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Mark C. West,Michael, Jr. Georgulis

Implantable Medical Devices and Healthcare Affordability: Exposing the Spiderweb

Implantable Medical Devices and Healthcare Affordability: Exposing the Spiderweb

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  • More about Implantable Medical Devices and Healthcare Affordability: Exposing the Spiderweb

The United States spends more on healthcare than other developed countries, but it doesn't equate to value, quality, or performance. The IMD Spiderweb illustrates how a wide range of participants become ensnared in a web designed to benefit only one player, leading to high costs and poor healthcare outcomes. It is a prime lesson in the challenges of healthcare affordability and outcomes and an opportunity for solutions.

Format: Paperback / softback
Length: 152 pages
Publication date: 16 March 2023
Publisher: Taylor & Francis Ltd


The United States allocates a substantial portion of its Gross Domestic Product (GDP) towards healthcare, exceeding 17%, while other developed countries typically allocate around 8.7% of their GDP to healthcare expenditures. However, despite these significant investments, the overall spending does not necessarily translate into improved value, quality, or performance. Among 11 high-income countries, the United States has consistently ranked last in four critical performance categories over the past seven years: administrative efficiency, access to care, equity, and healthcare outcomes.

This book serves as a lens through which we can examine the intricate web of challenges surrounding affordability and healthcare outcomes within the implantable medical device (IMD) supply chain ecosystem. The authors refer to this ecosystem as the "IMD Spiderweb," highlighting how a diverse range of stakeholders, including physicians, health system CEOs, group purchasing organizations, health insurance companies, and supply chain executives, become entangled in a system designed primarily to benefit one player.

In the United States, health systems incur expenses that are up to six times higher for certain IMDs compared to their European counterparts. Moreover, the prices for the same IMD model can vary significantly among different hospitals within the country. While there is a keen interest in the latest and most advanced devices, there remains a lack of transparency regarding their performance and potential impact on patients. The costs associated with healthcare expenditures, as well as death and disability, continue to rise, posing significant challenges to the healthcare industry.

The IMD Spiderweb is presented as a valuable lesson in the complexities and challenges faced by healthcare affordability and outcomes across the entire healthcare sector. It also presents an opportunity for change. By delving into the history of how these challenges emerged and have been exacerbated by the current healthcare ecosystem, we gain a foundation for developing solutions that can improve patient outcomes and enhance the overall efficiency of the healthcare system.

Weight: 256g
Dimension: 152 x 228 x 13 (mm)
ISBN-13: 9781032430539

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