Consumerism

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 […]
Read More

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 […]
Read More

Man or Corporate Culture: Who Has More Power to Disrupt Healthcare?

We’re at a branch point in healthcare’s evolution. We’ll learn soon whether disruptive innovation is the product of individuals or organizations. When we find out, we’ll know the best path […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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, […]
Read More

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 […]
Listen

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 […]
Read More

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 […]
Read More

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 […]
Listen

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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). […]
Read More

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 […]
Listen

Merle Power! Living Long and Prospering

By Kurt Waltenbaugh and David W. Johnson Merle Phillips is a petite 110-year old 4’9” fireball who keeps doing big things. She’s writing her twelfth book and recently created a […]
Read More

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 […]
Read More

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. […]
Read More

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 […]
Read More

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. […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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, […]
Read More

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 […]
Read More

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 […]
Read More

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% […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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. […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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, […]
Read More

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: […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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. […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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, […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

“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 […]
Read More

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 […]
Read More

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 […]
Read More

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” […]
Read More

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, […]
Read More

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, […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More

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 […]
Read More