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Are We Entering an Era of Hospital Free Agency?


In professional sports, free agents generally speaking are players whose contracts have expired and who are free to sign new contracts with other teams, ideally for better terms.   A few …

Cost and Access Top Quality When Seniors Shop for Care


If you’re a regular reader of my weekly blog posts, you know I’m always looking for signs that patients are becoming informed healthcare consumers and that the pandemic is fueling …

Podcast: 4sight Friday Roundup, Why Are We Still Talking About EHRs and Clinician Burnout?, 4/30/21


Why Are We Still Talking About EHRs and Clinician Burnout? Two new studies say EHRs are still putting the hurt on doctors and nurses. We talked about what we have …

Preventionist Shortage Means Taking Your Health into Your Own Hands


If you want to stay healthy and avoid chronic illnesses or even public health threats like the COVID-19 pandemic, you probably should start figuring out how to do it on …

4sight Friday | Helping COVID Long Haulers | Healthcare Affordability Festers | Platforms, Platforms, Platforms


Read 4/23/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Healthcare’s Escalating Platform Wars


Healthcare’s Escalating Platform Wars Why everyone in healthcare suddenly is building a technology or care delivery platform. On today’s episode of the 4sight Friday Roundup podcast. David Johnson and Julie …

Affordability of Medical Care Stuck on Healthcare’s Back Burner


Hey, I’m healthcare affordability! Remember me? I was a growing problem before the pandemic. I kept at it while the rest of you understandably were coping with COVID-19. When the …

More Questions, Few Answers in MedPAC Report on Private Equity in Healthcare


The Medicare Payment Advisory Commission released the much-anticipated results of its investigation of private equity’s foray into healthcare. If you’re looking for drama, I’d suggest logging on to BritBox. I …

4sight Friday | Racism and Healthcare | Jon Pearce’s Digital Front Door | Patient Search Thyself


Read 4/16/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Racism and Healthcare, 4/16/21


Racism and Healthcare The CDC declared racism a threat to public health. We talked about what that means as we move forward on today’s 4sight Friday Roundup podcast. Here the …

Podcast: 4sight Health RoundUp, Tune In Every Friday


Your best 20 minutes this week, where outcomes matter, customers count and value rules. Hear analysis of the crucial market-based healthcare news and speculation for the week ahead. The customer …

How Healthcare Revolutionaries Think: 10 Questions with Jon Pearce


Welcome to the third installment of 4sight Health’s new monthly interview series, How Healthcare Revolutionaries Think. The interview series features healthcare instigators who believe that outcomes matter, customers count and …

Patient Search Thyself


Yeah, we’ve seen the office signs and coffee mugs. Don’t confuse your Google search with my medical degree. I get it. You’re smart because you went to medical school. We’re …

Podcast: 4sight Friday Roundup, Value-Based Reimbursement Shows Signs of Life, 4/9/21


Value-Based Reimbursement Shows Signs of Life We debated the significance of two new value-based reimbursement agreements on today’s episode of the 4sight Friday Roundup podcast. Here the week’s biggest news …

4sight Friday | More Tales from the Vaccine Front | Checking the Pulse of Value-Based Reimbursement | C-Section Incentives


Read 4/9/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Relief As Appointments Open Up: Stories of the Vax


More first-person stories from the 4sight Health team regarding the COVID-19 vaccine. Into the World Again By Ed Marx Vax Day: Tuesday, January 26, 2021 Location: Texas As news of …

C-Section Connections, Correlations, Causations and Coincidences


Here at 4sight Health, we’re all about the connection between money and results. As we like to say, you’re not going to get the outcomes you want until you change …

4sight Friday | Asset-Light Care Delivery Platforms | Pandemic Problem Solving at CHI Franciscan | What To Do With Rural Hospitals


Read 4/2/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, What To Do With Rural Healthcare, 4/2/21


What To Do With Rural Healthcare Rural hospitals are on the brink and along with them are patients’ access to care. We talked about how to make rural healthcare sustainable …

COVID, Convenience and Consumerism


I’ll say it again. I’ll probably keep saying it because I think I’m right. One of the silver linings from this whole COVID thing will be the boost that it …

Podcast: 4sight Friday Roundup, What’s Up With All the Digital Dealmaking?, 3/26/21


What’s Up With All the Digital Dealmaking? Digital health dealmaking is accelerating. David Johnson and Julie Murchinson talk about the latest moves by Amazon, Doctor on Demand, Grand Rounds, Transcarent, …

4sight Friday | Meet Healthcare Revolutionary Thompson Aderinkomi | The Gospel of Scientific Wellness | From Amazon to Grand Rounds to Ginger


Read 3/26/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

How Healthcare Revolutionaries Think: 10 Questions with Thompson Aderinkomi


Welcome to the second installment of 4sight Health’s new monthly interview series, How Healthcare Revolutionaries Think. The interview series features healthcare instigators who believe that outcomes matter, customers count and …

Pandemic Threats to Patient Safety


ECRI’s latest annual list of the top 10 patient safety concerns got a lot of attention when it was released March 15, and deservedly so as most of the threats …

4sight Friday | Tales from the Vaccine Lines | The Continuing Interoperability Slog | Nursing Homes Seeing Stars


Read 3/19/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Buyer Beware? How About Patient Beware, 3/19/21


Buyer Beware? How About Patient Beware We marked Patient Safety Awareness Week on today’s episode of the 4sight Friday Roundup podcast with our takeaways from some shocking patient safety headlines. …

Catching Up on Hospital Interoperability


I admit it. I completely missed the annual report on hospital interoperability from HHS’ Office of the National Coordinator for Health Information Technology when the ONC released it in January.  …

Podcast: 4sight Friday Roundup, Will the American Rescue Plan Rescue Healthcare?, 3/12/21


Will the American Rescue Plan Rescue Healthcare? There’s a lot of healthcare in the American Rescue Plan. We unpacked it for you in today’s episode of the 4sight Friday Roundup …

4sight Friday | Unpacking The American Rescue Plan | Pandemic Supply Chain Problem Solving


Read 3/12/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Rethinking COVID-19 and Healthcare Consumerism


One of my working theories is that the COVID-19 pandemic has accelerated healthcare consumerism as peoples’ fear of contracting a deadly virus is greater than their fear of navigating the …

Podcast: 4sight Friday Roundup, Vaccine Hesitancy and Delayed Care, 3/5/21


Vaccine Hesitancy and Delayed Care People are scared to take the COVID-19 vaccine yet too scared of the virus to seek medical care. We tried to make sense of it …

4sight Friday | Keeping Healthcare AI On Track | Ed Marx On Handwritten Thank You Notes


Read 3/5/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

What Healthcare AI Adoption and the Old Kiddieland Amusement Park Have in Common


Exactly one year ago, I wrote a column called “How Can Healthcare Avoid Screwing Up AI’s Potential?” A lot of stuff has happened over the past year, to put it mildly. …

Can Competition Save Us from Higher Healthcare Prices?


In properly functioning markets, competition reduces prices and improves the quality of products and services. The dictum applies to healthcare as much as it does any other industry because healthcare …

Podcast: 4sight Friday Roundup, Healthcare’s Incentives and Disincentives to Make Care More Affordable, 2/26/21


Healthcare’s Incentives and Disincentives to Make Care More Affordable Competition? Transparency? Regulation? Reimbursement? We talked about what works and doesn’t work for healthcare customers on today’s episode of the 4sight …

4sight Friday | Not-For-Profit And For-Profit Partnerships | Of Budgets And Reconciliations


Read 2/26/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

The Benefits of Using Technology to Automate Common Healthcare Transactions


I can’t think of another industry that’s more transactional than healthcare. The amount of money spent on revenue cycle management alone here in the U.S. would dwarf the economies of …

Podcast: 4sight Friday Roundup, What’s Your Big Idea to Fix Healthcare?, 2/19/21


What’s Your Big Idea to Fix Healthcare? Dave Johnson and Julie Murchinson critiqued the latest reform brainstorms from three different industry groups on today’s episode of the 4sight Friday Roundup …

4sight Friday | Healthcare Reform Brainstorms | Playing Pandemic Woulda Coulda Shoulda


Read 3/19/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Playing Pandemic Woulda Shoulda Coulda


If you’re an avid sports fan, second guessing is second nature. They should have gone for it on fourth down rather than kick a field goal. They should have walked …

4sight Friday | Female Execs Take The Cheese | Seeking A Rural Healthcare Savior


Read 2/12/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, What’s Behind Healthcare’s Mask Problem?, 2/12/21


What’s Behind Healthcare’s Mask Problem? Not enough masks. Too many masks. Fake masks. Double masking. We tried to make sense of it all on today’s episode of the 4sight Friday …

We Have an Immediate Opening for Someone Who Can Re-Invent Rural Healthcare


I’ve been covering healthcare for nearly 40 years now as a reporter, editor and writer, and there are a handful of story lines that have spanned all four decades. Among …

4sight Friday | Inside the Head of a Revolutionary | Opening the Digital Front Door Wider | The Debut of Dave’s Dispatches


Read 2/5/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Opening Healthcare’s Digital Front Door to Everyone, 2/5/21


Opening Healthcare’s Digital Front Door to Everyone What accessibility lessons did we learn from patients’ use of virtual care during the pandemic? We talked about it on today’s episode of …

How Healthcare Revolutionaries Think: 10 Questions with Gaurov Dayal, M.D.


Welcome to the first installment of 4sight Health’s new monthly interview series, How Healthcare Revolutionaries Think. The interview series features healthcare leaders who believe that outcomes matter, customers count and …

Interoperability Is in The Eye of the Patient Information Blocker


It’s hard to believe we’re still having this conversation, but here we are. Two new reports give conflicting accounts of how willing healthcare providers are to share patient information with …

Podcast: 4sight Friday Roundup, Making Book on Healthcare in 2021, 1/29/21


Making Book on Healthcare in 2021 What’s ahead for healthcare in the public and private sectors this year? We made our bold predictions in today’s episode of the 4sight Friday …

4sight Friday | Taking Bets on Healthcare 2021 | Healthcare Fraud Fight Falters | Adding Up Medicaid Managed Care


Read 1/29/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Want to Stop the Steal? Start with Healthcare Fraud


When I was working as a reporter full time, I made sure I did the following three things every day (in addition to any assignments that came my way from …

4sight Friday | Biden’s Healthcare Dilemma | Unbridled Medicare Advantage Spending | At the Intersection of Food Insecurity and Obesity


Read 1/22/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Rating and Ranking the Biden Administration’s Healthcare Priorities, 1/22/21


Rating and Ranking the Biden Administration’s Healthcare Priorities Conquering COVID and reforming the healthcare system to make it work better for consumers. Can you have one without the other? We …

Medicare Advantage Keeps Biting the Hand that Feeds It


When CMS released its latest national healthcare spending figures last month, they barely caused a ripple in our collective consciousness. The agency’s actuaries said national healthcare expenditures rose 4.6 percent to …

What Do You See in Medicaid Managed-Care Enrollment Figures?


We’re all speculating, predicting and forecasting what the post-pandemic healthcare system in the U.S. will look like in the short term and in the long term. We’re all staring and …

4sight Friday | How Sticky Is Telemedicine? | Ask Patients About Unconscious Bias | The Future of Healthcare SPACs


Read 1/15/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

SPACs and Digital Health Tech Funding


SPACs and Digital Health Tech Funding That’s what we talked about on today’s episode of the 4sight Friday Roundup podcast. What they are, where they’re going and how they affect …

Looking for Unconscious Bias in Healthcare? Just Ask Your Customers


When a business is struggling, one of the first things a smart business will do is ask its customers what’s wrong.  It will take the customers’ concerns to heart and …

How Sticky Is Telemedicine? – Burda on Healthcare


Until I got into content marketing at a previous job, the word “sticky” had a negative connotation. As a child, it meant I got grape jelly on the kitchen table …

4sight Friday | COVID’s Vaccine Hurdles | Sleeping on Patient Safety | The Cain Brothers’ Virtual Healthcare Conference


Read 1/8/2021 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, For Haven’s Sake, 1/8/21


For Haven’s Sake The week of 2021 saw the demise of Haven and the announcement of three multibillion dollar healthcare deals. What do they say about the rest of the …

Wake Up Patient Safety in 2021


I’m on a patient safety rant, and I see no reason to stop now as we dive into 2021.  In a post last month, I argued that making care safer doesn’t …

The 10 Most-Read 4sight Health Articles for 2020


History forever will remember 2020 as the year that the COVID-19 pandemic pushed the U.S. healthcare system to the brink of collapse. Yet, throughout the daily turmoil, forward-looking healthcare disruptors, …

4sight Friday | Improving Vaccine Delivery | Faux Drug Price Reform | More COVID Consumerism


Read 12/18/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Overcoming COVID Vaccine Distribution and Acceptance Challenges, 12/18/20


Overcoming COVID Vaccine Distribution and Acceptance Challenges The COVID-19 vaccines are here. Getting it to people and getting them to take it are another story. We talked about it on …

More on COVID-19 and Healthcare Consumerism


Something is awakening in patients that access, cost and quality challenges couldn’t but the threat of a deadly virus with uncontrolled community spread could. That something is healthcare consumerism. We …

4sight Friday | Biden, HHS And COVID | SDOH Proof Case | Doctors And Barbers


Read 12/11/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Biden Moves Forward with HHS, COVID Plans, 12/11/20


Biden Moves Forward with HHS, COVID Plans What should we expect from Biden’s nominee for HHS secretary and the President-Elect’s 100-day plan to get control of the coronavirus pandemic? We …

Why Losing Your Doctor is A lot Like Losing Your Barber


After I first moved to the town that I live in now from the town that I grew up in, I still went to my old barber. It was a …

4sight Friday | The Future of Clinical Trials | Mental Health Market Reforms


Read 12/4/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, A Little Less Stark, A Lot More Hospital-At-Home, 12/4/20


A Little Less Stark, A Lot More Hospital-At-Home How will the latest round of regulatory relief for hospital benefit patients? We talked about it on today’s 4sight Friday Roundup podcast …

The Market Response to the Building COVID-19 Mental Health Crisis – Burda on Healthcare


So far, my immediate family and I have dodged the coronavirus. With a wife who is a nurse, a daughter who works in public health, a son with a bachelors …

Patient Safety Made Simple


Some ideas are so simple yet so brilliant that your reaction is “why didn’t I think of that!” When my dad experienced such a moment, he would say, “That’s a …

Why We Still Need to Keep Drug Companies on a Short Leash


Drug companies may end up saving us from the pandemic, but that doesn’t mean we can take our eyes of them for a second.  A new research letter in the …

4sight Friday | Slow Transition, No Problem | Encouraging COVID Vaccine Use | | Corona Virus Consumerism


Read 11/20/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Pills and Nose Swabs Right to Your Door, 11/20/20


Pills and Nose Swabs Right to Your Door Amazon’s going big on retail pharmacy and the FDA approved a home COVID test. We talked about what they mean for healthcare …

Why We Need Patient Education to Unleash Healthcare Consumerism


One of my favorite expressions on social media is “today years old.” Posters use it to tell their followers in a self-effacing way they just learned something most everyone knows …

4sight Friday | Interoperability and Transparency | 32 Ways to Fix Healthcare | Of Vaccines and Viruses


Read 11/13/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Vaccines, Task Forces and Surges, 11/13/20


Vaccines, Task Forces and Surges The U.S. is awash in COVID. Will vaccines and task forces turn the tide in time? We talked about it on today’s episode of the …

32 Ways to Fix Healthcare If You Stop and Take the Time – Burda on Healthcare


As our 24-hour news cycle has shrunk to 24 minutes and, in some cases, 24 seconds, over the past four years, we’re all missing, forgetting or glazing over important news …

Erasing the Hospital Community Benefit Fudge Factor


Years ago, when life was simpler, I did my own taxes. So did a good friend of mine. During tax season, we would compare notes on any changes in the …

Podcast: 4sight Friday Roundup, Prospects for Post-Election Healthcare Reform, 11/06/20


Prospects for Post-Election Healthcare Reform We talked about all the possible combinations of election results and each scenario’s impact on healthcare reform in the year ahead. David Burda interviews David …

4sight Friday | Post-Election Healthcare | Disrupting Healthcare | Crowdfunding Medical Care


Read 11/06/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Confirming Suspicions About Why Patients Are Crowdfunding Healthcare


In a recent commentary, David Johnson, founder and CEO of 4sight Health, pointed his finger at medical campaigns on the GoFundMe website as a sign of the growing unaffordability of medical …

4sight Friday | The ACA Will Be Fine | Payers and Profits | Medicaid’s Future


Read 10/30/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Checking Medicaid’s Pulse, 10/30/20


Checking Medicaid’s Pulse Where are Medicaid enrollment, expansion and innovation headed because of COVID and after the election? We talked about it on today’s episode of the 4sight Friday Roundup …

Why COVID’s a Win-Win-Win for Health Insurers


Every once in a while something comes along that reaffirms your belief that healthcare is an industry like any other industry and that healthcare reacts the same way to economic …

4sight Friday | Ed Marx on Nixon | Mining Massive Healthcare Data Sets | Health Insurance Consolidation


Read 10/23/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, What’s Next for Health Systems?, 10/23/20


What’s Next for Health Systems? It’s been an interesting year for the executives who run the nation’s health systems. How do they see the rest of this year and 2021 …

It’s Your Move: Health Insurers Counter Provider Consolidation


Hospitals, health systems, medical practices and other providers catch a lot of grief—and rightly so—for merger after merger and acquisition after acquisition that have done virtually nothing for patients other …

Podcast: 4sight Friday Roundup, Medicare Advantage Market Dynamics, 10/16/20


Medicare Advantage Market Dynamics Margins. Expansion. New market entrants. Enrollment. Benefits. Star ratings. The Medicare Advantage market is anything but static. We took a close look at what’s happening and …

4sight Friday | Go Fund My Healthcare | Medicare Advantage Market Trends | Where to Get Healthy and Stay Healthy


Read 10/16/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

What’s Your State of Health?


As I watch COVID-19 cases ebb and flow around the country over the past eight months, I wonder if any place consistently is safer than another. After repeatedly watching this …

4sight Friday | Gun Violence and Public Health | Post-COVID Hospital CEO Turnover | Handicapping the Med Tech Race


Read 10/9/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, It’s Market Versus Medicine in Med Tech Race, 10/9/20


It’s Market Versus Medicine in Med Tech Race Venture capital funding of digital health technology is through the roof, but are the new tools what patients need and what doctors …

What’s the Story on COVID and the Tenure of Hospital CEOs?


The only reason I’m writing this blog post is so I can refer to it and link to it a year from now. The lead of next year’s post will …

4sight Friday | The Future of Hospitals | Healthcare’s House Flippers | Odds on the ACA


Read 10/2/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, What’s the Line on the ACA?, 10/2/20


What’s the Line on the ACA? A new Supreme Court justice? The same president? A new president? All will have a hand in the fate of the Affordable Care Act. …

Healthcare’s House Flippers – Burda on Healthcare


If you come over, there’s a decent chance that HGTV will be on. The home-improvement channel is our default TV station. It runs in the background like a radio as …

COVID-19 Fans Flames of Consumerism in Patients


I watched an interview online yesterday with the director of emergency services at a health system in North Carolina. The interviewer asked her about how her health system coped with …

COVID-19 Fans Flames of Consumerism in Patients

Podcast: 4sight Friday Roundup, Home Is Where the Hospital Is, 09/25/20


Home Is Where the Hospital Is On today’s episode of the 4sight Friday Roundup Podcast, we talk about how the COVID-19 pandemic is expanding the definition of home care. Listen. …

Home Is Where the Hospital Is

4sight Friday | Avoiding Health IT Extinction | Patient Volume by Design | Redefining Home Health Care


Read 09/25/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Looking for the Right Prescription to Regulate State Drug Markets


Of all the sectors of the healthcare industry, the one I know the least about is the pharmaceutical sector. Journalists have made careers out of covering drug companies or even …

Looking for the Right Prescription to Regulate State Drug Markets

Podcast: 4sight Friday Roundup, The Uninsured: Where We Go From Here, 09/18/20


The Uninsured: Where We Go From Here We talked about the new uninsured and unemployed numbers and what they mean for universal coverage on today’s episode of the 4sight Friday …

The Uninsured: Where We Go From Here

4sight Friday | Health Is Where You Live | What Now My Uninsured | Taking Accountability for Patient Safety


Read 09/18/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Putting the Patient in Patient Safety


Outcomes still matter. They really do. Amidst all the talk about making care more accessible and convenient and making care more affordable and valuable, making care safer often gets lost …

Putting the Patient in Patient Safety

Podcast: 4sight Friday Roundup, Pondering the Prospects of a COVID Vaccine, 09/11/20


Pondering the Prospects of a COVID Vaccine Will it be before Nov. 3 or after Nov. 3? Will it be safe? Will people take it? We talked about it on …

Pondering the Prospects of a COVID Vaccine

4sight Friday | Let’s End FFS Now | The COVID-19 Bump | Fixating on a Vaccine


Read 09/11/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

COVID-19 Magnifies Consumers’ Love-Hate Relationship with Healthcare


We’re going to turn this week’s blog post over to consumers, who are going to tell you what they think about the healthcare system via two new opinion polls from …

COVID-19 Magnifies Consumers’ Love-Hate Relationship with Healthcare

4sight Friday | Healthcare Data Aggregation at Scale | Telling For-Profit and Not-For-Profit Hospitals Apart | Paying for Clinical Decision Support


Read 09/04/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, How You Can Tell For-Profit and Not-For-Profit Hospitals Apart, 09/04/20


How You Can Tell For-Profit and Not-For-Profit Hospitals Apart We talked about the differences and similarities between hospitals and systems with different ownership structures on today’s episode of our 4sight …

How You Can Tell For-Profit and Not-For-Profit Hospitals Apart

If Outcomes Matter, Then Start Paying Doctors to Use Clinical Decision Support Tools


No one likes to be told what to do. If there was a club for people who don’t like to be told what to do, I would be a member. …

If Outcomes Matter, Then Start Paying Doctors to Use Clinical Decision Support Tools

4sight Friday | Is Healthcare Self-Aware? | An Easy Fix for Healthcare | Our Public Health Infrastructure


Read 08/28/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Reassessing Our Public Health Infrastructure, 08/28/2020


Reassessing Our Public Health Infrastructure How well do you think the public health system in the U.S. held up during the pandemic? We tell you what we think in today’s …

Reassessing Our Public Health Infrastructure

Fixing Healthcare Would Be Easy If It Wasn’t So Hard


Fixing healthcare is very easy and extremely difficult at the same time. That dichotomy is what gives the status quo staying power. A few things that came out over the …

Fixing Healthcare Would Be Easy If It Wasn’t So Hard

4sight Friday | Healthcare’s Gray Rhinos | Regulating Chatbots | PPE Shortages Redux?


Read 08/21/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, PPE and the Healthcare Supply Chain, 08/21/2020


PPE and the Healthcare Supply Chain Did we learn our lesson or are we going to make the same mistakes again? Listen to this week’s 4sight Friday Roundup podcast to …

Should We Regulate Healthcare Chatbots?


Don’t bury the lede.  That journalism rule of thumb also applies in healthcare when you see your doctor. If you tell your doctor your throat hurts, you have a headache …

Should We Regulate Healthcare Chatbots?

4sight Friday | The Election and Healthcare | Physicians vs. Pharmacists | Failures of Integration


Read 08/14/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Healthcare’s Future After the Election, 08/14/2020


Healthcare’s Future After the Election What does a Biden win mean for healthcare? What does a Trump win mean for healthcare? We talked about it on this week’s 4sight Friday …

Healthcare's Future After the Election

Primary-Care Physicians versus The World (Mostly Pharmacists, Really)


Everyone loves primary care. Everyone hates primary-care physicians. Well, maybe not everyone, but certainly the healthcare market and healthcare consumerism. We’ll talk about the major takeaways from the big primary …

Primary-Care Physicians versus The World (Mostly Pharmacists, Really)

Bigger Isn’t Necessarily Better for Patient Care When It Comes to Health Systems


I think we all can agree now that provider integration doesn’t lower healthcare prices. When hospitals buy or merge with other hospitals, when medical practices buy or merge with other …

Bigger Isn’t Necessarily Better for Patient Care When It Comes to Health Systems

4sight Friday | The Fate of Telemedicine | COVID-19 and Self Control | The Manager-Doctor


Read 08/07/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Is Telemedicine Headed Left or Right?, 08/07/2020


Is Telemedicine Headed Left or Right? Listen to this week’s 4sight Friday Roundup podcast for what we think this week’s big news means for the future of telemedicine. David Burda …

Is Telemedicine Headed Left or Right?

Let Doctors Be Doctors If You Want Them to Be Good Managers


I know lots of doctors having covered healthcare now for nearly 40 years. One thing’s always puzzled me. Why would a doctor not want to be a doctor anymore and …

Let Doctors Be Doctors If You Want Them to Be Good Managers

4sight Friday | Chatbot Lockjaw | Dems Healthcare | Bailing Out or Propping Up?


Read 07/31/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Is There a Better Way to Bailout Providers?, 07/31/2020


Is There a Better Way to Bailout Providers? Listen to this week’s 4sight Friday Roundup podcast for our thoughts on continuing COVID-19 financial relief for hospitals and health systems. David …

Is There a Better Way to Bailout Providers?

Does Your Chatbot Have Lockjaw?


A few Sundays ago, I needed a tetanus shot. I sliced my finger open with a single-edge razor blade that I was using to scrap old wood glue off a …

Does Your Chatbot Have Lockjaw?

4sight Friday | Reopening the Right Way | Beyond Pandemic Preparedness | Make Low-Value Care Hurt


Read 07/24/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Reopening and Recovering the Right Way, 07/24/2020


Reopening and Recovering the Right Way Listen to this week’s 4sight Friday Roundup podcast for our take on how hospitals, health systems and medical practices should be reopening to recover …

Follow the Digital Health Money

Digging Deep (Into Your Own Pockets) to Root Out Low-Value Care


I’ve been to Oregon, and it’s beautiful. But I had no idea the state had a real problem with low-value care. I’m glad I didn’t get sick when I visited …

Podcast: 4sight Friday Roundup, Follow the Digital Health Money, 07/17/2020


Follow the Digital Health Money Listen to this week’s 4sight Friday Roundup podcast for our take on what venture capital funding of digital health technology companies says about what the …

Podcast: 4sight Friday Roundup, Follow the Digital Health Money, 07/17/2020

4sight Friday | Connected Business-Clinical Platforms | Social Injustice and Chronic Disease | Following the Digital Health Money


Read 07/17/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Market Lays Odds on COVID-Inspired Digital Health Tech


This is why I don’t gamble.  Well, more accurately, this is why I shouldn’t gamble.  In the April 10 edition of our weekly newsletter 4sight Friday, which you could read …

Market Lays Odds on COVID-Inspired Digital Health Tech

4sight Friday | Home Is Where the Care Is | Physician Supply and Demand | Vertical Integration and Your Future


Read 07/10/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Walgreens, Walmart and Vertical Integration, 07/10/2020


Walgreens, Walmart and Vertical Integration Listen to this week’s 4sight Friday Roundup podcast for our take on who wins and who loses from the latest round of vertical integration in …

Walgreens, Walmart and Vertical Integration

The Demand for Market-Driven Innovations in Medical Care Is All in the Numbers


One of the bellwethers I follow to see what direction healthcare is headed is the annual physician supply and demand reports from the Association of American Medical Colleges. If the …

The Demand for Market-Driven Innovations in Medical Care Is All in the Numbers

4sight Friday | The Folly of Furloughs | COVID-19 and the Economy | Contact Trace or Die


Read 07/03/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, COVID-19 and the U.S. Economy, 07/03/2020


COVID-19 and the U.S. Economy Listen to this week’s 4sight Friday Roundup podcast for our thoughts on why the future of the economy depends on our COVID-19 response moving forward. …

How to Reduce Your Operating Costs When There’s No One Left to Furlough


I’m not independently wealthy, and as a journalist for nearly 40 years now, there have been times in my adult life when our family has lived check to check. Yet, …

How to Reduce Your Operating Costs When There’s No One Left to Furlough

4sight Friday | Taking Revenue Management Up a Notch | Rooting Out Low-Value Care | No Care? No Problem


Read 06/26/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, The Patients Are Alright, 06/26/2020


The Patients Are Alright Listen to this week’s 4sight Friday Roundup podcast for our thoughts on why many patients who are skipping care because of the COVID-19 outbreak are doing …

The Patients Are Alright

Now Is the Time to Nip Low-Value Care in the Bud


The coronavirus pandemic exposed flaws in the U.S. health system that we knew existed but weren’t in a rush to do anything about because everyone (other than patients) was profiting …

Now Is the Time to Nip Low-Value Care in the Bud

4sight Friday | COVID-Induced Consolidation Concerns | The Coronavirus and Healthcare Affordability | Fixing Healthcare’s Weak Links


Read 06/19/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, COVID-19 and Healthcare Affordability, 06/19/2020


COVID-19 and Healthcare Affordability Listen to this week’s 4sight Friday Roundup podcast for our predictions on how the outbreak will affect the affordability of medical care now and in the …

COVID-19 and Healthcare Affordability

Countering the Negative Consequences of COVID-Induced Healthcare Consolidation


The COVID-19 outbreak in the U.S. is leaving a lot of financially struggling hospitals and medical practices in its wake. Experts predict that to recover—or perhaps as an opportunity to …

Countering the Negative Consequences of COVID-Induced Healthcare Consolidation

4sight Friday | Social Determinants and COVID-19 | Market-Driven Coronavirus Innovations | The Pandemic and Your Revenue Cycle


Read 06/12/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, Predicting COVID-19’s Toll on Your Revenue Cycle, 06/12/2020


Predicting COVID-19’s Toll on Your Revenue Cycle Listen to this week’s 4sight Friday Roundup podcast for our thoughts on how the pandemic will affect your net revenue and revenue cycle …

Predicting COVID-19's Toll on Your Revenue Cycle

Consumers Counting on Private Sector to Produce Post-COVID Healthcare Market Innovations


Consumers want the private sector, not the federal government, to lead them out of this mess we call the U.S. healthcare system, which got a lot messier because of the …

Consumers Counting on Private Sector to Produce Post-COVID Healthcare Market Innovations

4sight Friday | COVID-19-Style Healthcare Consumerism | Coronavirus BFFs | Wealth Inequality and the Pandemic


Read 06/05/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, 06/05/2020


How Will Providers Get Their Patients Back? Listen to this week’s 4sight Friday Roundup podcast for our thoughts on how payers and providers will respond to the new healthcare consumerism. …

How Will Providers Get Their Patients Back?

Patients Shouldn’t Expect Their Local Merging Not-For-Profit Hospitals to be More Charitable


For an old healthcare legal reporter, writing about antitrust and community benefits in the same blog post is about as good as it gets. The only thing missing is a …

Patients Shouldn’t Expect Their Local Merging Not-For-Profit Hospitals to be More Charitable

COVID-19 Put the C Back in Healthcare Consumerism (that’s the uppercase C in Consumerism, not the lowercase c in Healthcare)


Restaurants across the country laid off workers, limited menus and closed because COVID-19 took away their customers. Hospitals and medical practices across the country furloughed workers, limited services and closed …

COVID-19 Put the C Back in Healthcare Consumerism (that’s the uppercase C in Consumerism, not the lowercase c in Healthcare)

4sight Friday | The Need for Extreme Interoperability | Reversing Healthcare’s Wealth Transfer | COVID-19 and Workplace Wellness


Read 05/29/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, 05/29/2020


Will Behavioral Health Keep Up With COVID-19-Induced Demand? Listen to this week’s 4sight Friday Roundup podcast for our take on how the market for behavioral health services will change because …

Will Behavioral Health Keep Up With COVID-19-Induced Demand?

Workplace Wellness Programs and the Coronavirus Pandemic


If you think starting a workplace wellness program would be a good way to help your company recover from the COVID-19 outbreak, I’ve got a coronavirus vaccine I’d like to …

Workplace Wellness Programs and the Coronavirus Pandemic

4sight Friday | Grading Drug Companies’ Pandemic Response | Surviving COVID-19 Margin Pressures | An ACO Coincidence


Read 05/22/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, 05/22/2020


Big Pharma on COVID-19’s Center Stage David Burda interviews David Johnson and Gary Bisbee about the week’s biggest news around market-based change.  David Johnson is CEO of 4sight Health. Gary …

A Fortunate ACO Coincidence


As a skeptical journalist and amateur psychologist, I don’t believe much in coincidences. Things happen for a reason. Two new and separate studies of accountable care organizations illustrate the point. …

A Fortunate ACO Coincidence

4sight Friday | Health System COVID-19 Recovery | Outbreak Remakes Retail Pharmacies | Pandemic Medication Adherence


Read 05/15/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, 05/15/2020


COVID-19 Remaking Retail Pharmacies David Burda interviews David Johnson and Gary Bisbee about the week’s biggest news around market-based change.  David Johnson is CEO of 4sight Health. Gary Bisbee is …

Why Patients Are Not Getting Their Money’s Worth on Quality Measures


When business management guru Peter Drucker uttered his famous adage, “If you can’t measure it, you can’t improve it,” he probably wasn’t thinking about the patient experience in healthcare.  But …

Why Patients Are Not Getting Their Money’s Worth on Quality Measures, 4sight Health

Pandemics and Your Medication Adherence


If you suffer from asthma or chronic obstructive pulmonary disease, better known as COPD, why would you not take your medication as prescribed? You take it, you can breathe, you …

Pandemics and Your Medication Adherence, COVID-19, Consumerism, Economics, Outcomes, Healthcare, Health

4sight Friday | COVID-19 Forces Digital Transformation | Outbreak Knocks Down More Regs | Why We Need a Federal HIE


Read 05/08/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, 05/08/2020


More Healthcare Regs Fall to COVID-19 David Burda interviews David Johnson and Gary Bisbee about the week’s biggest news around market-based change.  David Johnson is CEO of 4sight Health. Gary …

Heed the FTC’s Warnings on Your Use of Healthcare AI


I’m not sure how many times data scientists and marcom people are in the same room at a hospital, health system or medical practice. But if you’re looking for a …

Podcast: 4sight Friday Roundup, 05/01/2020


Which Way Will COVID-19 Move the Needle on Healthcare Spending and the Uninsured? David Burda interviews David Johnson and Gary Bisbee about the week’s biggest news around market-based change.  David …

4sight Friday | What COVID-19 Is Doing to Medical Practices | Coronavirus and Healthcare Spending | Healthcare’s COVID-19 Echo Chamber


Read 05/01/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Healthcare’s COVID-19 Echo Chamber


What consumers think of the healthcare system in the U.S. and what the system thinks of itself are two very different things. The COVID-19 outbreak has exposed just how deep …

How COVID-19 Is Accelerating the Death and Rebirth of Medical Practices


The COVID-19 outbreak in the U.S. has turned everyone’s world upside down. In healthcare, no one has had their world turned upside down more than doctors and their medical practices. …

Podcast: 4sight Friday Roundup, 04/24/2020


David Burda interviews David Johnson and Gary Bisbee about the week’s biggest news around market-based change. David Johnson is CEO of 4sight Health. Gary Bisbee is Co-Founder and Executive Chairman …

4sight Friday | Don’t Be Woodrow Wilson | Predictive Analytics Combat COVID-19 | How Sick Will Medical Practices Get?


Read 04/24/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Consumers Tell the Health System What They Think of Its COVID-19 Response


You know what I think about health system’s response to the COVID-19 outbreak in the U.S., and you know what our 4sight Health contributors think about it. But what do …

4sight Friday | Playing Defense Against COVID-19 | About That Accreditation Survey | Lasting Coronavirus Lessons


Read 04/17/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Podcast: 4sight Friday Roundup, 04/17/2020


David Burda interviews David Johnson and Gary Bisbee about the week’s biggest news around market-based change.  David Johnson is CEO of 4sight Health. Gary Bisbee is Co-Founder and Executive Chairman …

Oh, hey. About that Accreditation Survey


Hospitals, health systems, medical practices, health plans, licensed clinicians and virtually every type of healthcare setting imaginable not only have to comply with countless state and federal regulations, they also …

Podcast: 4sight Friday Roundup, 04/10/2020


David Burda interviews David Johnson and Gary Bisbee about the week’s biggest news around market-based change.  David Johnson is CEO of 4sight Health. Gary Bisbee is Co-Founder and Executive Chairman …

4sight Friday | Reconfigure Routine Care Now | The FDA and COVID-19 | A Digital Health Distraction


Read 04/10/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the …

A Digital Health Distraction


We’re going to take a short mental break this week from COVID-19 and write about something else. We’re going to talk about Accenture’s latest survey of consumers on their digital …

4sight Friday | COVID-19 Kills Healthcare Regulations | Tone Deaf GPOs | The Post Coronavirus Health System


Read 04/03/2020 here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …

Tone-Deaf GPOs Brag About Savings While Healthcare Workers Scramble for Supplies


Sometimes, it’s better just not to say anything.   If you know anything about the COVID-19 outbreak in the U.S., you know that the healthcare supply chain here has been a …

4sight Friday: Weekly News Impacting Market-Based Change, Curated by Dave Burda


4sight Friday is a weekly email newsletter of opinions, insights and news we see impacting market-based change – either negatively or positively. A complementary podcast, 4sight Friday Round Up, launched …

How the COVID-19 Pandemic Is Dulling the Point of All Those Healthcare Regulations


So, it took a deadly pandemic to expose how utterly useless most healthcare regulations are in ensuring that patients get the best possible care at the lowest possible cost when …

4sight Friday | Pandemic Prep 101 | Healthcare CFOs Go Viral | Chatting Up COVID-19


Read 03/27/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the …

COVID-19 Will Test the Ability of Healthcare CFOs to Manage Financial Risk


Chief financial officers around the world are scrambling to figure out how to manage the short-term economic impact and the long-term economic effects of the COVID-19 outbreak on their companies …

4sight Friday | Life With COVID-19 | Hospitals at the Margins | Coronavirus Competency


Read 03/20/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the …

Hospitals at the Margins


Almost every hospital or health system that I’ve covered over the past 37 years as a healthcare business reporter claims to be failing financially or on the brink of financial …

The Sorry State of Hospital Interoperability


Likely overshadowed by anticipation of HHS’ final information-blocking rules, which came out earlier this week, HHS’ latest annual report on hospital interoperability didn’t get much attention. But, if you read the …

Digital Health Divergence


What providers want digital health tools to do, and what patients want digital health tools to do are two different things, apparently. If that’s true, we’re no nearer to creating …

How Can Healthcare Avoid Screwing Up AI’s Potential?


“Just what do you think you’re doing, Dave? Dave, I really think I’m entitled to an answer to that question.”—HAL 9000 in 2001: A Space Odyssey I get that a …

How Fee-for-Service Makes Doctors Choose Poorly


It’s not complicated. If you want doctors to stop performing or ordering low-value procedures and tests, stop paying for them.  The reminder that providers respond to financial incentives as much …

Which Way Will the Private Equity Pendulum Swing for Patients?


Before your physician asks you at your next office visit what brought you in today, you may want to ask them who owns their practice. Their answer may at least …

Not on the Same Page


Well, maybe I jumped the gun and gave the healthcare industry too much credit for finally recognizing that its future depends on redefining patients as customers and making them their …

Fun with Fraud Numbers


I’ve watched enough crime movies and TV shows to know that the law enforcement character who talks tough usually isn’t and, more often than not, is in on the crime, …

4sight Friday: The Outlook of Outlooks | Death by Merger | Fixing Medicare Advantage


  Read 01/31/2020 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Death by a Thousand Mergers


When the Centene Corp. completed its $17.3 billion acquisition of WellCare Health Plans late last week, it created a health insurer that now operates in all 50 states with a total …

What’s Going to Happen in Healthcare in 2020—or Not: A Meta Review of Industry Outlooks


Maybe it’s because it’s a new decade. Maybe it’s because the year 2020 makes for easy vision analogies. Maybe it’s because CMS projects national health expenditures to break the $4 …

4sight Friday: Are Hospitals Listening to Patients? | Why Medicare for All Won’t Work | Veiled Threat from an EHR Vendor


  Read 01/24/2020 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

A Sign That Health System Leaders Are Starting to Take Their Customers Seriously


As a highly skeptical healthcare business journalist, I tune my radar to look for dark clouds rather than silver linings. But, every once in a while, an unexpected blip appears …

4sight Friday: Medicare Advantage Growing Pains | Injecting Healthcare Markets With Competition | Google Wants Your Patient Data


  Read 01/17/2020 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

7 Ways States Can Save Consumers from Rising Healthcare Prices


Competition, regulation or both? Those are the choices facing states that want to make healthcare more affordable for their residents after years of unbridled prices hikes from providers and premium …

Growing Pains or Warning Signs for Medicare Advantage?


The Medicare Advantage program turned 21 this month. Like all 21-year-olds with new-found freedoms and responsibilities, whether it makes 31 in the same shape will depend on how well it …

4sight Friday: 4 Ways to Relieve Margin Pressure | Digital Health Betting Favorites | Have We Reached Poll Tax Status?


  Read 01/10/2020 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

What Digital Health Technologies Investors Are Betting On


As a business journalist, I hang out at the corner of “follow the money” and “actions speak louder than words.” It’s the same place I go when I want to …

4sight Friday: Clinical Decision Support Lacking | Quality of Care at Acquired Hospitals | Private Equity and New Cancer Drugs


  Read 01/03/2020 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Interest in Clinical Decision Support Lacking


If you spend your Saturday afternoons watching home remodeling shows or cooking shows, you realize that having the right tools for the job makes all the difference. What you struggle …

4sight Friday: What Revolutionary Healthcare Leaders Read in 2019 | Healthcare Price Transparency Now and Forever


  Read 12/20/2019 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with …

What Revolutionary Healthcare Leaders Read This Year: The Top 5 Commentaries on 4sightHealth.com for 2019


Here at 4sight Health, we like to call it like it is. We see and throw a flag on the things that prevent the healthcare system in the U.S. from …

4sight Friday: Assigning a Value to Diagnostic Tests | Drug Contract Commercialization Organizations | Healthcare Affordability in 2020


Read 12/13/2019 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the …

Will 2020 Be the Year that Healthcare Gets More Affordable?


As 2019 draws to a close, the evidence continues to mount that healthcare affordability again will be the No. 1 challenge facing patients in 2020. What incumbent industry stakeholders, lawmakers, …

AHRQ Data Reveals Health System Search for Winning Formula


Pictures don’t lie. Neither do numbers. And these numbers paint of picture of U.S. hospitals and health systems remaking themselves in response to new economic forces challenging their long-term viability. …

Has Healthcare Lost Its Appetite for Value?


I get the feeling that the industry is moving on from this whole volume-to-value thing and will need to find a new analogy to replace that foot-in-two-canoes business that everyone …

healthcare, value-based care

4sight Friday (on Tuesday): Converting Aging Senior Living Properties | Patient Engagement Wake-Up Call | Thoughts on For-Profit Healthcare


Read 11/27/2019 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the …

Trying to Wake Up Patient Engagement


Your patient engagement strategy would have worked, too, if it wasn’t for those darn patients. That’s the sentiment from a new survey of 70 CIOs, executives and directors at 65 …

Patients Need More Muscle to Crush Drug Prices


Everyone complains about high drug prices. That is, when they’re not complaining about high hospital prices. So what are you going to do about it? Or, better yet, what can …

drug prices, patients, hospitals, drugs, healthcare

4sight Friday: Reimagining Healthcare Real Estate | The Disconnected Patient | Handwringing Over Ascension


  Read 11/15/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Embracing the Digitally Disconnected Patient


All the shrugs, shock and handwringing this week over the Google-Ascension patient data-sharing deal got me wondering about what patients thought of all this. So I scrolled through a bunch …

How Much Will It Take To Improve Patient Safety?


One of the best lines in Jaws comes from Brody after he sees the 25-foot great white shark for the first time. He slowly backs into the cabin, looks at …

4sight Friday: Regulating Antibiotic Stewardship | A New Kind of Strategic Partnership | The Risk of Care Anywhere


Read 11/01/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, all …

The Rush to Move Patient Care Out of the Hospital


Everyone wants patients out of the hospital, where the costliest of costly care takes place.  Government payers. Commercial health plans. Patients. Doctors. Even hospitals want patients out of the hospital. …

Will Misuse of Antibiotics Respond to Regulation?


I got my flu shot on Oct. 21. (I’ll let you know how it worked out.) As I waited for my turn at our nearby immediate-care center, I explained to …

4sight Friday: Rethinking Academic Medicine | OBCs: More Marketing Than Market? | Podcast: Getting Urgent About Urgent Care


  Read 10/25/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Finding the Value for Healthcare Consumers in Outcomes-Based Contracting


When you buy something and it doesn’t work, you take it back to the store (or more likely send it back to Amazon via your local Kohl’s) for a refund. …

4sight Friday: The Regs That Rankle Doctors | Innovating Autism Care | Have Amazon Will Travel


  Read 10/18/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Ranking the Regulations that Bother Doctors


I love healthcare industry regulatory burden surveys. From an academic standpoint, I’m interested in the topic of competition versus regulation and how each affects how healthcare markets function—or not—for patients. …

What Revolutionary Healthcare Leaders Are Reading: The Top 5 4sight Health Commentaries Over the Past Six Months


4sight Health’s writers and authors have published 57 blog posts, commentaries, podcasts and videos on 4sighthealth.com from January through June of this year. The topics are as varied as the …

4sight Friday: Patients Demand Their Data | When Prescription Drugs Are Free | Pinpointing Healthcare Waste


  Read 10/11/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Maybe It’s the Patients, Not the Prices. Is that Stupid?


In most markets for most goods and services, you get what you pay for. The more you pay, the better the goods or the services. Hence, the expression, you get …

4sight Friday: What Employers Think of Healthcare | The Staying Power of FFS | A Health System By Any Other Name


  Read 10/04/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Seeing Through Physician Participation in Value-Based Reimbursement Models


The more things change, the more they stay the same.  I get the point of the expression. But, I didn’t fully appreciate how it applied to healthcare until I read …

If You Scroll Down, You’ll Find Out What Employers Really Think About Healthcare


With open enrollment about a month away at most businesses that offer health insurance benefits to their  workers, it’s time to look at what employers are doing and not doing …

4sight Friday: By Any Quality Measure | Healthcare Upselling | Affordability Takes Another Hit


  Read 09/27/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Has Room for Improvement


So, how’s it going? Do you think your hospital or health system or medical practice or health plan or pharmacy or life sciences company or post-acute care facility is providing …

Upselling in Healthcare? It’s Just Business


As wary consumers, we’ve come to expect upselling. Need an oil change? Looks like you need a new air filter and radiator flush, too. That sports coat looks fantastic on …

4sight Friday: Platforming Healthcare | Healthcare Blocking and Tackling | Why Patients Need Protection


  Read 09/20/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Healthcare Blocking and Tackling


Football season is upon us, and you’ll be hearing coaches at every level—high school, college and pro—talking about “getting back to basics” or “stressing the fundamentals” or “blocking and tackling.” …

4sight Friday: Behind the Customer Revolution in Healthcare | Do Patients Trust Their Doctors? | Prices Up, Insured Americans Down


  Read 09/13/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Do You Trust Your Doctor?


When people my age were kids, there was a good chance that their parents wanted them to be doctors. Some wanted their children to be lawyers. I don’t recall anyone …

4sight Friday: The Customer Revolution in Healthcare | Skill Mix and Medical Practice Productivity | Is Walmart Coming for You?


  Read 09/06/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Why Fee-for-Service Medicine is Bad for Your Health


The later in the day that you see your doctor you’re more likely to get the flu, get colon cancer and get hooked on prescription pain killers. OK, that’s a …

Higher Practice Skill Mix May Not Be What the Doctor Ordered


“Practicing at the top of your license” and “upskilling your workforce”are two popular healthcare buzz phrases right now. As account-hungry consultants breathlessly will tell you, when medical professionals spend their …

4sight Friday: Paying Doctors Less | Disconnecting Social and Healthcare Spending | Colonoscopy Commoditization


  Read 08/23/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Spend More. Pay More?


Everyone in healthcare is “all in” on a lot of things these days, and two things that are at or near the top of that list are social determinants of …

4sight Friday: Healthcare Partnerships Get Creative | Time to Adapt or Die | Where Patients’ DNA Goes


  Read 08/16/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

4sight Friday: Convenient Care Concerns | Healthcare’s Future Rulers | Staged Drug Market Competition


  Read 08/09/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Inconvenient Competition


When better customer service is a competitive threat, it really is time to rethink your business model.  That was my first thought when I read the results of a survey …

Who Will Rule Healthcare in 2030?


What will healthcare be like 10 years from now? Not a lot of healthcare executives toiling in our system have the luxury to think about that as they deal with …

4sight Friday: Rethinking Patient Safety Solutions | Coverage Cost Casualties | Smart End-of-Life Decisions


  Read 08/02/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

The Rising Cost of Family Coverage Is No Joke


You might have heard about this on the news. A new study is out that says employer-sponsored health insurance is getting really expensive.  (How expensive is it?) Hmm. May your …

Desperately Seeking Market-Based Patient Safety Solutions – Burda on Healthcare


This Nov. 29 will mark the 20th anniversary of the release of the report, To Err Is Human: Building a Safer Health System, the seminal work by the Institute of …

4sight Friday: Searching for ACO Outcomes | Liberating Medical Data | Delicious Medicare Benefits


  Read 07/26/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

There’s No O (outcomes) in ACO


Medicare accountable care organizations say they’re doing a lot to manage and coordinate the care of sick beneficiaries. But a new study says the ACOs don’t have much to show …

4sight Friday: Staffing Healthcare’s Future | Aligning SDOH and Reimbursement | Mandating Effective Clinical Practices


  Read 07/19/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

4sight Friday: What Healthcare Revolutionaries Read | Not-for-Profit Hospitals and Taxes | Healthcare Innovation Takes Many Forms


  Read 07/12/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

4sight Friday: Employee Health Benefits Bellwethers | Time for Telemedicine | Regulating Hospital and Health System Mergers


  Read 07/5/2019 Edition here.  Curated by David Burda, 4sight Health’s news editor and columnist. Read his columns here. Find 4sight Health and industry opinions and news on market-based change, …

Pets versus Babies: Who Offers More Health Benefits at Work?


Everyone, including me, is always on employers to do more to improve the healthcare system in the U.S.  We’re on them to use their healthcare purchasing power and insured-lives market …

Cardiac Conflicts Put Payments Ahead of Patients


It seems that the Healthcare Industrial Complex (TM) is alive and well in the cardiac catheterization and electrophysiology laboratories at the top heart hospitals across the country. At least that’s …

What Are Healthcare Executives Thinking? – Burda on Healthcare


I write a lot about what healthcare organizations and companies do, and I make educated guesses on why they do what they do based on my experiences, industry knowledge and …

States Foul-Tipping Regulatory Approaches to Control Healthcare Prices


A new Viewpoint in the Journal of the American Medical Association said states are trying, but largely failing, to control through various regulatory tactics the prices paid by private health …

Why Service Doesn’t Mean Services at Highly Rated Hospitals


What were you expecting, an ICU? A new study in JAMA Internal Medicine reveals that the hospitals patients rated highly for service were less likely to have the actual medical …

More on Why Employers Should Pay Attention to Behavioral Health


More on the what and the why of employers and behavioral health, and what both mean for remaking the nation’s healthcare system into one where outcomes matter, customers count and …

Doctors and the Laws of Supply and Demand – Burda on Healthcare


It’s a great time to go to medical school and become a doctor. Ignore all the manufactured angst from organized medicine and opinion polls of aging physicians who say they …

Hitting a Wall on EHR Interoperability, Patient Access


You know that moment when you “hit the wall” when you’re running a marathon? I don’t. But, I’m told that it typically happens around the 20-mile mark when your physical …

What Fish and Colonoscopies Have in Common


By now you know you should never order fish at a restaurant on a Monday. That’s because the fish likely has been lying around the kitchen since early Friday morning. …

What Businesses Say They’re Doing About Their Employees’ Mental Health


The National Institute of Mental Health says 46.6 million adults suffered from some form of mental illness in 2017. Of those, 57.4 percent didn’t receive any mental health treatment for …

The Deep State of Physician Prescribing Patterns


And you thought changing patients’ health behaviors was going to be hard. Try changing physicians’ drug prescribing patterns. That’s the lesson from a new study in Health Affairs that reported …

Why Millennials May Be Pushing Us Off a Healthcare Cliff


I’m not sure that US millennials are going to have a happy ending when it comes to their healthcare. If I’m reading things right, in less than 30 years, when …

Death by Healthcare Knockoff


Knockoffs usually aren’t as good as the originals, whether they’re golf clubs, purses or pressure cookers. A new study suggests that you can add healthcare to the list, especially if …

This Is a Story About Where Healthcare Regulations Come From – Burda on Healthcare


Healthcare is one of the most if not the most regulated industry in the U.S. While its businesses like to blame overzealous bureaucrats for all the red tape, the current …

Culture Change Isn’t a Natural for Healthcare Organizations


“We must begin by asking it, ‘What is losing?’  Losing is a disease. As contagious as polio.  Losing is a disease. As contagious as syphilis. Losing is a disease. As …

The Universal Patient Experience of Debilitating Healthcare Costs


The lack of affordable medical care isn’t just a U.S. phenomenon. It’s a serious problem across Europe, according to a new report from the World Health Organization. WHO’s report identified …

Patients’ Growing Appetite for New Outpatient Care Models


If you believe in the adage “follow the money,” it would lead you to telemedicine. Analyzing billions of private health insurance claims, a new report said telemedicine is the fastest …

Opioid Variations and State Interventions


Like companies in any other industry, when providers misbehave, it opens the door to state regulation of their behavior. What’s interesting about a new study in JAMA Open Network is …

Why Healthcare is Spinning Its VBR Wheels


It’s like preparing and serving a seven-course meal that your biggest customer ordered only to have the entire menu change between the salad and the main course. That’s what it …

The Strained Relationship Between Doctors and Patients – Burda on Healthcare


What if you walked into your doctor’s office and there was a sign hanging in the waiting room that said: “Please do not confuse your Google search with my medical …

Why Proponents Are Finding Innovative Health Plan Designs a Hard Sell


When your phone company or your cable provider offers you a new and innovative service plan, your immediate thought is that you’re going to end up paying more for less. …

Shining a Light on the High Risks of Low-Value Care


Low-value care doesn’t just drive up healthcare costs without providing any discernable medical benefit to patients. It can kill you. That’s the takeaway and market lesson from the latest study …

Digital Disillusionment: Are We There Yet?


There are signs that digital health—the promised cure for everything that’s wrong with healthcare—may be slipping into the trough of disillusionment.  You may want to check your heart rhythm on …

When Hospitals Merge, Patient Satisfaction Gets Squeezed


When two competing companies merge and get bigger, a common worry of their customers is whether the quality of service will suffer as a result. Should patients worry about the …

Price Controls Take Root in Rhode Island. Will They Spread to Your State?


One state’s attempt to control healthcare costs by using “affordability standards” ended up limiting increases in commercial health insurance payments to hospitals and doctors without any changes in utilization or …

When Blue is the New Green


I mean, what did you think was going to happen? A new study says big Blues plans that went for-profit dramatically raised their premiums right after their ownership conversions. The …

Wither the Traditional Physician Office Visit


It’s not your imagination or the self-serving forecast of a healthcare consultant angling for your business. Fewer people are seeing their doctors in person in a physical office. It’s a …

The Immovable Force That Is Employer-Sponsored Health Insurance


Death, taxes and employer-sponsored health insurance. We know the first two are certainties in life, and new research again confirms the assurance of the third. Researchers from the School of …

Everyone Knows What’s Going to Happen in Healthcare in 2019. Do You?


What’s going to happen in healthcare this year is anyone’s guess. Not really. What’s going to happen in healthcare this year is everyone’s guess. Like most of you, from mid-December …

Everything in Healthcare is Changing—Except One Thing


Much has changed in healthcare over the past 25 years. A lot has changed in healthcare over the past 25 minutes. But one thing hasn’t changed, and that’s the public’s …

Bundled-Pay Evaluation a Study in Hospital Market-Based Behavior


What would you cut out if you suddenly had to reduce your monthly household expenses by 5 percent, 10 percent, or even 25 percent? I’m sure that some of the …

Medicare Advantage Bends Cost Curve the Wrong Way


Everyone sees what they want to see in the latest figures on national health expenditures released by the Centers for Medicare and Medicaid Services earlier this month. Most people see …

The Slow Road to Value-Based Care


A new report is yet another sign that the march toward value-based care has bogged down. The Health Care Transformation Task Force, which is a Washington-based coalition of health systems, …

HHS Goes All In on Competition as the Way to Fix Healthcare Woes – Burda on Healthcare


Competition good. Regulation bad. That’s my caveman summary of HHS’ manifesto released on Dec. 3 on how to improve the quality and safety of patient care while simultaneously lowering healthcare …

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 …

Sponsored by Cain Brothers

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 …

Man or Corporate Culture: Who Has More Power to Disrupt Healthcare? – Burda on 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 …

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 …

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 …

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 …

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 …

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 …

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 …

Employees’ Premiums Actually Dropped This Year and Nine Other Untold Employer Health Benefits Stories – Burda on Healthcare


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 …

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 …

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 …

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 …

DIY Hospital Ratings: Do Your Stars Align for What’s Most Important to Patients? – Burda on Healthcare


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 …

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 …

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 …

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 …