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 …

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 …

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 …

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 …

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 …

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 …

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, …

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. …

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 …

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 …

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 …

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 …

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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 …

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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. …

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 …

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. …

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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. …

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 …

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 …

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 …

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 …

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 …

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 …

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.” …

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 …

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 …

“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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 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 …

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 …

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 …

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. …

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 …

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 …

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 …

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 …

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 …

“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 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 …

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 …

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 …

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 …

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 …

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. …

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 …

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 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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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, …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …