena, companies will have to put customer
experience and outcomes, interoperability, and actionable
data front and centre.
Marie Ennis-O’Connor
Social Media Manager, Health 2.0 Dublin

Massive patient empowerment. Not just like when we
said the "internet" would change everything, but for real.
Little squares in our pockets with the answers to
everything on them. Med Schools rethinking what
education looks like when Kasparov has been defeated
by Big Blue. Cats and dogs living together ;) total
awesomeness.
Brendan Gallagher
EVP, Experience Strategy & Innovation
Digitas Health

The spread of the "new staff model HMO" with
work site clinics like Crossover Health and WeCare
spreading outside one company and with Walmart
and others giving consumers and smaller
employers access to the combined primary care &
online health model.
Matthew Holt
Co-Chairman, Health 2.0
Founder, The Health Care Blog

Governments in mid-tier countries will also will
start to realize that cost-cutting alone will not
save their budgets, and will start to look towards
waste-reduction and solid outcomes.
Alex Simidchiev
People ﬁrst health advocate; Digital Missionary

Telemedicine and digital health will continue to gain
traction. Outliers like mental health and prison health
will be on our radar- no quick ﬁxes but we will include
them in the conversation. Vendors will realize there is no
such thing as a " smart" bed or EHR, so we can move
forward with Interoperability and patient-centered
Design. Ahh
Linda Stotsky

No major changes for 2015 unless we go to war
(again) in which case single payer system will be
implemented within 18 months vs. the expected 5
years. War unlikely under President Obama.
Elias Anaissie, MD
Physician/Investigator/Consultant
HemeOnc; Infectious Diseases

Telemedicine will begin to talk off. It will start with clinics
in Walmart, Rite Aid and CVS. So that ERs and Doctor
offices will see less traffic. Patients with minor concerns
will dial the phone to talk to a provider ( board certified)
via a telemonitor to be diagnosed and treated. Rural
areas hospitals without specialists will seek help in triage
from teaching hospitals in urban areas.
Janet Kenney
Group Life & Health Consultant

There won't be any transformational changes. We
will continue to nibble around the edges unless
there is a national emergency. It's not how
Americans do healthcare policy.
Arlen Meyers, MD, MBA
President & CEO, Society of Physician Entrepreneurs

Applying a new wellness and healthcare paradigm that
takes into account the following 5Ps: Personalized,
Preventive, Proactive, Positive Paradigm in which
integrative wellness and healthcare will focus on people
as individuals with BodyMindSpirit needs, and not as
statistics of a large healthcare system.
Avigail Berg-Panitz
Holistic & Integrative Therapist
Founder, The Sound Well Corp.

Deploying technologies that assists individuals in
addressing the crucial link between the health of
the body and of the mind.
Robyn Hussa Farrell
Founder & CEO, Mental Fitness, Inc.

People will take more responsibility for their health
and be inspired to eat healthy, exercise, get
enough rest and be mindful of their thoughts,
which have power. They will also listen to their
inner guidance when it comes to their healing, well
being and health.
Lisa Tener
Book Writing Coach, Speaker, Author, Workshop Leader

In 2015, healthcare will see the rapid and signiﬁcant growth of two potentially competing forces
patient care delivery: individualized patient care vs population health management.
Patients are becoming more informed, empowered and ﬁnancially vested with their health. This is
being fueled by easy and direct electronic access to medical records and physicians, the use of digital
apps to capture longitudinal medical data (ie chronic disease management) and high deductible
insurance plans.
On the competing end of the spectrum is the growing push to manage the health of populations on a
macro level. The government-led overhaul in health insurance has led to a market-driven
consolidation of hospital and physicians as well as development of health dashboards and more
widespread implementation of ACOs.
How these competing forces are balanced in the trenches of patient care delivery will lead to the
greatest transformation of healthcare in 2015.
Sanjay Daluvoy, MD
Plastic & Reconstructive Surgeon. Specialists in Plastic Surgery
Founder & Executive Director, World Children’s Initiative

Prevention and treatment will become more patient-
controlled and centric with greater and more usable
access to “omic" assessments, large open and closed
data sets, and the marrying of EMRs with personal
digital health data. This will further help patient
segments and even individuals identify what works best
for them.
Rosina Samadani
Co-Founder & President,
Docwise & Truth on Call

ICD-10 if Congress doesn't postpone it again. Tele-
psychiatry.
Don Hall, MPH
Principle, DeltaSigma
Strategic Healthcare Consultant

Big data has been around for years (Google search) and
there have been some stories on life saving self -
diagnosing. There are already trends that show that the
human species has never been healthier as we are today.
Watch Hans Rosling: https://www.youtube.com/watch?
v=1FVzHLXbgew. Hopefully tech can make healthcare more
efﬁcient and lead to behaviour change.
Alexander Borve
Founder & CEO, iDoc24

Adoption of mobile technologies at physician
practices, thus fully leveraging existing tools to
ensure a better patient-physician experience.
Inertia is the biggest challenge.
Gabriela Perez
SVP Strategy & Innovation, Best Doctors

First was EMR/EHR, now its Big Data! I say 2015
should be the year for "Meaningful Data" in
Healthcare :) It's all about the patient. (healthcare
isn't it?)
Suresh Kumar
Sr. Projects Director, Velos

Transparency. We've had big data, we have EMR/EHR,
we have new and faster (and cheaper) diagnostics, and
new therapies with shorter courses, better efﬁcacy,
better safety, maybe a higher price tag. We have open
payments data and can see inﬂuence or waste more
clearly. I think now we'll see meaningful dialog when all
the facts are laid out so that all stakeholders can see
them.
Bryce Sady
VP Product Development, P/S/L Group

The rise of "Little data," patient generated data
taken by biometrics, activity sampling, and
experience sampling between clinic visits.
Anthony Sterns
CEO, iRx Reminder, LLC

MinuteClinic will become one of the largest PCPs
in the country. Healthcare will look like retail, with
continued consumer demand for technology to
track, analyze, and deliver insights. We will see an
increased emergence of a true end-to-end
healthcare experience.
Mahek Shah, MD
Founder & Managing Partner, Symplexi
Doctorpreneur

MORE INFORMATION:
With over 20 years of experience, I help leaders of both big
and small organizations create transformative change in a
world of uncertainty to help meet the future innovative
demands of the health industry. I’ve delivered over 200
inspirational and actionable keynotes for both private and
public events on some of the worlds most prominent stage
platforms – including TEDxMidAtlantic, HxRefactored,
Health 2.0, ReVive, Johns Hopkins, CIO Health, and many
more – to a diverse audience looking to effect change
through transformational thinking and innovation.
My storytelling approach tends to be a bit ‘unusual’ as I
draw upon personal and professional experiences from a
diverse range of perspectives. I truly believe everyone has
hidden super powers within them, that if nurtured properly,
can help transform our leaders into innovative superheroes.
In my whereabouts, I have been dubbed both a ‘health
hooligan’ and ‘health artist’ for my unique abilities to see
what others do not.
Oh, and I’m super friendly. So lets talk.
ABOUT GAUTAM
drgautamgulati@gmail.com
@drgautamgulati
Would you like to receive weekly unusual perspectives delivered to your inbox? Subscribe to my blog!
www.drgautamgulati.com/thinkunusual/

theunusualgroup.
“If you are not willing to risk the unusual,you will have to settle for the ordinary.”
JIM ROHN
unusual insights unusual experiences unusual studio
think discover make
ONE MISSION. THREE COMPANIES.
The Unusual Group is a storytelling media production and expedition company
curating the unusual perspectives of the worlds leading innovators.
MORE INFORMATION:
CONTACT GAUTAM TO LEARN MORE
www.weareunusual.com
drgautamgulati@gmail.com
DISCOVER THE UNKNOWN. DARE TO BE UNUSUAL.

That’s all folks!
Wishing you an unusual new year full of hope,
wonder, and curiosity!
Missed out entering your prediction? Don’t sweat it! Sign up for my newsletter at
www.drgautamgulati/thinkunusual and I will directly notify you the next time around.

Crowdsourced Health Predictions for 2015 (a free gift of wonder) Curated by Dr. Gautam Gulati

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