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OCTOBER 2, 2017 • HARTFORD BUSINESS JOURNAL | 95 'Chaos' drives health care into next decade Elliot Joseph CEO, Hartford HealthCare How will Connecticut's healthcare landscape change over the next decade? Connecticut has been slow to move toward value-based health care, but that will change dramatically in the next 10 years. In our current fee-for- service model, we wait for health problems to occur and providers get paid on a per-episode basis. Value-based care means getting paid to keep whole populations healthy in order to avoid many of those problems. Those 'populations' could be members of a specific health plan or employees of a large company or town. The value path brings together proven quality, lower costs and a great customer experience. The Connecticut market has been slow to adopt it for many reasons, but the search for better, more affordable care leads to value. The transformation is coming, and it will be profound and permanent. What's the biggest challenge facing the healthcare industry over the next 10 years? The short answer is chaos. Many of the practices and institutions we take for granted in the healthcare system will vanish over the next decade. We're already seeing many kinds of surgery moving from hospitals to ambulatory centers. As we get better at population-health management, it will mean fewer hospital patients — and probably fewer hospitals. That's a good thing for society, but a challenge for the healthcare system. Governmental budget woes already are affecting our ability to serve our most vulnerable patients, and that's not improving. At the same time, the regulatory environment — especially in Connecticut — makes it hard for health systems to quickly respond to these changes so that they can continue to serve their communities. The wild card, of course, is technology. Everything from smart watches, genetic medicine and even self-driving cars will change health care. CT can evolve into The Social Enterprise State Kate Emery CEO of the Walker Group and founder and chair of reSET's board of directors What is the key to fostering more of an entrepreneurial culture in Greater Hartford? There's no one thing — it's an ecosystem, and like all complex systems there are things that feed health and growth, and things that destroy and diminish it. At reSET, we've identified several things that help feed a virtuous cycle of entrepreneurship. They include creating a supportive mentor and professional services network; offering supportive, affordable, flexible space; building an investment community; and providing affordable housing with extra-curricular opportunities. All this creates a community in which a new entrepreneur will be most likely to feel comfortable launching a new business, and continuing to thrive and grow. What's the biggest economic development opportunity Greater Hartford should leverage over the next decade? I would like to see Connecticut recognized as the 'Social Enterprise State.' We have a history of social innovation, there are great resources in our universities, and there is a huge amount of investment dollars along with a growing interest in impact investment. We are not New York, or Boston and we need to see that as a positive — we are close to both but outside the city frenzy and we are way more affordable. We have tremendous cultural assets, and we are very family friendly. These things can be our competitive edge and we need to recognize and capitalize on them. Would it not be cool to be known as the state for solving big problems through business? It is not only needed in a very big way, it is totally sexy. It appeals to the best and the brightest. It will help us with our brain drain. It will give us something to be incredibly proud of. "The value path brings together proven quality, lower costs and a great customer experience." Q/A THE FUTURE