NEWS & V IEWS
part of
ISSN 1741-0541 10.2217/PME.13.31 © 2013 Future Medicine Ltd Personalized Medicine (2013) 10 (4), 333–337 333
NEWS & V IEWS NEWS & V IEWS NEWS & V IEWS
The Center for Business Models in
Healthcare (CBM-HC; IL, USA [101])
was founded in 2006 by CB Weldon and
J Trosman. The founders previously ran
a boutique management consulting firm,
Executive Frameworks (IL, USA), provid-
ing business and decision-making advisory
services to large payers. Within this line
of work, in 2004–2005, they conducted
a research project in collaboration with
Alicia Loffler of Northwestern University
(IL, USA) to explore the impact of the
emerging field of personalized medicine on
US payers and care providers. The study
revealed a complex mix of barriers posed
by the US care delivery and reimburse-
ment system to adoption of personalized
medicine. Weldon and Trosman discussed
study results with the executive teams of
several major health plans and outlined a
strategy for how the payers may prepare
for integrating personalized medicine in
coverage, payment and benefit designs, to
benefit their members, employer customers
and their own companies. Despite payer
receptiveness, these discussions made it
evident that adoption of personalized
medicine could not be addressed by payers
alone, as it requires cohesive interrelated
changes in reimbursement, care delivery,
patient involvement and product develop-
ment strategies. However, there was a lack
of mechanisms and forums for all relevant
stakeholders to devise and implement
collaborative solutions.
Captivated with the promise of
personalized medicine and determined to
contribute to its adoption in healthcare,
Weldon and Trosman founded the
CBM-HC and became its codirectors.
CBM-HC is devoted to transforming
healthcare into the 4R Model
©
– Right
Information and Right Care to the Right
Patient at the Right Time.
What needs CBM-HC is
addressing
Since CBM-HC’s inception in 2006,
the field of personalized medicine has
progressed significantly, but three broad
needs remain unaddressed:
Understanding barriers to adoption;
Developing solutions to barriers;
Applying a multidisciplinary approach
that benefits all stakeholders.
CBM-HC’s efforts are directed toward
addressing these needs, as described below.
Although barriers to the adoption
of personalized medicine are broadly
discussed, continuing innovation brings
new and unique challenges. These
challenges are driven by differences in
diseases, patient populations and utility
of diagnostics. For example, a disease-
monitoring test in chronic myeloid leukemia
faces different adoption challenges to a
new molecular marker in lung cancer or a
prognostic test in cardiovascular disease. A
Company Profile
Center for Business Models in Healthcare
The Center for Business Models in Healthcare (CBM-HC; IL, USA) is an independent investigator firm conducting
health services research and facilitating collaborative interventions focused on personalized medicine and
personalized healthcare. CBM-HC’s objective is to encourage the adoption of personalized medicine in care
delivery and reimbursement. CBM-HC’s work focuses primarily on oncology, but also includes autoimmune,
cardiovascular and other diseases. CBM-HC conducts studies of barriers to adoption of personalized medicine
in care delivery and reimbursement, and facilitates development and implementation of solutions to these
barriers in the form of care delivery interventions, and new models of coverage and reimbursement. This work
is conducted using the 4R Framework
©
developed by CBM-HC – Right Information and Right Care to the Right
Patient at the Right Time. The framework allows the examination and addressing of complex interdependent
barriers to personalized medicine arising from care delivery and reimbursement. CBM-HC conducts its work in
collaboration with several noted academic centers and via its network of other stakeholders, including health
systems, patient advocates, payers and product developers.
Julia R Trosman*
1,2,3
& Chrisne B Weldon
1,2
1
Center for Business Models in Healthcare, 2705 West
Agate Avenue, Suite 200, Chicago, IL 60625, USA
2
Feinberg School of Medicine, Northwestern University,
Evanston, IL, USA
3
Department of Clinical Pharmacy, University of
California, San Francisco, CA, USA
*Author for correspondence:
Tel.: +1 224 619 2900
trosman@centerforbusinessmodels.com