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The present is a great time for health care innovation. Instead of looking at the shutdown in Washington, D.C., or the battle over the Patient Protection and Affordable Care Act as a failure of the system, entrepreneurs and inventors should be looking at it as an opportunity. As the financier Nathan Rothchild so famously stated, "great fortunes are made when cannonballs fall in the harbor, not when violins play in the ballroom." Likewise, the current upheaval and chaos in the health care industry is providing the opportunity for those on the cutting edge to implement new methods focused on the triple aim of improving outcomes, reducing cost, and improving patient experience. With the expenditures in Medicare quintupling from $111 billion in 1990 to more than $500 billion in 2013, and with a changing demographic whose people aged 65 and older will increase by more than a third in the next decade, this is a huge market opportunity ready for the taking. Moreover, due to improvements in technology, it is no longer a few large providers, pharmas, or health plans that are best suited to seize this opportunity. Instead smaller, more nimble start-ups and even individuals who focus specifically on the patient experience can now play a significant role in this health care revolution.
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