Paul Grundy, director of healthcare transformation at IBM gave possibly the most important presentation at Mayo Clinic’s Transform conference, contrasted as it was by the supreme illegibility of his slides, which were so difficult to digest as he ran through his talk. Understated yet baldly matter of fact about the depths of the challenge facing those running the American health care system, Grundy was blunt and to-the-point, emphasizing that the main issues that payers and consumers need to address are inevitable, not political. “We really have an innovation imperative,” said Grundy, as he outlined the sorry state of the industry. Without adult supervision, coordination of care or integration of services, costs have skyrocketed. Fixing this is no longer simply an issue of benefits; it’s a business imperative.

(Note: Mayo Clinic has posted unedited video of the talks on its Transform website. Grundy’s is here, and well worth watching.)

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