The only way to make healthcare more affordable is by driving care to lower cost venues (hospitals to outpatient to offices to homes) and provided by lower cost care-providers (specialists to primary care to midlevel providers to nurses to selfcare).

The complexity and fragmentation of healthcare has exceeded the capability of human mind to coordinate it.  Electronic medical records are our only chance of coordinating current and future healthcare.

Disruptive technologies will drive the decentralization of healthcare.  For example, handheld ultrasound devices are bringing to primary care a level of sophisticated imaging only available in imaging centers and hospitals currently.

See more big ideas by Clayton Christensen on BigThinkers.