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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 …

Transforming the Built Environment: Unlocking Value Across the Health Care Continuum


Health care providers suffer from a unique form of institutional irony: delivering institutionalized care in centralized, high-cost facilities impedes their ability to meet their communities’ expansive health and wellness needs. …

Join the Customer Revolution in Healthcare!


“The most heroic word in all languages is revolution.” Eugene V. Debs           Find out more about The Customer Revolution in Healthcare in David Johnson’s book. McGraw-Hill releases …

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 …

Fireside Chat: Why You Should Join the Customer Revolution


Join us in downtown Chicago on Thursday, November 14 at 5:30PM at MATTER. Michael Allen, CFO of OSF Healthcare, will interview David Johnson about critical concepts in Dave’s new book …

Podcast: Win-Win Partnerships: Strategics and Sponsors Increasingly Team Up


John Soden, Managing Director at Cain Brothers, a division of KeyBanc Capital Markets Inc., and David Johnson talk about a new breed of innovative partnerships between strategic buyers and private …

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. …

Ranked #2 on Porchlight’s August 2019 Business Bestsellers List


The Customer Revolution in Healthcare: Delivering Kinder, Smarter, Affordable Care for All by David W. Johnson ranks #2 on Porchlight’s August 2019 Business Bestsellers List. Take a look at the …

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 …

Join the Revolution!


“There are risks and costs to action. But they are far less than the long-range risks of comfortable inaction.”  John F. Kennedy Jr.               …

House Calls – Cain Brothers Podcast


Welcome to House Calls, where we talk to investment bankers from Cain Brothers, a division of KeyBank Capital Markets Inc. These bankers are working in some of the most interesting …

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. …

Join the Revolution!


“Revolution comes when human beings set out to correct decadent institutions.”  H. Rap Brown                                 …

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. …

How Consumer Demand Is Transforming Autism Care


Autism Spectrum Disorder (ASD) is the fastest growing, lifelong developmental disorder in the country. ASD affects 1 in 59 children, and boys are five times more likely than girls to …

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 …

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 …

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 …

Join the Customer Revolution in Healthcare!


“If not us, who? If not now, when?” John Fitzgerald           Find out more about The Customer Revolution in Healthcare in David Johnson’s book. McGraw-Hill releases the book …

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 …

Platforming Health Care to Transform Care Delivery


NEJM Catalyst Article for September 19, 2019 David W. Johnson, MPP Amy Compton-Phillips, MD Hospitals used to be at the center of the health care universe. Today, new business models …

The Revolution Is Real!


“Revolution, in order to be creative, cannot do without either a moral or metaphysical rule to balance the insanity of history.” Albert Camus   David Johnson is doing keynotes across …

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 …

An American Inquiry: Why I Wrote The Customer Revolution in Healthcare


What convinced a former Peace Corps volunteer and healthcare investment banker like me that the U.S. healthcare system (the System) requires revolutionary overhaul? It really came down to just one …

The Revolution Is Happening Around Us!


“A social movement that only moves people is merely a revolt. A movement that changes both people and institutions is a revolution.” Martin Luther King Jr.   David Johnson is …

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 …

The Revolution Is Real!


“A social movement that only moves people is merely a revolt. A movement that changes both people and institutions is a revolution.” Martin Luther King Jr.   David Johnson’s book …

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 …

The Truth About Genetics, Epigenetics and Chronic Disease


Chronic disease consumes 86% of the national health expenditure and kills 7 of 10 people. President Clinton and Obama both created initiatives to cure cancer through genetic research and therapies. …

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 …

Should Doctors Make Less Money?


In an August 1st commentary published in the Washington Post, columnist Catherine Rampell asks an intriguing question of the Democratic presidential candidates promoting a Medicare-for-All health insurance program: “Will your …

How Commoditizing Colonoscopies Will Drive New Business


Colonoscopies are the American College of Gastroenterology’s preferred strategy to detect colon cancer. Ten million Americans annually undergo colonoscopies at a cost approximating $10 billion. Although colonoscopy prices vary, the …

Win-Win Partnerships: Strategics and Sponsors Increasingly Team Up


As US healthcare consolidation continues, innovative corporate buyers (strategics) and private equity investors (sponsors) are partnering to accomplish increasingly complex transactions. Such deals can create win-win arrangements that serve market …

4 Success Strategies of Interfacing Healthcare Companies


In post-reform healthcare, incumbent health systems must adapt or die from the force of  innovative new companies. Incumbents are vulnerable to value-based attacks. They are asset-heavy, revenue-centric and have ineffective …

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 …

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 …

5-Steps to Ensure Wise End-of-Life Decision-Making


Why is it taboo to talk about death? Too often, American families avoid confrontation with death and suffer from catastrophic emotional, medical and financial consequences. Medicare spends 26% of its …

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 …

The Future of Liberated Data in Medicine


Digitization and globalization of medical knowledge will double every 73 days by 2020.[1] When a patient enters an exam room, they will likely encounter a “Dr. Know-it-All” or come prepared …

Repositioning Temporary Staffing Services: Meeting Healthcare’s Strategic (and More Permanent) Need for Labor Flexibility


American workers increasingly wear scrubs, not overalls or store uniforms.(1) In late 2017, healthcare surpassed manufacturing and retail to become the largest employer in the U.S. economy. 19 million people …

How to Use Social Determinants of Health to Fix Reimbursements


Healthcare providers can no longer ignore the Social Determinants of Health (SDH) in the exam room. Even John Snow considered community assessment factors to identify the source of the cholera …

Should Hospitals Pay Taxes?


Many health systems and hospitals operate as Not-for-Profit (NFP), mission-oriented organizations that do not pay sales, excise, property or other taxes. In exchange, NFPs must publicly report the level of …

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 …

3 Successful Telemedicine Companies Disrupting Healthcare


In August 2017, Hurricanes Harvey and Irma devastated the South and Southeast regions. Florida evacuated over 7 million people, 7.4 million people lost power and almost 60 hospitals throughout the …

MARKET CORNER CONVERSATIONS: Jeff Dunn, CEO of Redivus Health


Jeff Dunn DO / MBA and David Johnson discuss the realities of cardiac arrest inside the hospital, for patients and clinicians, in Episode 18 of Market Corner Conversations. Survival rates are …

Surprise! Surprise! The Surprise Billing Legislation Could Usher in Government Price Controls. Nathan Bays, Guest Columnist


As the Senate Committee on Health, Education, Labor, and Pensions (HELP) prepares to vote on the Lowering Health Care Costs Act, the issue of surprise medical bills will take center …

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 …

VIDEO of Fireside Chat: Tom DeRosa, Welltower & David Johnson: Delivering Better Care, Outcomes & Health for Seniors


David Johnson interviewed Tom DeRosa, CEO of Welltower, for a packed audience at MATTER on June 19th. Tom considers Welltower a “platform for innovation on scale” in the realm of …

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 …

3 Essential Values Home Care Needs to Capture Greater Market Share


The home healthcare sector is dominated by “mom and pops” in a highly-fragmented and under-performing market. Fraud is rampant and customer care is inconsistent. The Department of Health and Human …

Regulatory Chess: Positioning for Competitive Advantage


To entrepreneurs, regulation is the enemy of innovation. That’s especially true in healthcare. Experts agree that healthcare is one of the most, if not the most regulated industry in the …

A GPS for Cardiac Arrest: In Life-or-Death Moments Clinical Apps Save Lives


Resuscitating Your Patients and Building Your Clinical Reputation The plane is in a nosedive. The sweating pilot is fighting to control the aircraft. A nervous co-pilot is furiously flipping through …

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. …

Getting Urgent about Urgent Care: Health Systems Go Big on Retail


Historically, health systems have delivered acute care services in hospitals and ambulatory facilities. Their business models centralize care delivery in expensive settings to optimize their operations and revenue. In avoiding …

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 …

An Unbearable Burden (Part 2): Wide Variations in State Health Insurance Costs


The Healthcare Affordability Index (Index) is a simple and powerful metric for assessing the impact of rising healthcare cost on American living standards. The Index measures the relationship between the total …

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 …

Market Corner Conversations: Merrill Goozner, Modern Healthcare Editor Emeritus & Author


Merrill Goozner passionately points out the stark contrast between well-functioning industries and the US pharma industry, especially its relationship with the government and pharma pricing. Dave Johnson certainly relates to …

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 …

Let’s Get Real: Medicare for All Can’t Work, but Affordable Health Insurance for All Can


As it has in the last three presidential elections, healthcare is emerging as a decisive political issue in the 2020 election. Unlike in those previous elections, however, universal health insurance …

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 …

How to Improve Patient Satisfaction with Transparent Payment Systems


American healthcare patients are demanding more price transparency, affordable services and quality care. Why are they not receiving it? How can healthcare organizations listen to consumers and set themselves up …

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 …

Consolidating Retail Medicine: Positioning Single-Specialty Practices for Acquisition


Single-specialty medical practices are the front door of American medicine. Dentists, Dermatologists, Ophthalmologists, GI doctors, ENT doctors, Internists, Gynecologists, Obstetricians, Urologists and their “retail medicine” counterparts provide high volumes of …

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 …

Interoperability Battle Lines: Data Freedom Fighters vs. Entrenched Data Blockers


On a cold Minnesota morning in January 2018, Fairview Health Services CEO James Hereford addressed Twin Cities business executives regarding healthcare IT and innovation. (1) With an advanced degree in …

How Crony Capitalism in Healthcare Hurts Communities and Markets


Does “pro-business” equate to “pro-market”? Or is crony capitalism blurring the line in the healthcare industry? How can consumers tell if they are being treated fairly? There are two types …

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 …

MARKET CORNER CONVERSATIONS: Dr. Jonathan M. Zenilman, Johns Hopkins University


Hear how Dr. Zenilman’s residency at Kings College Hospital in the early 1980s, at the epicenter of the AIDS epidemic, started his career in infectious disease, through the CDC, to …

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 …

4 Data Principles Healthcare Companies Need to Advance Care Delivery


What if the healthcare industry could use data as efficiently as Amazon? What if physicians could know the habits of patients like Amazon knows consumers’ buying history? What is physicians …

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. …

The Big (Tech-Enabled) Shift: Turning Healthcare Consumers into Customers


Consumerism was the hot topic at this year’s HIMSS conference in Orlando and at the JP Morgan conference. Attendees debated whether 2019 will mark the year healthcare finally tips toward …

How to Provide Value-Based Care to Drive Customer Engagement


“Dr. Knows Best” is no longer the only sell healthcare companies can make to consumers. In post-reform healthcare, successful companies need to provide quality value-based care, innovative technological solutions and …

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 …

MARKET CORNER CONVERSATIONS: TOMER SHOVAL, CEO & FOUNDER, SIMPLEE


Tomer Shoval, CEO & Founder of Simplee, discusses how his relentless focus on the customer created a payment platform for health systems that actually increases customer satisfaction and improves financial …

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 …

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 …

Forced Resignations at NCH Healthcare System Expose Medicine’s Dark Side


An ongoing feud between independent physicians and hospital administrators in Naples, Florida, exploded last month, damaging the trust between the community, providers and the health system. (1) The furor centered …

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 …

An Unbearable Burden: Paying for Commercial Health Insurance


The Healthcare Affordability Index (the Index) is a simple and powerful metric for assessing the impact of rising healthcare cost on American living standards. The Index measures the relationship between …

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 …

After the Breakups: Big Payers Find Vertical Love in New Faces


In rapid succession at the end of 2018, CVS closed its $70 billion acquisition of Aetna and Cigna closed its $67 billion acquisition of Express Scripts. The consolidated companies are …

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 …

When the Price Is Right: Aligning Payment with Health System Transformation


In 1952 at the tender age of 25, Elizabeth became the Queen of England upon the death of her father King George V. The popular Netflix series “The Crown” depicts the …

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 …

Getting Precise about Precision Medicine: Balancing Hope, Potential and Cost


Definitions of precision medicine are anything but precise. For seriously ill patients and their families, precision medicine therapies provide a hope when all else has failed. They’re willing to risk …

#1 Strategy All Successful Healthcare Organizations Should Know


American healthcare companies have a blind spot that will disrupt the growth of their organizations. The old way of American healthcare business has always been a payment battle between large …

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 …

MARKET CORNER CONVERSATIONS: Deborah Grisko, President & Executive Director, Almost Home Kids


“At Almost Home Kids, our mission is to provide transitional care in a home-like setting to children with complicated health needs, training for their families and respite care.” – Deborah …

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


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 …

Frontline Decisions in Real Time: What Health Systems Can Learn from the U.S. Military’s Defeat of Al Qaeda in Iraq


“The teams were operating independently—like workers in an efficient factory—while trying to keep pace with an interdependent environment. We all knew intuitively that intelligence gathered on AQI’s [Al Qaeda in …

How to Create Pro-Market Healthcare Reform in an Opioid Crisis


Over 200,000 Americans have died since 2000 due to opioid overdoses.[1] That’s equivalent to all of Salt Lake City[2] disappearing from our country. The epidemic is destroying communities throughout America, …

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 …

Reader Response: Creating a “Freedom Platform” for Health Data


Dave, your article is nothing if not provocative and insightful.  What does it mean for health data to be truly free? At MultiScale, we have been thinking hard about health …

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 …

MARKET CORNER CONVERSATIONS: JIM HARDING, FOUNDER & CEO, MULTISCALE HEALTH NETWORKS


Jim Harding, Founder & CEO of MultiScale Health Networks, joins David Johnson for Episode 13 of Market Corner Conversations. Jim discusses how he applied his experience as a serial tech entrepreneur …

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 …

Brand-Heavy and Asset-Light: Moving Beyond the Acute-Care Mindset


For health systems, the day of reckoning is near. A recent Morgan Stanley report states that over 1,000 of the nation’s 5,000+ hospitals are currently weak or at risk of closing. …

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 …

Amplifying Transformation: Addressing Medicare Advantage’s Disadvantages


The U.S. healthcare system will not change the way it delivers care until it changes the way it pays for care. Perverse incentives riddle fee-for-service payment (FFS) and lead to …

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 …

MARKET CORNER CONVERSATIONS: MUDIT GARG, FOUNDER & CEO, QVENTUS


Mudit Garg, Founder & CEO of Qventus, joins David Johnson for Episode 12 of Market Corner Conversations. Mudit shares how he views the challenges clinicians push through to provide care data …

No Time to Waste: Revolutionizing Healthcare Data Collection, Curation and Application


Healthcare data wants to be free, but it is oppressed. Entrenched oligarchs trap information within closed, centralized systems that prioritize revenue collection, misuse resources and tolerate medical error. Data gasps …

A CONCRETE DESCRIPTION OF THE CLOUD


In the simplest terms, cloud computing means storing data and software applications on the Internet, in secure files, then accessing that data and programs over the Internet rather than from physical …

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


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 …

Autism Therapy Shines Bright: Early Intervention, Improved Access and Individualized Care Change Lives


Autism Spectrum Disorder (ASD) is the nation’s fastest-growing developmental disorder, one that touches each child and family in unique and complicated ways. A  lifelong condition, ASD requires individualized treatments that …

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 …

MARKET CORNER CONVERSATIONS: Luigi Zingales, University of Chicago


Luigi Zingales, University of Chicago economist, joins David Johnson to discuss the key components of capitalism that encourage innovation rather than creating paralysis in markets. Listen to his thoughts on …

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


What’s the most important thing to you when you or a family member has to go to the hospital? (That question assumes you have a choice.) For me it would …

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 …

Geeking-Up Healthcare: Consumer Giant Best Buy Makes a Big Move


Healthcare has experienced a parade of surprising megamergers and acquisitions during the last year. At first glance, Best Buy’s August acquisition of GreatCall may be the most startling. At a …

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 …

As GM Goes, So Goes Healthcare: Dynamics of Demand-Driven Reform


“For years I [have] thought what was good for our country was good for General Motors, and vice versa.” Charles E. Wilson Last month, General Motors signed a 5-year agreement …

Dr. Amy Compton-Phillips Talks Platforming at MATTER, Chicago’s Healthcare Incubator


August 23, 2018, Amy Compton-Phillips came to MATTER, Chicago’s healthcare incubator. She presented her perspective on platforming in the industry and at Providence St. Joseph Health. Key points included: The …

Against the Wind: Hospitals Challenge CMS’s Pro-Market Payment Reforms


Over the past month, the Centers for Medicare and Medicaid Services (CMS) announced several pro-market policies that will enhance pricing transparency, stimulate competition (and fair prices) for routine procedures and eliminate burdensome reporting requirements. …

Black-white Tornado

Belts and Suspenders: Major Healthcare Transactions Position Companies for Whatever Comes Next


During President Richard Nixon’s historic 1972 trip to China, the press asked China’s premier Zhou Enlai to comment on the French Revolution’s impact on world affairs. Zhou famously replied, “Too early to …

Kentucky HEALTH and Medicaid Work Requirements: A Behavioral Economics Lens Sheds Light


On Friday, June 29, near the zero hour, a federal judge ruled [1] that Kentucky’s Medicaid waiver approved by the CMS could not go forward on Sunday, July 1 as …

Pool Balls Break

CMS Misdirection: Two Troubling Decisions Damage Market Competitiveness


In well-functioning healthcare markets, governmental regulatory policies ensure access, safety, quality and privacy. The government’s most important role is creating level-field competition through balanced regulation, targeted enforcement actions and price/outcomes …

MARKET CORNER CONVERSATIONS: Amitabh Chandra, Harvard Business School


Amitabh Chandra, economist and the McCance Family Professor of Business Administration at Harvard Business School, joins David Johnson for Episode 10 of Market Corner Conversations. Chandra shares his path form labor economist …

Gawande’s Gift: Re-Imagining Corporate Wellness and Healthcare


Amid much fanfare, the Amazon, Berkshire Hathaway, JP Morgan health venture (ABJ) announced on June 20th that its new CEO will be acclaimed author and surgeon Atul Gawande. Gawande starts his new job …

How Soccer Explains Healthcare: Collective Performance Defines Success (1)


The 21st FIFA World Cup kicked off on June 14th when host Russia trounced a weak Saudi Arabian team 5-0 at 81,000-seat Luzhniki Stadium in Moscow. It equaled the most lopsided opening …

Soccer ball & stethoscope

Destination Medicare Advantage: Lonnie & Cathy’s Quest for Great Health Insurance


In 1993, the health insurance industry funded the legendary “Harry and Louise” campaign to mobilize public opinion against the Clinton healthcare reform proposal. The strategy worked. Despite enormous investment of political capital, …

Lonnie & Cathy Quinn, Happy Medicare Advantage Members

MARKET CORNER CONVERSATIONS: Dr. Mike Roizen, Cleveland Clinic Foundation


Dr. Mike Roizen, Chief Wellness Officer and Chair of the Wellness Institute at Cleveland Clinic, joins David Johnson for Episode 9 of Market Corner Conversations. Dr. Roizen is the creator …

Pro-Market and Pro-Business: Not Always the Same, Particularly in Healthcare


Shortly after publishing Market vs. Medicine: America’s Epic Fight for Better, Affordable Healthcare in June 2016, I met with my former investment banking colleague, Jullia Quazi. Jullia arrived with a very funny story …

MARKET CORNER CONVERSATIONS: JAKE CRAMPTON, MEDSPEED


Jake Crampton, CEO of MedSpeed, joins David Johnson in Episode 8 of Market Corner Conversations. Crampton shares how MedSpeed facilitates “intra-company logistics.” MedSpeed’s customers transform their transportation networks from cost …

Superhero Healthcare (Part 2): Already Here; Growing Fast; Payment-Driven


Part I of Superhero Healthcare identified several bright spots within American healthcare where liberated caregivers deliver appropriate, efficient care to engaged patients; where the interests of health companies and their customers align; and where compassion, …

Superhero Healthcare (Part 1): Liberating America’s Caregivers and Patients!


Most weekends in America, long lines form outside cineplexes as ardent fans of DC and Marvel Comics catch the latest iterations on the big screen. Since the dawn of motion …

Dr Superhero

Market Corner Conversations: Dr. Toby Cosgrove, Cleveland Clinic


Toby Cosgrove, M.D., former CEO of the Cleveland Clinic Foundation, joins David Johnson in Episode 7 of Market Corner Conversations. Dr. Cosgrove shares how he built a culture of empathy …

Mission First: Mission Health’s Surprising Sale to HCA


On March 22nd, Mission Health in Asheville, North Carolina announced its intention to sell its seven-hospital not-for-profit (NFP) health system to HCA Healthcare, the nation’s largest for-profit healthcare system. The …

Market Corner Conversations: Dr. Rushika Fernandopulle, Co-Founder & CEO, Iora Health


Rushika Fernandopulle, M.D., Co-Founder & CEO of Iora Health, joins David Johnson in Episode 6 of Market Corner Conversations. Rushika shares how he decided that the incremental change model wasn’t working …

Goodbye “Dr. Know-It-All”: Medicine’s Liberating Knowledge Explosion


The digitization and globalization of medical information is overwhelming traditional medical practices. Physicians confront a continuous avalanche of medical discoveries on disease origins, symptoms and treatments. By 2020, medical knowledge …

Dr Know It All Icons

Scaling Relationship-Based Care: “Different Spokes (Care Models) for Different Folks”


In 1970, Marcus Welby, MD became ABC Television’s first show to top network television ratings. Dr. Welby was a cheerful family practice physician with a soothing bedside manner who was …

Market Corner Conversations: Dr. Amy Compton-Phillips


Amy Compton-Phillips, M.D., joins David Johnson in Episode 5 of Market Corner Conversations. Amy is the executive vice president and chief clinical officer for Providence St. Joseph Health. She oversees …

Market Corner Conversations: Mike Pykosz, Oak Street Health


In Episode 4 of Market Corner Conversations, Mike Pykosz, CEO of Oak Street Health, shares the bottom-up approach Oak Street takes toward its Medicare Part B members. Oak Street creates …

Upsizing Dentistry: Putting More Bite into Primary Care


Quad/Graphics, the American printing company, was founded near Milwaukee, Wisconsin in 1971 by a husband and wife team. Harry and Betty Quadracci saw advantages in a family approach to doing …

Teeth model stethoscope

Platforming Healthcare (TM): Owning Hospitals Is So 2015


The news that Amazon, Berkshire Hathaway and JP Morgan Chase joined forces to create their own healthcare company rocked the industry. The ten largest health insurers and pharmacy businesses lost …

Reimbursement Follows Respect: Leading States Pay to Address Social Determinants of Health


For too long, the “Social Determinants of Health” (SDH) have been the big elephant in the exam room. While no one denies that a diabetic living alone in a food …

Fortress Healthcare Meanders Toward Value


There are more “suits” in downtown San Francisco each January for JP Morgan’s annual healthcare conference than the rest of the year combined. Heavy rain drenched San Francisco on January …

Honey vs. Vinegar: Value-Based Pricing Wins Customers and Market-Share


Common wisdom holds that “it’s easier to catch flies with honey than vinegar.” That aphorism also applies to payers seeking lower prices for routine healthcare procedures. It “tastes” better when …

It’s Compassion, Everyone!


Last week we lost Uwe Reinhardt, the famous health economist at Princeton University, his passionate voice and memorable sense of humor.  Reading articles and posts remembering Uwe, a German who …

Telemedicine Marches Forward


After Hurricane Harvey and Irma hit the Gulf Coast in August 2017, America’s leading telemedicine companies volunteered their services to people and institutions in medical need. As reported in Med City …

Uber 911


Traditionally, most people dial 911 in a medical emergency and ask for an ambulance. Increasingly today, some hail a ride from Uber or Lyft to get to the closest Emergency …

Introducing the Healthcare Affordability Index: High-Cost Private Health Insurance Reduces Family Incomes


Today, Dr. Ezekiel Emanuel and I along with Aaron Glickman published Measuring the Burden of Health Care Costs on U.S. Families in the Journal of the American Medical Association (JAMA). …

Market Corner Conversations: Rick Kimball, NFL & Medical Marijuana


In Episode 3 of Market Corner Conversations, Dave Johnson speaks with Rick Kimball about their commentary Mile High Potential: NFL Veterans Tackle America’s Opioid Crisis. The podcast digs into the social catastrophe …

Market Corner Conversations: Kurt Waltenbaugh, Carrott Health


In Episode 2 of Market Corner Conversations, Dave Johnson speaks with Kurt Waltenbaugh, the founder and CEO of Carrot Health, an exciting data analytics startup based in the Twin Cities. …

Advantage Medicare Advantage: Delivering Healthcare’s Triple Aim to America’s Seniors


Hitting the Sweet Spot for Patients and Providers The United States is experiencing a demographic tidal wave. Baby Boomers are turning 65 in record numbers and that trend will accelerate …

Market Corner Conversations: Paul Walczak, NuVista


4sight Health’s inaugural episode with Paul Walczak, the CEO from NuVista, a remarkably innovative post-acute care company coordinating value-based delivery in southern Florida that achieves superior outcomes at very low costs. …

How Health Systems Get Technology, Innovation and the Patient Wrong 


The minute I walked into the new digs of the clinic, I knew it was very different and could get the gist of what they were trying to do. It …

Scaling Healthcare’s Mt. Everest: Peak Performers Engage Technology and Consumers


Climbing the highest mountains requires organization, preparation and strategy. Scaling Mt. Everest is a full-scale expedition. Large teams rely on a sophisticated infrastructure of supplies, equipment and support staff. A …

Letting Go: Steward Sells Its Hospitals and Embraces Patient-Centric Care


Last September, Massachusetts-based Steward Health Care System announced that it would sell its 9 hospitals to Alabama-based Medical Properties Trust (MPT) for $1.2 billion in a 15-year sale-leaseback transaction with …

Value Quest: Capital Formation Challenges for Non-Profit Health Systems


by David W. Johnson, James Moloney and Carsten Beith   There’s a battle outside and it’s ragin’ It’ll soon shake your windows and rattle your walls For the times they …

health care system

Rankings and Reactions: CMS Launches Star Ratings for Hospitals


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

Providence Health & Services

Summer Book Report: 4sight Health’s Busy August


With Labor Day weekend approaching, state fairs in full swing, and the barbeque calling, most of us have just half a mind on work. At 4sight Health we’re enjoying the …

health insurance plans 

It Takes Two to Tango: Cracking the Patient/Customer Engagement Code


The tango is a beautiful, complex, fast-paced dance that gets the heart racing for participants and spectators alike. The intimacy of two partners moving in coordinated lockstep leaves no doubt: …

4sight Health

Asset-Light and Ready: Physician Groups Embrace Accountable Care


Hockey superstar Wayne Gretzky gave the business world its most over-used strategic metaphor, “I skate to where the puck is going to be, not where it has been.”  In healthcare, …

Imagine Better Healthcare

Market vs. Medicine Book Launch: You Are Invited


After more than a year of research, writing, editing, re-writing, and re-editing, Market vs. Medicine: America’s Fight for Better, Affordable Healthcare is being printed and will be available on May …

market vs medicine

Crossing the Technology Chasm: Tele-ICUs Save Lives and Money


Crossing the Technology Chasm: Tele-ICUs Save Lives and Money The Leapfrog Group’s[1] fact sheet on ICU Physician Staffing estimates that preventable ICU deaths exceed 54,000 each year. This figure excludes …

healthcare in usa