Year-end Pondering

John SteuartIt’s the end of the year – an opportune time to forecast how 2011 will unfold in health care. We are likely to see some surprises, such as the sharply rising importance of primary care physicians.

Here are some predictions about the new year:

More consolidation is on its way in under Obamacare, which heightens the pressure to improve the efficiency of healthcare delivery. As part of this, more and more healthcare provider groups, even the small ones, will feel compelled to go electronic once and for all.

doctor in a laptop

Valuable new, cost-effective medical tools will begin to become widely embraced. One is telemedicine. Just imagine how much more effective doctors can be if they interact with patients remotely via cameras. The technology exists now, has been successfully used in a number of situations, and it is not expensive. Soon insurance reimbursement models will permit and remunerate physicians for telemedicine “visits,” and then this will take off.

genetic testing - NIH public domain photo

The use of genetic testing to segment patient populations and better target therapies will be one of the fastest growing segments of as a new wave of accurate, clinically actionable tests hits the market.

As health reform increasingly kicks in, there will be heightened emphasis on the importance of primary care physicians – a sharp contrast to the elevated importance of specialists for so many years. They will become the linchpins of health care and make more pivotal care decisions as more than 30 million more people enter the system and require access to them.

primary care doctor shortage

Time-saving technologies that lead to measurable better outcomes — such as shorter hospital stays, faster surgeries and fewer complications — will fare well in 2011.

Contrary to the opinion of countless skeptics, new California Governor Jerry Brown will be surprisingly effective and fix many of the state’s woes. Under Brown, taxes will rise and spending will be far more controlled, and much of the crisis will finally be resolved. Why? Brown has been governor before and knows the ropes. And at the age of 72, he cares primarily about his legacy. What better legacy could he leave then the man who fixed California’s seemingly insurmountable problems?

I gleaned additional insight into Jerry Brown shortly after he was elected mayor of Oakland. He came to a reception hosted by Nat Goldhaber and to celebrate the of startup Cybergold. Nat is another founder of Claremont Creek Ventures. I brought one of my children, then a baby, and asked Brown to pose with him for a picture. “I don’t do babies,” he responded. That was telling, and in a very good way. Brown is iron-willed man who does what he wants and what he thinks is best, not what he is told. He won’t be dissuaded from fixing California.

John Steuart is a Managing Director at Claremont Creek Ventures and has spent the last 20 years managing, building and investing in technology and life science companies. He focuses on the intersection of the information technology and life sciences markets, including bioinformatics, molecular diagnostics, genomics, proteomics, software and instrumentation for med-tech industries. He is an Industry Fellow at the Center for Entrepreneurship and Technology at the College of Engineering at U-C Berkeley, as well as a member of the Advisory Council to the Lester Center’s Berkeley Entrepreneurs’ Forum at UC Berkeley.