Innovation

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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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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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 […]
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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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Welcome Back, Kotter! Leading Health System Change

#Leading Change-Market Corner Commentary: June 24, 2015-Welcome Back, Kotter!  Leading Health System Change A version of this commentary first appeared in “Academy 360” on June 11th In the popular 1970s […]
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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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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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