Consumerism

Get The Podcast

Engaging conversations with revolutionary healthcare leaders.

Listen Now

Ask Dave

Got a question about the issues we cover?

Contact

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 …

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 …

Mission-Critical Repurposing: Converting Aging Senior Living Properties to Affordable Housing


In 1908, the Jewish Home for the Aged of the Northwest opened in St. Paul, Minnesota, serving eight residents. As the facility deteriorated, the local Jewish community raised funds and …

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.               …

Join the Revolution!


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

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 …

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 …

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.” …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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. …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

#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 …

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, …

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 …

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?


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 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 …

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 …

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 …

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 …

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 …

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 …

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 …

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

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: 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

5 Days that Shook the Healthcare World


In 1919, journalist John Reed published Ten Days that Shook the World, a first-hand account of the October 1917 Russian Revolution. During that dramatic 10-day period, Vladimir Lenin’s Bolsheviks took …

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 …

Capitalizing on Comprehensive Care: Cultivating a Medicare Advantage Mindset


This paper is Part 3 in our series on payment reform. After highlighting various efforts to reign in healthcare costs over the past 50 years in Part 1, Part 2 …

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). …

Merle Power! Living Long and Prospering


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

In the Eye of the Storm: When Outcomes Matter, Telemedicine Delivers


During the last week in August, Noah’s Ark found a new home in Houston. Unfortunately, it didn’t deliver medical supplies. Between August 25th and 29th, Hurricane Harvey dropped an almost …

Battling Cancer: Partnering to Make Headway Against Medicine’s Toughest Foe


Cancer has been humanity’s most persistent nemesis. Bone fragments and written records indicate that cancer afflicted people in ancient Rome, Greece and Egypt. Today, cancer is America’s second leading killer, …

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 …

A Chicago Story: Gun Violence; Budget Cuts and Social Contagion


It was an eventful July 4th weekend in the Land of Lincoln. The Illinois Senate over-rode Governor Bruce Rauner’s veto to pass its first state budget in over two years. …

A Seismic Home Care Shift is Redefining Post-Acute Care


Earthquakes occur when pent-up pressures release along geological fault lines. These seismic events reconfigure adjacent landscapes as energy waves distribute from the quake’s epicenter. U.S. healthcare is rife with fault …

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 …

Darwinian Outsourcing: Big Pharma Adapts to Market Realities


by Kristin Carey and David W. Johnson Competitive markets drive innovations in business efficiency and strategy. Twenty-five years ago, Big Pharma companies did little outsourcing. Fortified by robust cash flows …

academic medicine partners 

AHA! Healthcare is Both a Right and a Commodity


In late January, I participated in an Oxford-style debate regarding whether healthcare is a commodity. The debate was the featured event at Tata Memorial Centre’s Platinum Jubilee Conference in Mumbai, …

market vs medicine

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 …

Mile High Potential: NFL Veterans Tackle America’s Opioid Crisis


Professional football has long since surpassed baseball as America’s most popular sport. The NFL’s Super Bowl is a national party. Super Bowls represent 19 of America’s 20 most-watched TV broadcasts. …

Channel Shifting: Ominous Black Friday Trends for Health Systems


The results are in. The National Retail Federation (NRF) just released their survey results for post-Thanksgiving shopping. The numbers were strong. 154 million consumers shopped this holiday weekend, up 2% …

Behavioral Health Goes Local: The Emergence of Integrated, Community-Based Services


by Todd Rudsenske and David W. Johnson From addiction to depression to psychosis, mental illness exacts a growing toll on individuals, families, communities and health systems. We can measure its …

Overcoming Medical Errors of Omission: The Cure Requires Organizational Empathy


Organizations fail or decline more frequently because of what they did not do than because of what they did.                                                             Russell L. Ackoff Professor of Management Science Wharton School, University …

Winning “The Cub Way”: It Takes an Organization


The Cubs just finished the 2016 regular season with 103 wins and baseball’s best record by a mile. They have spectacular pitching, powerhouse hitting and solid defense. Las Vegas odds-makers …

health forum education

What Would Einstein Do? Embedded Dilemmas in Disrupting Markets


Earlier this month, Ford CEO Mark Fields made two head-scratching announcements to advance transportation services in San Francisco. Ford acquired Chariot, a popular crowd-sourced shuttle-van service that uses algorithms to …

transforming american healthcare

Epi(c) Pharmaceutical Market Failure


It was hard not to feel sorry for Mylan CEO Heather Bresch as she sat for an extended CNBC interview on the morning of August 25th. Clearly on the hot …

Healthcare Advisory Services

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

Being American: How Exceptionalism Is Transforming U.S. Healthcare


Midway through the Rio Olympics, the prowess of the diverse, raucous and remarkably talented U.S. team is on full display. We marvel at the athletes’ dedication. Their enthusiasm is infectious. …

Imagine Better Healthcare

Where’s the Beef? Employers Question the Value of Hospital Mergers


In an iconic 1984 commercial for Wendy’s hamburgers, the diminutive octogenarian Clara Peller and two friends are eating hamburgers at the fictional “Home of the Big Bun.” Disappointed by their …

Back with Vengeance: Vertical Integration’s Demons Wreak Havoc


With pride and promise just two short years ago, Catholic Health Initiatives (CHI) introduced Prominence Health, a wholly-owned subsidiary, that would “significantly advance CHI’s ability to excel in a pay-for-value …

advancing organizational change 

Obama Speaks: A Presidential Assessment of Obamacare


Market Corner Commentary for July 27, 2016 Earlier this month, President Obama took the unprecedented step of authoring an academic research article in The Journal of the American Medical Association …

4sight Health

Made in America: Venture-Backed Healthcare Solutions


Market Corner Commentary for July 20, 2016 Last month, Reed Abelson of the New York Times chronicled the challenges of Oscar Health, the venture-funded health insurance company. Despite massive investment, …

care transformation

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

Great Consumer Expectations: Data-Enabled Healthcare Outcomes and Service


Health companies experience excessive variation in clinical outcomes, quality metrics, procedure pricing and customer satisfaction. This frustrates providers, payors, employers and patients alike. All Americans want the healthcare system to …

health forum education 

The Post-Acute Gold Rush: Winning the Race to the Claims Office


Gold’s glitter and the lure of quick riches led 90,000 unruly prospectors to California in 1849. The gold rush was on and it had rules. Prospectors had to actively work …

american health system

Healthcare’s Dysfunctional Pricing: Be Afraid. Be Very Afraid.


The Health Care Cost Institute (HCCI) released its annual report of healthcare prices last month. To no-one’s surprise, HCCI found huge variation in commercial prices for 240 common medical services …

medicine and health

Rethinking Cyber-Security: A New Paradigm for Democratizing Data Exchange


Liberated data connects people, informs decision-making, stimulates innovation, streamlines production, creates wealth and advances humanity.  The upward trajectory of human accomplishment arises from ever-more sophisticated data exchange supporting ever-more complex …

capital formation design

Necessity Turbo-Charges Productivity at Cleveland Clinic Florida


Coming into 2015, Ozzie Delgado confronted a thorny problem. Cleveland Clinic Florida was experiencing expansive demand for surgical services. Occupancy was already at 92% and there would be no capacity …

transforming american healthcare

Lactose Intolerance: Aaron Rodgers and the Cheese-Heavy American Diet


Wisconsin may never be the same. Green Bay Packers star quarterback announced this month that he has stopped eating dairy products to “get healthier.” As Bart Simpson might observe, the …

Rebate Madness: Branded Drug Pricing Goes Rogue


Like hospitals that optimize revenues through complex assignment of charges, discounts and subsidies, aligned pharmacy benefit managers (PBMs) and pharmaceutical companies manipulate retail and net pricing on “branded” drugs to …

medicine

Let’s Talk: Constructive End-of-Life Decision-Making


At Jeff Shield’s memorial service, Genie Shields proclaimed that her husband’s death has been a “gift,” one that enriches all who receive it. When it became clear that lymphoma would …

FTC Chasing the Wrong Healthcare Villain in Chicago


Last December the Federal Trade Commission sued to block the proposed merger between Advocate Health Care and NorthShore University Health System. The combined company’s annual revenues would exceed $7 billion. …

New Rules: Accountable Care Changes Everything


People go to Las Vegas to let loose, take in the shows and have fun but mostly to gamble. At HIMSS 2016, payors, providers, investors and other industry insiders are …

Rethinking Healthcare.Gov: As Covered California Goes, So Goes Nation?


Rethinking Healthcare.Gov: As Covered California Goes, So Goes Nation? The 17 state-run healthcare exchanges are real-life “laboratories” for the federally-run exchanges that operate in 34 states. No state exchange has …

Two Runners, Two Countries, Two Emergencies: You Decide


For over a decade I’ve plodded up and down the Chicago lakefront with the same group of idiotic runners. Through wind, sun, snow and rain we babble about anything that …

Healthcare’s Productivity Paradox: Ferocious Exploitation of Reimbursed Payment


Market Corner Commentary for February 17, 2016-Healthcare’s Productivity Paradox: Ferocious Exploitation of Reimbursed Payment Las Vegas is a strange place to attend a medical conference. In June 2014, the Healthcare …

Exchange Matters: UnitedHealth Takes a Stand or Does It?


Market Corner Commentary for January 20, 2016 During an investor call in November, the nation’s largest health insurance company (UnitedHealth Group) delivered a body blow to the Affordable Care Act’s …

Rational Lending: Demystifying Medical Student Loan Debt


Market Corner Commentary—Demystifying Medical Student Loan Debt, for December 16, 2015 Winston Churchill famously observed that “Russia was a riddle wrapped in mystery inside an enigma.” Churchill’s language provides an …

Medical Student Loan Debt

Fujifilm’s “Moment”: Disruption, Adaptation and Health System Transformation


Almost every healthcare “transformation” discussion includes Kodak’s cautionary tale – how the once iconic company fails to embrace digital imaging, capsizes and drowns. The story’s moral is to embrace disruption, …

transformation

November Indigestion: The Idiocy and Promise of Benefit Selection


Market Corner Commentary for December 2, 2016- November Indigestion: The Idiocy and Promise of Benefit Selection David Johnson and Nathan Bays Dave’s wife Terri Brady is a Senior Leadership Coach at …

benefit

The Why, The How and The What: Consumerism, Trust and Brand Love


Market Corner Commentary for November 12, 2015-The Why, The How and The What: Consumerism, Trust and Brand Love Health systems are awakening to the market reality that consumerism is redefining healthcare …

brand

Getting Right with Consumers: Right Businesses. Right Places. Right Prices.


Market Corner Commentary for November 11, 2015-Getting Right with Consumers: Right Businesses. Right Places. Right Prices. Consumerism has the force and precision of heat-seeking missiles. Customers flocked to Walmart because it …

consumerism

“Amazoning” Healthcare’s High Prices


“Amazoning” Healthcare’s High Prices A recent Kaiser Health News article reports that prices for basic women’s health services vary dramatically within and across markets. The cost for mammograms in Dallas …

prices

Calm Before the Storm? Rating Agencies Lift Negative Industry Outlooks


Market Corner Commentary for October 7, 2015- Calm Before the Storm?  Rating Agencies Lift Negative Industry Outlooks Summer was good to health companies.  Many have never been stronger.  On August 26th,  Moody’s revised …

Mind and Medicine: Amplified Healing Through Behavioral Science


Market Corner Commentary for September 16, 2015-Mind and Medicine: Amplified Healing Through Behavioral Science In announcing his Precision Medicine Initiative, President Obama articulated a medical future where genetic discovery shapes tailored …

Rebels with a Cause: Venture Companies Attack Healthcare


Market Corner Commentary for September 2, 2015-Rebels with a Cause: Venture Companies Attack Healthcare There is a meaningful shift occurring in healthcare private equity and venture investing.  The “smart money” …

Kinky Boots, Swedish Dialysis and Demanding Customers


Market Corner Commentary for August 26, 2015-Kinky Boots, Swedish Dialysis and Demanding Customers The oldest and best advice in business is “give customers what they want.”  From Broadway to Sweden, …

King for a Day: Winning Strategies in Post-Reform Healthcare


Market Corner Commentary for August 12, 2015 -King for a Day: Winning Strategies in Post-Reform Healthcare-(#Quality Outcomes) Great leaders ask great questions. Banner Health’s CEO recently wrote and asked me, …

Medicare at Fifty: More Yesterdays than Tomorrows?


Market Corner Commentary: August 5, 2015-Medicare at Fifty: More Yesterdays than Tomorrows? A version of this commentary appeared in Huron Healthcare’s “Perspectives” on July 30th With Harry Truman watching, Lyndon …

Reimbursement Roulette: Health Companies “Double Down” on Revenue


Market Corner Commentary: July 28, 2015-Reimbursement Roulette: Health Companies “Double Down” on Revenue A version of this commentary appeared in “Academy 360” on July 23, 2015 Let the good times …

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 

Uber Up! Customer Interfacing Discovers Healthcare


Market Corner Commentary: July 15, 2015-Uber Up!  Customer Interfacing Discovers Healthcare A version of this commentary first appeared in “Academy 360” on July 9, 2015 More “suits” flock to downtown …

Polling for Meaning: Healthcare, Hospitals and Consumer Sentiment


Market Corner Commentary: July 8, 2015-Polling for Meaning: Healthcare, Hospitals and Consumer Sentiment A version of this commentary first appeared in “Academy 360” on June 25th Consumers dislike healthcare but …

No One is an Island: Meaningful Second Opinions


Market Corner Commentary: July 1, 2015-No One is an Island: Meaningful Second Opinions A good friend (let’s call him John Donne) in his mid-fifties recently wrote describing his treatment for …

Chasing Colonoscopies: It’s the Customer, Stupid!


Market Corner Commentary: June 17, 2015-Chasing Colonoscopies: It’s the Customer, Stupid! Who knew a routine colonoscopy could illuminate the wild world of healthcare consumerism? Before getting to my story, let’s …

Exploiting Perverse Incentives: Kentucky Basketball and Prime Healthcare


  Hoping to become college basketball’s first undefeated champion in almost forty years, the Kentucky Wildcats captured the nation’s attention as they qualified for this year’s “Final Four” tournament in …

payer and regulatory policy 

When Healthcare is a “Lemon”: Asymmetric Information and Market Failure


When Healthcare is a “Lemon”: Asymmetric Information and Market Failure In 1970 George Akerlof published “The Market for “Lemons”: Quality Uncertainty and the Market Mechanism in The Quarterly Journal of …