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“How to Create Pro-Market Healthcare Reform in an Opioid Crisis”

Over 200,000 Americans have died since 2000 due to opioid overdoses.[1] That’s equivalent to all of Salt Lake City[2] disappearing from our country. The epidemic is destroying communities throughout America, […]
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Med Tech Bets on Value as Its Future Business Model

If you’re looking for a sign that we’re truly approaching a watershed moment in healthcare innovation, look no further than the people whose job is creating new medical technologies that […]
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Frontline Decisions in Real-Time: What Health Systems Can Learn from the U.S. Military’s Defeat of Al Qaeda in Iraq

“The teams were operating independently—like workers in an efficient factory—while trying to keep pace with an interdependent environment. We all knew intuitively that intelligence gathered on AQI’s [Al Qaeda in […]
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Reader Response: Creating a “Freedom Platform” for Health Data

Dave, your article No Time to Waste: Revolutionizing Healthcare Data Collection, Curation and Application is nothing if not provocative and insightful. http://www.4sighthealth.com/no-time-to-waste-revolutionizing-healthcare-data-collection-curation-and-application/What does it mean for health data to be truly […]
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Want Better Cardiac Outcomes? Just Follow the Money

The line between financial incentives and clinical outcomes just got a little straighter. A new study says money may have erased the difference in readmission rates between the top heart […]
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MARKET CORNER CONVERSATIONS: JIM HARDING, FOUNDER & CEO, MULTISCALE HEALTH NETWORKS

Jim Harding, Founder & CEO of MultiScale Health Networks, joins David Johnson for Episode 13 of Market Corner Conversations. Jim discusses how he applied his experience as a serial tech entrepreneur […]
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New Primary Care Provider, Same or Better Outcomes

Expanding the scope of practice for nurse practitioners and physician assistants may be a cost-effective way to manage the health of patients with chronic illnesses. That’s the market-based reform takeaway […]
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New Primary-Care Provider, Same Old Price

Patient office visits to primary care physicians are down. Patient office visits to nurse practitioners and physician assistants are up. But switching to NPs and PAs from doctors isn’t saving […]
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Brand-Heavy and Asset-Light: Moving Beyond the Acute-Care Mindset

For health systems, the day of reckoning is near. A recent Morgan Stanley report states that over 1,000 of the nation’s 5,000+ hospitals are currently weak or at risk of closing. […]
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Few On The Same Page When It Comes To The Value of Value-Based Reimbursement

Yet another report shows that fee-for-service medicine is hard to kill. This time the culprits are a lack of faith in value-based reimbursement by clinicians and a lack of trust […]
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Amplifying Transformation: Addressing Medicare Advantage’s Disadvantages

The U.S. healthcare system will not change the way it delivers care until it changes the way it pays for care. Perverse incentives riddle fee-for-service payment (FFS) and lead to […]
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Pointing the Finger at Health Plans for Providers’ Price Variations

Wide variations in what providers charge for the same medical services are notorious. But providers are not acting alone. They’re aided and abetted—and some would say coerced—by health plans whose […]
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It’s Commercial Health Plans That Are Keeping Fee-for-Service Alive

Far from pulling the plug on fee-for-service medicine, commercial health plans continue to give it CPR. A new report says well over half of commercial health plan payments to providers […]
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MARKET CORNER CONVERSATIONS: MUDIT GARG, FOUNDER & CEO, QVENTUS

Mudit Garg, Founder & CEO of Qventus, joins David Johnson for Episode 12 of Market Corner Conversations. Mudit shares how he views the challenges clinicians push through to provide care data […]
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No Time to Waste: Revolutionizing Healthcare Data Collection, Curation and Application

Healthcare data wants to be free, but it is oppressed. Entrenched oligarchs trap information within closed, centralized systems that prioritize revenue collection, misuse resources and tolerate medical error. Data gasps […]
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A CONCRETE DESCRIPTION OF THE CLOUD

In the simplest terms, cloud computing means storing data and software applications on the Internet, in secure files, then accessing that data and programs over the Internet rather than from physical […]
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Study Refocuses ER Coverage Debate on Patients

A new study reminds us that the squabble between providers and payers over coverage of unnecessary emergency room visits should be more about patients and less about who pays who […]
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Employees’ Premiums Actually Dropped This Year and Nine Other Untold Employer Health Benefits Stories

Every picture tells a story. So does every chart in the Kaiser Family Foundation’s annual employer health benefits survey. Here are 10 small stories from Kaiser’s latest survey that collectively […]
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Reducing Low-Value Care Gets Personal

It’s like FBI profiling but for doctors—doctors who order too many unnecessary diagnostic tests. Researchers from Canada have escalated the fight against low-value healthcare services by focusing on the doctors […]
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TOP HOSPITALS MAKE IT TOUGH ON PATIENTS WHO WANT TO SEE THEIR OWN MEDICAL RECORDS

All hospitals say that they want to engage patients in their own medical care. But even the best hospitals are making it difficult for patients to access their own medical […]
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Autism Therapy Shines Bright: Early Intervention, Improved Access and Individualized Care Change Lives

Autism Spectrum Disorder (ASD) is the nation’s fastest-growing developmental disorder, one that touches each child and family in unique and complicated ways. A  lifelong condition, ASD requires individualized treatments that […]
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Healthcare Worker Flu Vaccine Rates Offer a Lesson in Self-Policing

Short of making flu shots mandatory for healthcare workers, healthcare employers need to do much more to immunize their staffs from a virus that threatens their health and the health […]
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MARKET CORNER CONVERSATIONS: Luigi Zingales, University of Chicago

Luigi Zingales, University of Chicago economist, joins David Johnson to discuss the key components of capitalism that encourage innovation rather than creating paralysis in markets. Listen to his thoughts on […]
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DIY Hospital Ratings: Do Your Stars Align for What’s Most Important to Patients?

What’s the most important thing to you when you or a family member has to go to the hospital? (That question assumes you have a choice.) For me it would […]
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The Early Patient Gets the Flu Shot

Unnecessary variation in patient care is a quality and cost killer. And it’s not just a problem for complex medical cases. It’s a problem for even the most routine services […]
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Geeking-Up Healthcare: Consumer Giant Best Buy Makes a Big Move

Healthcare has experienced a parade of surprising megamergers and acquisitions during the last year. At first glance, Best Buy’s August acquisition of GreatCall may be the most startling. At a […]
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An Urgent Message for Those Who Want Care on Demand

The news cycle in healthcare seems to be following the news cycle in politics. Twenty-four hours is now 24 minutes if not 24 seconds. With that in mind, let’s hit […]
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A Lesson in Value-Based Payments from Across the Pond

If you paid your kids to clean their rooms and keep them clean, would they? If you stopped paying them, would they keep cleaning their rooms because they realized that […]
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As GM Goes, So Goes Healthcare: Dynamics of Demand-Driven Reform

“For years I [have] thought what was good for our country was good for General Motors, and vice versa.” Charles E. Wilson Last month, General Motors signed a 5-year agreement […]
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Dr. Amy Compton-Phillips Talks Platforming at MATTER, Chicago’s Healthcare Incubator

August 23, 2018, Amy Compton-Phillips came to MATTER, Chicago’s healthcare incubator. She presented her perspective on platforming in the industry and at Providence St. Joseph Health. Key points included: The […]
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Against the Wind: Hospitals Challenge CMS’s Pro-Market Payment Reforms

Black-white Tornado
Over the past month, the Centers for Medicare and Medicaid Services (CMS) announced several pro-market policies that will enhance pricing transparency, stimulate competition (and fair prices) for routine procedures and eliminate burdensome reporting requirements. […]
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Belts and Suspenders: Major Healthcare Transactions Position Companies for Whatever Comes Next

During President Richard Nixon’s historic 1972 trip to China, the press asked China’s premier Zhou Enlai to comment on the French Revolution’s impact on world affairs. Zhou famously replied, “Too early to […]
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Kentucky HEALTH and Medicaid Work Requirements: A Behavioral Economics Lens Sheds Light

Pool Balls Break
On Friday, June 29, near the zero hour, a federal judge ruled [1] that Kentucky’s Medicaid waiver approved by the CMS could not go forward on Sunday, July 1 as […]
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CMS Misdirection: Two Troubling Decisions Damage Market Competitiveness

In well-functioning healthcare markets, governmental regulatory policies ensure access, safety, quality and privacy. The government’s most important role is creating level-field competition through balanced regulation, targeted enforcement actions and price/outcomes […]
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MARKET CORNER CONVERSATIONS: Amitabh Chandra, Harvard Business School

Amitabh Chandra, economist and the McCance Family Professor of Business Administration at Harvard Business School, joins David Johnson for Episode 10 of Market Corner Conversations. Chandra shares his path form labor economist to […]
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Gawande’s Gift: Re-Imagining Corporate Wellness and Healthcare

Amid much fanfare, the Amazon, Berkshire Hathaway, JP Morgan health venture (ABJ) announced on June 20th that its new CEO will be acclaimed author and surgeon Atul Gawande. Gawande starts his new job […]
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How Soccer Explains Healthcare: Collective Performance Defines Success (1)

Soccer ball & stethoscope
The 21st FIFA World Cup kicked off on June 14th when host Russia trounced a weak Saudi Arabian team 5-0 at 81,000-seat Luzhniki Stadium in Moscow. It equaled the most lopsided opening […]
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Destination Medicare Advantage: Lonnie & Cathy’s Quest for Great Health Insurance

Lonnie & Cathy Quinn, Happy Medicare Advantage Members
In 1993, the health insurance industry funded the legendary “Harry and Louise” campaign to mobilize public opinion against the Clinton healthcare reform proposal. The strategy worked. Despite enormous investment of political capital, […]
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MARKET CORNER CONVERSATIONS: Dr. Mike Roizen, Cleveland Clinic Foundation

Dr. Mike Roizen, Chief Wellness Officer and Chair of the Wellness Institute at Cleveland Clinic, joins David Johnson for Episode 9 of Market Corner Conversations. Dr. Roizen is the creator […]
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Pro-Market and Pro-Business: Not Always the Same, Particularly in Healthcare

Shortly after publishing Market vs. Medicine: America’s Epic Fight for Better, Affordable Healthcare in June 2016, I met with my former investment banking colleague, Jullia Quazi. Jullia arrived with a very funny story […]
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MARKET CORNER CONVERSATIONS: JAKE CRAMPTON, MEDSPEED

Jake Crampton, CEO of MedSpeed, joins David Johnson in Episode 8 of Market Corner Conversations. Crampton shares how MedSpeed facilitates “intra-company logistics.” MedSpeed’s customers transform their transportation networks from cost […]
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Superhero Healthcare (Part 2): Already Here; Growing Fast; Payment-Driven

Part I of Superhero Healthcare identified several bright spots within American healthcare where liberated caregivers deliver appropriate, efficient care to engaged patients; where the interests of health companies and their customers align; and where compassion, […]
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Superhero Healthcare (Part 1): Liberating America’s Caregivers and Patients!

Dr Superhero
Most weekends in America, long lines form outside cineplexes as ardent fans of DC and Marvel Comics catch the latest iterations on the big screen. Since the dawn of motion […]
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MARKET CORNER CONVERSATIONS: DR. TOBY COSGROVE

Toby Cosgrove, M.D., former CEO of the Cleveland Clinic Foundation, joins David Johnson in Episode 7 of Market Corner Conversations. Dr. Cosgrove shares how he built a culture of empathy […]
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Mission First: Mission Health’s Surprising Sale to HCA

On March 22nd, Mission Health in Asheville, North Carolina announced its intention to sell its seven-hospital not-for-profit (NFP) health system to HCA Healthcare, the nation’s largest for-profit healthcare system. The […]
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MARKET CORNER CONVERSATIONS: DR. RUSHIKA FERNANDOPULLE

Rushika Fernandopulle, M.D., Co-Founder & CEO of Iora Health, joins David Johnson in Episode 6 of Market Corner Conversations. Rushika shares how he decided that the incremental change model wasn’t working […]
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Goodbye “Dr. Know-It-All”: Medicine’s Liberating Knowledge Explosion

Dr Know It All Icons
The digitization and globalization of medical information is overwhelming traditional medical practices. Physicians confront a continuous avalanche of medical discoveries on disease origins, symptoms and treatments. By 2020, medical knowledge […]
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Scaling Relationship-Based Care: “Different Spokes (Care Models) for Different Folks”

In 1970, Marcus Welby, MD became ABC Television’s first show to top network television ratings. Dr. Welby was a cheerful family practice physician with a soothing bedside manner who was […]
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Market Corner Conversations: Dr. Amy Compton-Phillips

Amy Compton-Phillips, M.D., joins David Johnson in Episode 5 of Market Corner Conversations. Amy is the executive vice president and chief clinical officer for Providence St. Joseph Health. She oversees […]
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Market Corner Conversations: Mike Pykosz, Oak Street Health

In Episode 4 of Market Corner Conversations, Mike Pykosz, CEO of Oak Street Health, shares the bottom-up approach Oak Street takes toward its Medicare Part B members. Oak Street creates […]
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Upsizing Dentistry: Putting More Bite into Primary Care

Teeth model stethoscope
Quad/Graphics, the American printing company, was founded near Milwaukee, Wisconsin in 1971 by a husband and wife team. Harry and Betty Quadracci saw advantages in a family approach to doing […]
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Platforming Healthcare: Owning Hospitals Is So 2015

The news that Amazon, Berkshire Hathaway and JP Morgan Chase joined forces to create their own healthcare company rocked the industry. The ten largest health insurers and pharmacy businesses lost […]
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Reimbursement Follows Respect: Leading States Pay to Address Social Determinants of Health

For too long, the “Social Determinants of Health” (SDH) have been the big elephant in the exam room. While no one denies that a diabetic living alone in a food […]
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Fortress Healthcare Meanders Toward Value

There are more “suits” in downtown San Francisco each January for JP Morgan’s annual healthcare conference than the rest of the year combined. Heavy rain drenched San Francisco on January […]
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Is Tax-Exemption Necessary? Enlightened Health Systems Should Consider the Unthinkable

 In the mid-1800s, English philosopher and political economist John Stuart Mill developed “Utilitarianism,” a framework for making moral decisions. In Mill’s formulation, an action achieves optimal social utility when it […]
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5 Days that Shook the Healthcare World

In 1919, journalist John Reed published Ten Days that Shook the World, a first-hand account of the October 1917 Russian Revolution. During that dramatic 10-day period, Vladimir Lenin’s Bolsheviks took […]
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Honey vs. Vinegar: Value-Based Pricing Wins Customers and Market-Share

Common wisdom holds that “it’s easier to catch flies with honey than vinegar.” That aphorism also applies to payers seeking lower prices for routine healthcare procedures. It “tastes” better when […]
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It’s Compassion, Everyone!

Last week we lost Uwe Reinhardt, the famous health economist at Princeton University, his passionate voice and memorable sense of humor.  Reading articles and posts remembering Uwe, a German who […]
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Telemedicine Marches Forward

After Hurricane Harvey and Irma hit the Gulf Coast in August 2017, America’s leading telemedicine companies volunteered their services to people and institutions in medical need. As reported in Med City […]
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Uber 911

Traditionally, most people dial 911 in a medical emergency and ask for an ambulance. Increasingly today, some hail a ride from Uber or Lyft to get to the closest Emergency […]
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Capitalizing on Comprehensive Care: Cultivating a Medicare Advantage Mindset

This paper is Part 3 in our series on payment reform. After highlighting various efforts to reign in healthcare costs over the past 50 years in Part 1, Part 2 […]
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Introducing the Healthcare Affordability Index: High-Cost Private Health Insurance Reduces Family Incomes

Today, Dr. Ezekiel Emanuel and I along with Aaron Glickman published Measuring the Burden of Health Care Costs on U.S. Families in the Journal of the American Medical Association (JAMA). […]
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Market Corner Conversations: Rick Kimball, NFL & Medical Marijuana

In Episode 3 of Market Corner Conversations, Dave Johnson speaks with Rick Kimball about their commentary Mile High Potential: NFL Veterans Tackle America’s Opioid Crisis. The podcast digs into the social catastrophe […]
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Market Corner Conversations: Kurt Waltenbaugh, Carrott Health

In Episode 2 of Market Corner Conversations, Dave Johnson speaks with Kurt Waltenbaugh, the founder and CEO of Carrot Health, an exciting data analytics startup based in the Twin Cities. […]
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Advantage Medicare Advantage: Delivering Healthcare’s Triple Aim to America’s Seniors

Hitting the Sweet Spot for Patients and Providers The United States is experiencing a demographic tidal wave. Baby Boomers are turning 65 in record numbers and that trend will accelerate […]
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Senate Republicans Confront Their Healthcare Waterloo: Now What?

Last weekend Senators Jerry Moran of Kansas and Mike Lee of Utah announced they could not support Speaker Mitch McConnell’s Better Care Reconciliation Act of 2017 (BCRA). Their defections put […]
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Market Corner Conversations: Paul Walczak, NuVista

4sight Health’s inaugural episode with Paul Walczak, the CEO from NuVista, a remarkably innovative post-acute care company coordinating value-based delivery in southern Florida that achieves superior outcomes at very low costs. […]
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How Health Systems Get Technology, Innovation and the Patient Wrong 

The minute I walked into the new digs of the clinic, I knew it was very different and could get the gist of what they were trying to do. It […]
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Symbiotic Disruption: Skilled-Nursing-REIT Ecosystem Adapts to Market Dynamics

clinical academic medicine 
By Wyatt Ritchie and David W. Johnson Nature thrives on symbiosis. Its many ecosystems would not exist without important relationships between sometimes strange bedfellows. The oceans’ most colorful coral reefs, […]
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40 Years in the Payment Reform Wilderness: DRGs to Nirvana

health insurance plans 
Introduction In an ideal state, a well-functioning healthcare delivery system should provide the right care at the right time and the right place, while being accountable for clinical and financial […]
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Darwinian Outsourcing: Big Pharma Adapts to Market Realities

academic medicine partners 
by Kristin Carey and David W. Johnson Competitive markets drive innovations in business efficiency and strategy. Twenty-five years ago, Big Pharma companies did little outsourcing. Fortified by robust cash flows […]
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Scaling Healthcare’s Mt. Everest: Peak Performers Engage Technology and Consumers

by Bryan Cloncs and David W. Johnson Climbing the highest mountains requires organization, preparation and strategy. Scaling Mt. Everest is a full-scale expedition. Large teams rely on a sophisticated infrastructure […]
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Letting Go: Steward Sells Its Hospitals and Embraces Patient-Centric Care

by Robert Fraiman and David W. Johnson Last September, Massachusetts-based Steward Health Care System announced that it would sell its 9 hospitals to Alabama-based Medical Properties Trust (MPT) for $1.2 […]
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Mile High Potential: NFL Veterans Tackle America’s Opioid Crisis

by Richard A. Kimball, Jr. and David W. Johnson Professional football has long since surpassed baseball as America’s most popular sport. The NFL’s Super Bowl is a national party. Super […]
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The Rise and Fall of Academic Medicine: AMC Competitiveness in Post-Reform Healthcare

by David Morlock and David W. Johnson Rome wasn’t built in a day and didn’t collapse overnight. After centuries of growth, prosperity and domination, the Roman Empire began a long […]
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Behavioral Health Goes Local: The Emergence of Integrated, Community-Based Services

by Todd Rudsenske and David W. Johnson From addiction to depression to psychosis, mental illness exacts a growing toll on individuals, families, communities and health systems. We can measure its […]
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HealthCare.Gov’s Death-Defying 2013 Launch: Implications for Government-Led Payment Reform

Enrollment for purchasing health insurance on public health exchanges began November 1st. Headlines for this fourth enrollment period include: 22% average price increases; major health insurers dropping coverage; and single […]
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Value Quest: Capital Formation Challenges for Non-Profit Health Systems

health care system
by David W. Johnson, James Moloney and Carsten Beith   There’s a battle outside and it’s ragin’ It’ll soon shake your windows and rattle your walls For the times they […]
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Winning “The Cub Way”: It Takes an Organization

health forum education
The Cubs just finished the 2016 regular season with 103 wins and baseball’s best record by a mile. They have spectacular pitching, powerhouse hitting and solid defense. Las Vegas odds-makers […]
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Epi(c) Pharmaceutical Market Failure

Healthcare Advisory Services
It was hard not to feel sorry for Mylan CEO Heather Bresch as she sat for an extended CNBC interview on the morning of August 25th. Clearly on the hot […]
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Summer Book Report: 4sight Health’s Busy August

health insurance plans 
With Labor Day weekend approaching, state fairs in full swing, and the barbeque calling, most of us have just half a mind on work. At 4sight Health we’re enjoying the […]
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Being American: How Exceptionalism Is Transforming U.S. Healthcare

Imagine Better Healthcare
Midway through the Rio Olympics, the prowess of the diverse, raucous and remarkably talented U.S. team is on full display. We marvel at the athletes’ dedication. Their enthusiasm is infectious. […]
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Where’s the Beef? Employers Question the Value of Hospital Mergers

In an iconic 1984 commercial for Wendy’s hamburgers, the diminutive octogenarian Clara Peller and two friends are eating hamburgers at the fictional “Home of the Big Bun.” Disappointed by their […]
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It Takes Two to Tango: Cracking the Patient/Customer Engagement Code

4sight Health
The tango is a beautiful, complex, fast-paced dance that gets the heart racing for participants and spectators alike. The intimacy of two partners moving in coordinated lockstep leaves no doubt: […]
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Healthcare’s Dysfunctional Pricing: Be Afraid. Be Very Afraid.

medicine and health
The Health Care Cost Institute (HCCI) released its annual report of healthcare prices last month. To no-one’s surprise, HCCI found huge variation in commercial prices for 240 common medical services […]
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Asset-Light and Ready: Physician Groups Embrace Accountable Care

Imagine Better Healthcare
Hockey superstar Wayne Gretzky gave the business world its most over-used strategic metaphor, “I skate to where the puck is going to be, not where it has been.”  In healthcare, […]
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Necessity Turbo-Charges Productivity at Cleveland Clinic Florida

transforming american healthcare
Coming into 2015, Ozzie Delgado confronted a thorny problem. Cleveland Clinic Florida was experiencing expansive demand for surgical services. Occupancy was already at 92% and there would be no capacity […]
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Lactose Intolerance: Aaron Rodgers and the Cheese-Heavy American Diet

Wisconsin may never be the same. Green Bay Packers star quarterback announced this month that he has stopped eating dairy products to “get healthier.” As Bart Simpson might observe, the […]
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Let’s Talk: Constructive End-of-Life Decision-Making

At Jeff Shield’s memorial service, Genie Shields proclaimed that her husband’s death has been a “gift,” one that enriches all who receive it. When it became clear that lymphoma would […]
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New Rules: Accountable Care Changes Everything

People go to Las Vegas to let loose, take in the shows and have fun but mostly to gamble. At HIMSS 2016, payors, providers, investors and other industry insiders are […]
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Market vs. Medicine Book Launch: You Are Invited

market vs medicine
After more than a year of research, writing, editing, re-writing, and re-editing, Market vs. Medicine: America’s Fight for Better, Affordable Healthcare is being printed and will be available on May […]
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Crossing the Technology Chasm: Tele-ICUs Save Lives and Money

healthcare in usa 
Crossing the Technology Chasm: Tele-ICUs Save Lives and Money The Leapfrog Group’s[1] fact sheet on ICU Physician Staffing estimates that preventable ICU deaths exceed 54,000 each year. This figure excludes […]
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