Ground-breaking Doctor Leaves an Extraordinary Legacy Behind

John Ludden, M.D. was an extraordinary man. He was a physician, a business executive, and a teacher who radiated both intelligence and humility, despite holding three degrees from Harvard. He was generous with his insights, only requesting that the recipient in turn share theirs. He was a “pay it forward” guy.

John was immensely interested in how the health care system itself could be improved. He realized early that people and processes were both vital. Many of the best parts of ongoing health reform came out of ideas that John helped pioneer, first as Medical Director at Harvard Community Health Plan, then as Director of the MD/MBA program at Tufts Medical School. He was busy there and as a director at NCQA, the American College of Physician Executives, and elsewhere, but still found time to help an emerging eHealth start-up, (Body1).

John was not only a director of Body1, he was an active contributing creative force. He was intrigued by the Internet’s promise as a means to improve patient care. As just one example, John’s psychiatry experience and insights were the intellectual basis behind Body1’s online depression self-assessment tool. This tool was so robust when it first launched that we had to reduce some of the functionality, as we did not want to “practice medicine online”. But that was classic John Ludden–give what you needed, and then also give some extra.

John died last month but his legacy lives on. I am grateful to have known and worked with him. Everyone at Body1 is. We remember his keen intelligence, his unique grin when a particularly good insight hit him, and his kind sense of humor. In a world where gentlemen are often hard to find, Dr. John Ludden was a consummate gentleman and we are all better people because of him.

Chris Messina, CEO, Body1

Note: John’s family has chosen to support The Great Books Foundation in his memory.

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Will the Next Wave in Global Health Care reform be Mobile…and Come from Africa?

Recently I participating in a roundtable discussion with the Harvard Business School Health Care Special Interest Group. Our speaker for the evening was explaining (& pitching) his company, which had developed a tracking approach for identifying which brands of drugs were counterfeit. Apparently that’s a huge problem. That wasn’t the most interesting part.

The most interesting was:

a. how ubiquitous mobile phones are in Africa and

b. how people there are using them to manage their medical care (it’s true consumer-directed healthcare at work)

Seems like we in the US could learn a lot from this simple model. It connects the medical buyer directly with the medical provider. Costs are transparent.   Payment is swift and simple.In Kenya, for example, a pre-paid care for medical services can be purchased and continuously filled. Family members can add to the stored value as a gift and many do. Physicians accept these cards as payment for medical services, debiting the charges as provided. There is acute awareness of which clinical provider offers the “best value for money”. Patients vote accordingly, with their money and their feet.

Professor Clay Christiansen at Harvard has introduced the world to the concept of “Disintermediation”, the idea that over time, simple innovations starting from the low end of the market, end up completely changing and disrupting the market. Given that seminal insight, maybe we in the US healthcare industry should be looking hard over our shoulder at the innovations underway in Africa.

Photo: Erik Hersman

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