Market Corner Commentaries

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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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Taxing Consequences: House Republicans Target Tax-Exempt Hospital Bonds

Market Corner Commentary for November 21, 2017 Having failed to “repeal and replace” the Affordable Care Act, House and Senate Republicans have set their sights on reforming the U.S. tax […]
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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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Moving at the Speed of Medicine Part II: Taking “Systemness” to the Next Level

Football is a “system” sport. Offense, defense and special teams function as distinct units with their own coaches, schemes and measures of success. The better teams bring all these components […]
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In the Eye of the Storm: When Outcomes Matter, Telemedicine Delivers

During the last week in August, Noah’s Ark found a new home in Houston. Unfortunately, it didn’t deliver medical supplies. Between August 25th and 29th, Hurricane Harvey dropped an almost […]
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Battling Cancer: Partnering to Make Headway Against Medicine’s Toughest Foe

By Wyatt Ritchie and David W. Johnson Cancer has been humanity’s most persistent nemesis. Bone fragments and written records indicate that cancer afflicted people in ancient Rome, Greece and Egypt. […]
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Amazoning Pharmacy: Attacking “Indumbent” Business Practices

Sky-rocketing drug prices have captured the nation’s attention. President Trump echoes Senator Bernie Sanders when he asserts that drug companies are “getting away with murder.”[1] Republican and Democratic legislators alike assert […]
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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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A Chicago Story: Gun Violence; Budget Cuts and Social Contagion

It was an eventful July 4th weekend in the Land of Lincoln. The Illinois Senate over-rode Governor Bruce Rauner’s veto to pass its first state budget in over two years. […]
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Forming a More Perfect Health System: Senate Republicans Confront Their Policy Demons

Senator Mitch McConnell is the most effective Senate Majority Leader since Lyndon Johnson. A tactical maestro, McConnell faces the seeming impossible task of uniting the Republican party’s divergent conservative and […]
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A Seismic Home Care Shift is Redefining Post-Acute Care

Earthquakes occur when pent-up pressures release along geological fault lines. These seismic events reconfigure adjacent landscapes as energy waves distribute from the quake’s epicenter. U.S. healthcare is rife with fault […]
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The Iceberg Cometh: Welcome to Sickville, USA

by Kurt Waltenbaugh and David W. Johnson In the western suburbs outside Minneapolis, two men lead average lives. Surveying them as part of the general population, no health system, insurer […]
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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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“Indumbent” Healthcare Thinking: Prices Don’t Matter

best health policy
In a March 29th New York Times article, author Elizabeth Rosenthal chronicles America’s dystopian system for coding and billing medical treatments. Rosenthal concludes that the medical-billing system itself is a […]
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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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Trumpian Healthcare Reform: A “Silver Linings” Legislative Playbook

venture capital fund 
Special Edition: Market Corner Commentary for March 29, 2017 Last Friday was supposed to be the shootout at the healthcare corral where Republican gunslingers were going to take the first […]
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AHA! Healthcare is Both a Right and a Commodity

market vs medicine
In late January, I participated in an Oxford-style debate regarding whether healthcare is a commodity. The debate was the featured event at Tata Memorial Centre’s Platinum Jubilee Conference in Mumbai, […]
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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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ZDogg Speaks: Rebooting Primary Care (The Unedited Version)

For the better part of a decade, I practiced inpatient hospital medicine at a large academic center (the name isn’t important, but it rhymes with Afghanistan…ford). I used to play […]
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Moving at the Speed of Medicine: Turbo-Charging Performance with Strategic Partnerships

by David W. Johnson and Jake Crampton Insourcing is a time-honored practice employed by market-dominant companies. Rather than contract with external experts, companies dedicate internal resources for specialized functions. While […]
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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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Channel Shifting: Ominous Black Friday Trends for Health Systems

The results are in. The National Retail Federation (NRF) just released their survey results for post-Thanksgiving shopping. The numbers were strong. 154 million consumers shopped this holiday weekend, up 2% […]
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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’s Gettysburg Moment

Seven score and thirteen years ago this month (November 19, 1863), Abraham Lincoln delivered his renowned Gettysburg Address at the dedication for the Soldiers National Cemetery. With the ravages of […]
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Overturning Obamacare: A 5-Point Plan for President-Elect Donald Trump

Two weeks ago, I distributed a 5-Point healthcare plan for presumed President-elect Hillary Clinton. That was then. In a remarkable and unprecedented election surprise, Donald Trump defeated Hillary Clinton and […]
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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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Overhauling Obamacare: A 5-Point Plan for President-Elect Hillary Clinton

Absent a cataclysmic surprise next Tuesday, Hillary Clinton will become the 45th President of the United States. She will govern a divided electorate with highly-polarized elected officials. It’s no longer […]
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Winning “The Cub Way”: It Takes an Organization (Postscript)

On Saturday evening, the Chicago Cubs won the National League pennant and the City of Chicago went crazy. The Wrigleyville celebration rocked until dawn Sunday morning. After a 71-year absence, […]
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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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Overcoming Medical Errors of Omission: The Cure Requires Organizational Empathy

Organizations fail or decline more frequently because of what they did not do than because of what they did.                                                             Russell L. Ackoff Professor of Management Science Wharton School, University […]
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Medtech in the Fast Lane: Embracing Services, Solutions and Consumerism

medicine and health
by Rafe Hanahan and David W. Johnson Manufacturing built America. The iconic automotive industry epitomizes this organic relationship between industrial strength and economic growth. Since the early days of Ford […]
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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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What Would Einstein Do? Embedded Dilemmas in Disrupting Markets

transforming american healthcare
Earlier this month, Ford CEO Mark Fields made two head-scratching announcements to advance transportation services in San Francisco. Ford acquired Chariot, a popular crowd-sourced shuttle-van service that uses algorithms to […]
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Market Evolution: Addressing Structural Flaws on Public Health Exchanges

health care services
After two-plus years of operations, clear structural flaws have emerged in the design and function of public health exchanges. Health insurance cooperatives have largely failed. Many traditional insurers have suffered […]
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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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Rankings and Reactions: CMS Launches Star Ratings for Hospitals

Providence Health & Services
“The fault, dear Brutus, is not in our stars But in ourselves.” [1]                William Shakespeare On July 27th, the Centers for Medicare and Medicaid Services (CMS) released its first-ever quality […]
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The Big Lift: Improving Public Health Exchanges

Bring out the Xanax. Anxiety among Obamacare supporters is skyrocketing. The bad news just keeps coming. Aetna has joined UnitedHealthcare and Humana in announcing plans to exit almost all public […]
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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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Back with Vengeance: Vertical Integration’s Demons Wreak Havoc

advancing organizational change 
With pride and promise just two short years ago, Catholic Health Initiatives (CHI) introduced Prominence Health, a wholly-owned subsidiary, that would “significantly advance CHI’s ability to excel in a pay-for-value […]
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Obama Speaks: A Presidential Assessment of Obamacare

4sight Health
Market Corner Commentary for July 27, 2016 Earlier this month, President Obama took the unprecedented step of authoring an academic research article in The Journal of the American Medical Association […]
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Made in America: Venture-Backed Healthcare Solutions

care transformation
Market Corner Commentary for July 20, 2016 Last month, Reed Abelson of the New York Times chronicled the challenges of Oscar Health, the venture-funded health insurance company. Despite massive investment, […]
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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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Great Consumer Expectations: Data-Enabled Healthcare Outcomes and Service

health forum education 
Health companies experience excessive variation in clinical outcomes, quality metrics, procedure pricing and customer satisfaction. This frustrates providers, payors, employers and patients alike. All Americans want the healthcare system to […]
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The Post-Acute Gold Rush: Winning the Race to the Claims Office

american health system
Gold’s glitter and the lure of quick riches led 90,000 unruly prospectors to California in 1849. The gold rush was on and it had rules. Prospectors had to actively work […]
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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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Rethinking Cyber-Security: A New Paradigm for Democratizing Data Exchange

capital formation design
Liberated data connects people, informs decision-making, stimulates innovation, streamlines production, creates wealth and advances humanity.  The upward trajectory of human accomplishment arises from ever-more sophisticated data exchange supporting ever-more complex […]
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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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Rebate Madness: Branded Drug Pricing Goes Rogue

medicine
Like hospitals that optimize revenues through complex assignment of charges, discounts and subsidies, aligned pharmacy benefit managers (PBMs) and pharmaceutical companies manipulate retail and net pricing on “branded” drugs to […]
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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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FTC Chasing the Wrong Healthcare Villain in Chicago

Last December the Federal Trade Commission sued to block the proposed merger between Advocate Health Care and NorthShore University Health System. The combined company’s annual revenues would exceed $7 billion. […]
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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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Rethinking Healthcare.Gov: As Covered California Goes, So Goes Nation?

Rethinking Healthcare.Gov: As Covered California Goes, So Goes Nation? The 17 state-run healthcare exchanges are real-life “laboratories” for the federally-run exchanges that operate in 34 states. No state exchange has […]
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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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Two Runners, Two Countries, Two Emergencies: You Decide

For over a decade I’ve plodded up and down the Chicago lakefront with the same group of idiotic runners. Through wind, sun, snow and rain we babble about anything that […]
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Misdirected Fury: The Boston Globe “Spotlights” Concurrent Surgeries

Market Corner Commentary for March 2, 2016: Misdirected Fury: The Boston Globe “Spotlights” Concurrent Surgeries At Sunday night’s 88th Academy Awards, Spotlight won the Oscar for best picture. The movie chronicles […]
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Healthcare’s Productivity Paradox: Ferocious Exploitation of Reimbursed Payment

Market Corner Commentary for February 17, 2016-Healthcare’s Productivity Paradox: Ferocious Exploitation of Reimbursed Payment Las Vegas is a strange place to attend a medical conference. In June 2014, the Healthcare […]
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Big Data’s Ups and Downs: The Good, The Scary and The Creepy

Market Corner Commentary for February 10, 2016-Big Data’s Ups and Downs: The Good, The Scary and The Creepy Big data analytics are essential for understanding consumer preferences. Collecting, measuring and […]
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Pursuing What Works: Genetics, Epigenetics and Chronic Disease

chronic disease management
Market Corner Commentary for February 3, 2016-Pursuing What Works: Genetics, Epigenetics and Chronic Disease Genetics-based therapies represent the pinnacle of medical science. Billions of dollars have poured into research to […]
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U.S. Healthcare in 2016: Enjoy the Sideshow; Watch the Main Event

Market Corner Commentary for January 27, 2016- U.S. Healthcare in 2016: Enjoy the Sideshow; Watch the Main Event For the sixty-second time, the U.S. House of Representatives passed legislation repealing Obamacare […]
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Exchange Matters: UnitedHealth Takes a Stand or Does It?

Market Corner Commentary for January 20, 2016 During an investor call in November, the nation’s largest health insurance company (UnitedHealth Group) delivered a body blow to the Affordable Care Act’s […]
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Manipulating Demand: Paying Patients for Lower-Cost Care

Providence Health & Services
Market Corner Commentary for January 13, 2016-Manipulating Demand: Paying Patients for Lower-Cost Care In October, Planet Money aired a podcast with the intriguing title “Pay Patients, Save Money.” Their report […]
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Dynamic Tension: Rethinking Health System Governance

market-based health care system
Market Corner Commentary- Health System Governance- for January 6, 2015 John Koster MD and David Johnson The winds of post-reform transformation are blowing through healthcare. Long-established health systems confront existential […]
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Rational Lending: Demystifying Medical Student Loan Debt

Medical Student Loan Debt
Market Corner Commentary—Demystifying Medical Student Loan Debt, for December 16, 2015 Winston Churchill famously observed that “Russia was a riddle wrapped in mystery inside an enigma.” Churchill’s language provides an […]
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Fujifilm’s “Moment”: Disruption, Adaptation and Health System Transformation

transformation
Almost every healthcare “transformation” discussion includes Kodak’s cautionary tale – how the once iconic company fails to embrace digital imaging, capsizes and drowns. The story’s moral is to embrace disruption, […]
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November Indigestion: The Idiocy and Promise of Benefit Selection

benefit
Market Corner Commentary for December 2, 2016- November Indigestion: The Idiocy and Promise of Benefit Selection David Johnson and Nathan Bays Dave’s wife Terri Brady is a Senior Leadership Coach at […]
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The Why, The How and The What: Consumerism, Trust and Brand Love

brand
Market Corner Commentary for November 12, 2015-The Why, The How and The What: Consumerism, Trust and Brand Love Health systems are awakening to the market reality that consumerism is redefining healthcare […]
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Getting Right with Consumers: Right Businesses. Right Places. Right Prices.

consumerism
Market Corner Commentary for November 11, 2015-Getting Right with Consumers: Right Businesses. Right Places. Right Prices. Consumerism has the force and precision of heat-seeking missiles. Customers flocked to Walmart because it […]
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Righteous Analytics: Right Data. Right Time. Right Way

data
Market Corner Commentary for November 4, 2015- Righteous Analytics: Right Data. Right Time. Right Way Technology is on the cusp of channeling diagnosis and treatment toward best outcomes at lowest costs. […]
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“Amazoning” Healthcare’s High Prices

prices
“Amazoning” Healthcare’s High Prices A recent Kaiser Health News article reports that prices for basic women’s health services vary dramatically within and across markets. The cost for mammograms in Dallas […]
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Value Rules: Playbook for Post-Reform Healthcare

value
Market Corner Commentary for October 21, 2015-Value Rules: Playbook for Post-Reform Healthcare Warren Buffett famously noted that “price is what you pay and value is what you get.”  In fee-for-service […]
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“The Cubs Way”: Lessons in Leadership, Cultural Change and Performance Improvement

Market Corner Commentary for October 14, 2015-“The Cubs Way”: Lessons in Leadership, Cultural Change and Performance Improvement Any team can have a bad century!  The Chicago Cubs define ineptitude.  They […]
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Calm Before the Storm? Rating Agencies Lift Negative Industry Outlooks

Market Corner Commentary for October 7, 2015- Calm Before the Storm?  Rating Agencies Lift Negative Industry Outlooks Summer was good to health companies.  Many have never been stronger.  On August 26th,  Moody’s revised […]
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Doc-Fix Legislation: Medicare Makes Physicians an “Offer They Can’t Refuse”

David Johnson and Nathan Bays-Doc-Fix Legislation: Medicare Makes Physicians an “Offer They Can’t Refuse” After years of temporary fixes and short-term extensions, the U.S. Congress repealed Medicare’s Sustainable Growth Rate […]
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The Tyranny of Average Costing: Profit and COST in Value-Based Delivery

Market Corner Commentary for September 23rd-The Tyranny of Average Costing: Profit and COST in Value-Based Delivery Michael Porter, the eminent Harvard Business School professor, defines “value” in healthcare as “achieving the best […]
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Mind and Medicine: Amplified Healing Through Behavioral Science

Market Corner Commentary for September 16, 2015-Mind and Medicine: Amplified Healing Through Behavioral Science In announcing his Precision Medicine Initiative, President Obama articulated a medical future where genetic discovery shapes tailored […]
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Of Metrics and Meaning: Making Sense of Healthcare Quality Ratings

Market Corner Commentary for September 9, 2015-Of Metrics and Meaning: Making Sense of Healthcare Quality Ratings As healthcare becomes more consumer-focused, hospital and physician rating systems are proliferating.  Yelp is […]
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Rebels with a Cause: Venture Companies Attack Healthcare

Market Corner Commentary for September 2, 2015-Rebels with a Cause: Venture Companies Attack Healthcare There is a meaningful shift occurring in healthcare private equity and venture investing.  The “smart money” […]
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Kinky Boots, Swedish Dialysis and Demanding Customers

Market Corner Commentary for August 26, 2015-Kinky Boots, Swedish Dialysis and Demanding Customers The oldest and best advice in business is “give customers what they want.”  From Broadway to Sweden, […]
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Individual Mandate: Are You Up for N=1 Healthcare?

Market Corner Commentary for August 19, 2015 (disruption)-Individual Mandate: Are You Up for N=1 Healthcare? Yogi Berra famously observed, “The future just ain’t like it used to be.”   In N=1: How […]
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King for a Day: Winning Strategies in Post-Reform Healthcare

Market Corner Commentary for August 12, 2015 -King for a Day: Winning Strategies in Post-Reform Healthcare-(#Quality Outcomes) Great leaders ask great questions. Banner Health’s CEO recently wrote and asked me, […]
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Medicare at Fifty: More Yesterdays than Tomorrows?

Market Corner Commentary: August 5, 2015-Medicare at Fifty: More Yesterdays than Tomorrows? A version of this commentary appeared in Huron Healthcare’s “Perspectives” on July 30th With Harry Truman watching, Lyndon […]
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Reimbursement Roulette: Health Companies “Double Down” on Revenue

Market Corner Commentary: July 28, 2015-Reimbursement Roulette: Health Companies “Double Down” on Revenue A version of this commentary appeared in “Academy 360” on July 23, 2015 Let the good times […]
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David Jones’ Locker: Humana and the Perils of Vertical Integration

Market Corner Commentary: July 22, 2015-David Jones’ Locker: Humana and the Perils of Vertical Integration American healthcare is losing the iconic Humana brand.  Aetna has announced it will acquire Humana […]
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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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Uber Up! Customer Interfacing Discovers Healthcare

Market Corner Commentary: July 15, 2015-Uber Up!  Customer Interfacing Discovers Healthcare A version of this commentary first appeared in “Academy 360” on July 9, 2015 More “suits” flock to downtown […]
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Polling for Meaning: Healthcare, Hospitals and Consumer Sentiment

Market Corner Commentary: July 8, 2015-Polling for Meaning: Healthcare, Hospitals and Consumer Sentiment A version of this commentary first appeared in “Academy 360” on June 25th Consumers dislike healthcare but […]
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No One is an Island: Meaningful Second Opinions

Market Corner Commentary: July 1, 2015-No One is an Island: Meaningful Second Opinions A good friend (let’s call him John Donne) in his mid-fifties recently wrote describing his treatment for […]
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Chasing Colonoscopies: It’s the Customer, Stupid!

Market Corner Commentary: June 17, 2015-Chasing Colonoscopies: It’s the Customer, Stupid! Who knew a routine colonoscopy could illuminate the wild world of healthcare consumerism? Before getting to my story, let’s […]
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Deep Web Rising: Healthcare’s Looming Cyber Threat

A version of this commentary first appeared April 30th in “Academy 360”-Deep Web Rising: Healthcare’s Looming Cyber Threat Healthcare is a “target-rich” environment for cyber criminals. Cyber attacks on health […]
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Supreme Court vs. Obamacare II: Decision Time

This article first appeared in Huron Perspectives on June 2, 2015-Supreme Court vs. Obamacare II: Decision Time The “Thrilla in Manila” in 1975 was Mohammad Ali and Joe Frazier’s second […]
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Holy Sheets! Fast-Tracking Delivery Innovation


Holy Sheets! Fast-Tracking Delivery Innovation Hospitals have used cotton linens since the early 1900s.  Crisp, white sheets touch all patients and epitomize healing.  “Hospital corners” describe the proper way to […]
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Exploiting Perverse Incentives: Kentucky Basketball and Prime Healthcare

payer and regulatory policy 
  Hoping to become college basketball’s first undefeated champion in almost forty years, the Kentucky Wildcats captured the nation’s attention as they qualified for this year’s “Final Four” tournament in […]
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When Healthcare is a “Lemon”: Asymmetric Information and Market Failure

When Healthcare is a “Lemon”: Asymmetric Information and Market Failure In 1970 George Akerlof published “The Market for “Lemons”: Quality Uncertainty and the Market Mechanism in The Quarterly Journal of […]
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Supreme Court vs. Obamacare II: High Drama; Not the “Main Event”

The “Thrilla in Manila” in 1975 was Mohammad Ali and Joe Frazier’s second championship fight. In 1967, Ali refused conscription as a conscientious objector. He was convicted of draft evasion, […]
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