Innovation
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Dave Burda curates a weekly email and hosts a weekly podcast discussing news that impacts market-based change.
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Featured Articles
The Proof Case for Addressing the Negative Social Determinants of Health
Innovation
SONG: Imagine (No JP Morgan)
Check out all the 4sight Health songs here. Imagine (No JP Morgan) To the tune of “Imagine” by John Lennon and Yoko Ono Imagine no JP Morgan It’s easy …
Burda on Healthcare
How Sticky Is Telemedicine?
Until I got into content marketing at a previous job, the word “sticky” had a negative connotation. As a child, it meant I got grape jelly on the kitchen table …
Consumerism
The 10 Most-Read 4sight Health Articles for 2020
History forever will remember 2020 as the year that the COVID-19 pandemic pushed the U.S. healthcare system to the brink of collapse. Yet, throughout the daily turmoil, forward-looking healthcare disruptors, …
Market Corner Commentaries
The Worst and Best of Times: Perspectives from Cain Brothers’ Healthcare 2020 Virtual Conference
2020 has been a year like no other. Investors in U.S. healthcare have navigated remarkable economic and societal disruption by maintaining their focus on long-term value in healthcare businesses and …
Outcomes
Master of Influence: The “Notorious R.G.B.” Used Persuasion to Advance Equality
Key Takeaways Justice Ruth Bader Ginsburg became a master of influence by being strategic, patient and understanding persuasion. Justice Ruth Bader Ginsburg used three persuasion tools frequently and effectively in …
COVID-19
More on COVID-19 and Healthcare Consumerism
Something is awakening in patients that access, cost and quality challenges couldn’t but the threat of a deadly virus with uncontrolled community spread could. That something is healthcare consumerism. We …
Burda on Healthcare
The Market Response to the Building COVID-19 Mental Health Crisis
So far, my immediate family and I have dodged the coronavirus. With a wife who is a nurse, a daughter who works in public health, a son with a bachelors …
Innovation
Patient Safety Made Simple
Some ideas are so simple yet so brilliant that your reaction is “why didn’t I think of that!” When my dad experienced such a moment, he would say, “That’s a …
Innovation
The Future of Clinical Trials: Decentralized, Diversified, Efficient and Fast
COVID-19 is the most deadly and confounding world health crisis since the 1918 influenza pandemic which killed as many as 50 million people. Hopes for a better future hinge on …
Consumerism
Why We Need Patient Education to Unleash Healthcare Consumerism
One of my favorite expressions on social media is “today years old.” Posters use it to tell their followers in a self-effacing way they just learned something most everyone knows …
Market Corner Commentaries
Stop Worrying About ACA Repeal (Part B): Concentrate on Game-Changing Interoperability & Transparency Regulations
The Supreme Court began hearings this week regarding the legality of the Affordable Care Act (ACA). Preliminary indications suggest the Court will keep the law largely intact. A final ruling …
Burda on Healthcare
32 Ways to Fix Healthcare If You Stop and Take the Time
As our 24-hour news cycle has shrunk to 24 minutes and, in some cases, 24 seconds, over the past four years, we’re all missing, forgetting or glazing over important news …
Innovation
Podcast Interview: Disruption of the Healthcare Industrial Complex™
Which strategies can drive change and lead to the rise of a consumer-centric health system in the U.S.? Vic Gatto, CEO of Jumpstart Health Investors, and David Johnson, CEO of …
System Dynamics
Nixon Goes to China: Why Healthcare Leaders Must Learn from History
Long before Détente, one of the boldest foreign policy moves by any president was the establishment of diplomatic relationships with the Peoples Republic of China (PRC). President Richard Nixon was …
Innovation
Curating Knowledge in the Digital Age: Mining Massive Data Sets for Healthcare Insights
In the recent article Healthcare’s Age of Liquid Data, we explored why the healthcare industry must move aggressively to make healthcare data extremely connected. We identified three steps to make …
COVID-19
COVID-19 Fans Flames of Consumerism in Patients
I watched an interview online yesterday with the director of emergency services at a health system in North Carolina. The interviewer asked her about how her health system coped with …
Innovation
Avoid Becoming an IT Dinosaur
Please welcome Ed Marx as 4sight Health’s newest guest columnist. Ed is among the nation’s most respected health IT leaders and an accomplished Iron Man competitor. As you’ll see in …
Innovation
Where Have All the Patients Gone? The Art and Soul of Recapturing Lost Treatment Volume
On a plane trip to Oberlin College in October 1955, singer Pete Seeger wrote the first three verses of the popular anti-war song Where Have All the Flowers Gone? With …
Consumerism
Putting the Patient in Patient Safety
Outcomes still matter. They really do. Amidst all the talk about making care more accessible and convenient and making care more affordable and valuable, making care safer often gets lost …
Innovation
What Pandemic? Investors Love Hotspotting 2.0
Key Takeaways Investors expressed confidence in Oak Street Health’s model for caring for high-cost, low-income patients by sending its shares soaring 90% on the first day of trading after an …
4sight Friday
Podcast: 4sight Friday Roundup, Pondering the Prospects of a COVID Vaccine, 09/11/20
Pondering the Prospects of a COVID Vaccine Will it be before Nov. 3 or after Nov. 3? Will it be safe? Will people take it? We talked about it on …
4sight Friday
4sight Friday | Healthcare Data Aggregation at Scale | Telling For-Profit and Not-For-Profit Hospitals Apart | Paying for Clinical Decision Support
Read 09/04/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …
Innovation
If Outcomes Matter, Then Start Paying Doctors to Use Clinical Decision Support Tools
No one likes to be told what to do. If there was a club for people who don’t like to be told what to do, I would be a member. …
Innovation
Achieving Data Aggregation at Scale: How Health Companies Will Adapt to the Age of Liquid Data
In Healthcare’s Age of Liquid Data, we explored why the healthcare industry must move aggressively to make healthcare data extremely connected. We identified three steps to make this happen – …
4sight Friday
4sight Friday | Is Healthcare Self-Aware? | An Easy Fix for Healthcare | Our Public Health Infrastructure
Read 08/28/2020 Edition here. Curated by David Burda, 4sight Health’s news editor and columnist. Columns here. Find 4sight Health and industry opinions and news on market-based change, all with the 4sight …
4sight Friday
Podcast: 4sight Friday Roundup, Reassessing Our Public Health Infrastructure, 08/28/2020
Reassessing Our Public Health Infrastructure How well do you think the public health system in the U.S. held up during the pandemic? We tell you what we think in today’s …
Innovation
High-Performing Professionals Run on Self-Awareness
Developing this self-awareness requires the courage to receive feedback from others. Martina Navratilova is one of the greatest tennis players of all time. She won a remarkable 59 Grand Slam …
Economics
Fixing Healthcare Would Be Easy If It Wasn’t So Hard
Fixing healthcare is very easy and extremely difficult at the same time. That dichotomy is what gives the status quo staying power. A few things that came out over the …
Economics
Podcast: 4sight Friday Roundup, PPE and the Healthcare Supply Chain, 08/21/2020
PPE and the Healthcare Supply Chain Did we learn our lesson or are we going to make the same mistakes again? Listen to this week’s 4sight Friday Roundup podcast to …
Innovation
Should We Regulate Healthcare Chatbots?
Don’t bury the lede. That journalism rule of thumb also applies in healthcare when you see your doctor. If you tell your doctor your throat hurts, you have a headache …
Economics
The Future of Hospitals in Post-COVID America (Part 1): The Market Response
Editor’s Note: This is the first of two articles on the Future of Hospitals in Post-COVID America. This article examines how market forces are consolidating, rationalizing and redistributing acute care …
Burda on Healthcare
Primary-Care Physicians versus The World (Mostly Pharmacists, Really)
Everyone loves primary care. Everyone hates primary-care physicians. Well, maybe not everyone, but certainly the healthcare market and healthcare consumerism. We’ll talk about the major takeaways from the big primary …
Market Corner Commentaries
No Time to Waste: COVID-19 Is Propelling Operational Transformation in Health Systems
Boxer Mike Tyson famously observed, “Everyone has a plan until they’re punched in the face.” COVID-19 knocked America’s healthcare system to the canvas. Even as hospitals expanded critical care capacity …
Innovation
Does Your Chatbot Have Lockjaw?
A few Sundays ago, I needed a tetanus shot. I sliced my finger open with a single-edge razor blade that I was using to scrap old wood glue off a …
Innovation
Making Healthcare Better: Connected Business-Clinical Platforms Save Lives and Money
Founded in 1865, the German company BASF grew to become the world’s largest chemical manufacturer. By the early 1990s, BASF was a household name in Europe and Asia, but was …
COVID-19
Market Lays Odds on COVID-Inspired Digital Health Tech
This is why I don’t gamble. Well, more accurately, this is why I shouldn’t gamble. In the April 10 edition of our weekly newsletter 4sight Friday, which you could read …
4sight Friday
Podcast: 4sight Friday Roundup, Walgreens, Walmart and Vertical Integration, 07/10/2020
Walgreens, Walmart and Vertical Integration Listen to this week’s 4sight Friday Roundup podcast for our take on who wins and who loses from the latest round of vertical integration in …
Innovation
Home Health Is Where the Growth Is: The Post-COVID Rise of Platform Solutions
Before the COVID-19 pandemic, the home healthcare sector was on the march. With financial pressures intensifying and value-based payment models advancing, providers and payers sought lower costs and better outcomes …
Economics
The Demand for Market-Driven Innovations in Medical Care Is All in the Numbers
One of the bellwethers I follow to see what direction healthcare is headed is the annual physician supply and demand reports from the Association of American Medical Colleges. If the …
COVID-19
How to Reduce Your Operating Costs When There’s No One Left to Furlough
I’m not independently wealthy, and as a journalist for nearly 40 years now, there have been times in my adult life when our family has lived check to check. Yet, …
Economics
Collecting & Saving Pennies: Turbocharging Health System Revenue Management & Productivity
In our recent article we identified the following five margin pressures that are coalescing to drive more value into the delivery of healthcare services: Their collective impact poses an existential …
4sight Friday
Podcast: 4sight Friday Roundup, Predicting COVID-19’s Toll on Your Revenue Cycle, 06/12/2020
Predicting COVID-19’s Toll on Your Revenue Cycle Listen to this week’s 4sight Friday Roundup podcast for our thoughts on how the pandemic will affect your net revenue and revenue cycle …
COVID-19
Testing Snafus – Testing, Testing, 1, 2, Whoa!
Key Takeaways: Increasing scrutiny of laboratory-developed tests (LDTs) for COVID-19 casts doubts on accuracy. Critics fear many FDA-approved tests generate an unacceptably high level of false negatives due to imperfect …
COVID-19
Public Health and Healthcare in Post-COVID America: Innovative Solutions for a Healthier, More Prosperous Society
In the early 1900s, health epidemics ranging from cholera to typhoid plagued America’s increasingly crowded and polluted cities. Public health services emerged during this time to manage the onslaught of …
COVID-19
Consumers Counting on Private Sector to Produce Post-COVID Healthcare Market Innovations
Consumers want the private sector, not the federal government, to lead them out of this mess we call the U.S. healthcare system, which got a lot messier because of the …
Innovation
Healthcare’s Age of Liquid Data: Extreme Interoperability Sparks Personalized, Real-Time, High-Value Services
Key Takeaways Healthcare data is in solid form (i.e. fragmented, siloed) and needs to thaw so that it can flow freely to where it provides the greatest benefit. Liquid data …
COVID-19
Workplace Wellness Programs and the Coronavirus Pandemic
If you think starting a workplace wellness program would be a good way to help your company recover from the COVID-19 outbreak, I’ve got a coronavirus vaccine I’d like to …
COVID-19
Webinar Replay – “Uncertainty, Margin Pressure and Disruption: Forward-Looking Crisis Management During COVID-19”
Are you worried about the financial pressures inflicted on health systems due to COVID-19? Watch the replay of 4sight Health’s free webinar above. Here’s what we covered in the Before …
Economics
A Fortunate ACO Coincidence
As a skeptical journalist and amateur psychologist, I don’t believe much in coincidences. Things happen for a reason. Two new and separate studies of accountable care organizations illustrate the point. …
COVID-19
Free Webinar – “Uncertainty, Margin Pressure and Disruption: Forward-Looking Crisis Management During COVID-19”
Join us a for a live, free webinar to discuss margin pressure before, during and after COVID-19. Thursday, May 21, 2020 11AM – 11:30 AM CST We will spend 20 …
COVID-19
Forward-Looking Crisis Management for COVID-19 Recovery
Key Takeaways: Strategic partnerships, reconfiguring routine care, increasing productivity and effective revenue management are value-based strategies that help enhance competitiveness and ensure long-term market relevance. Combined with increased costs for …
Consumerism
Heed the FTC’s Warnings on Your Use of Healthcare AI
I’m not sure how many times data scientists and marcom people are in the same room at a hospital, health system or medical practice. But if you’re looking for a …
COVID-19
Better Data. Better Outcomes. Moving Toward a National Health Information Exchange
Key Takeaway: A national Health Information Exchange (HIE) will be an invaluable tool for federal, state and local public health officials fighting to protect Americans from the COVID-19 and future …
COVID-19
Life Has Changed and So Must We
Our world has changed fundamentally from the impact of two events. The first, acute and most noxious, is COVID-19. The second, enduring and most beneficial, is the digital age. COVID-19 …
COVID-19
How COVID-19 Is Accelerating the Death and Rebirth of Medical Practices
The COVID-19 outbreak in the U.S. has turned everyone’s world upside down. In healthcare, no one has had their world turned upside down more than doctors and their medical practices. …
Innovation
Health Tech to the Rescue: Combatting COVID-19 with Virtual Care and Predictive Analytics
With stunning swiftness, COVID-19 knocked America’s healthcare delivery system to its knees. A month into the crisis, normal hospital operations are in upheaval. Avoiding in-person care has become the norm …
Innovation
Now Is The Time. Time To Reconfigure Routine Care.
In our recent article we identified the following five margin pressures that are coalescing to drive more value into the delivery of healthcare services: Their collective impact poses a prominent …
Consumerism
A Digital Health Distraction
We’re going to take a short mental break this week from COVID-19 and write about something else. We’re going to talk about Accenture’s latest survey of consumers on their digital …
Innovation
How the COVID-19 Pandemic Is Dulling the Point of All Those Healthcare Regulations
So, it took a deadly pandemic to expose how utterly useless most healthcare regulations are in ensuring that patients get the best possible care at the lowest possible cost when …
Consumerism
Digital Health Divergence
What providers want digital health tools to do, and what patients want digital health tools to do are two different things, apparently. If that’s true, we’re no nearer to creating …
Innovation
The State of Our HLTH 2019: Hard Truths and Hope. A Post-Conference Report from HLTH 2019.
HLTH engaged 4sight Health to produce this exclusive post-conference report of the HLTH 2019 conference. HLTH gave 4sight Health and its five-member writing team carte blanche to attend all theme …
Burda on Healthcare
How Can Healthcare Avoid Screwing Up AI’s Potential?
“Just what do you think you’re doing, Dave? Dave, I really think I’m entitled to an answer to that question.”—HAL 9000 in 2001: A Space Odyssey I get that a …
Market Corner Commentaries
Advancing Advance Care Plans through Medicare: It’s Time to Move
American culture and politics make little room for honest discussions about death and dying. Healthcare thought leader Ian Morrison is fond of saying, “In Scotland, death is imminent. In Canada, …
Innovation
Podcast Interview: How Startups Can Create Value as They Navigate Healthcare’s Shift to Risk-Based Models w/ David Johnson
There are record amounts of investment into healthcare and provider-based services – but to get your slice of the market, you’ve got to be better, faster, and smarter than the …
Market Corner Commentaries
Chadwick Annual Synthesis: A Look Inside
(from Taking Healthcare’s Pulse: 4sight Health’s 2020 J.P. Morgan Conference Report) Chadwick Annual Synthesis: A Look Inside J.P. Morgan 2020 By Edward Chadwick, Founder of Integrated Healthcare Financial Strategies LLC …
Consumerism
Not on the Same Page
Well, maybe I jumped the gun and gave the healthcare industry too much credit for finally recognizing that its future depends on redefining patients as customers and making them their …
Podcasts
Podcast: Widen the Funnel and Close the Gaps: The Summit-CityMD Combo Sees “Big Apple” Opportunity through Integrated Care Delivery
Cain Brothers’ Managing Director, Carsten Beith; Warburg Pincus Managing Director, TJ Carella; and Summit Medical Group CEO, Dr. Jeffrey Le Benger joined Dave Johnson at Cain Brothers’ Annual Healthcare Conference …
Market Corner Commentaries
Widen the Funnel and Close the Gaps: The Summit-CityMD Combo Sees “Big Apple” Opportunity through Integrated Care Delivery
Private equity-funded delivery models are emerging to create more integrated care models that position well for value-based contracting. These new asset-light and consumer-oriented business models are changing healthcare’s competitive dynamics …
Market Corner Commentaries
Healthcare Has No Clothes: J.P. Morgan 2020
(from Taking Healthcare’s Pulse: 4sight Health’s 2020 J.P. Morgan Conference Report) Each year on the second Sunday in January, the healthcare world descends on San Francisco for the J.P. Morgan …
Policy
Healthcare’s Epic Problem & the Audacity of Liberating Patient Data
The gloves are off and the big guns are out. Epic Systems Corporation, the nation’s largest EHR vendor, is applying every fiber of its corporate being to dilute the government’s …
Consumerism
What’s Going to Happen in Healthcare in 2020—or Not: A Meta Review of Industry Outlooks
Maybe it’s because it’s a new decade. Maybe it’s because the year 2020 makes for easy vision analogies. Maybe it’s because CMS projects national health expenditures to break the $4 …
Consumerism
A Sign That Health System Leaders Are Starting to Take Their Customers Seriously
As a highly skeptical healthcare business journalist, I tune my radar to look for dark clouds rather than silver linings. But, every once in a while, an unexpected blip appears …
Market Corner Commentaries
Unrelenting Margin Pressures: Overcoming Healthcare’s Softening Revenues and Rising Expenses
Key Takeaways: Despite favorable rating agency outlooks, the 2020s promise to be healthcare’s most turbulent decade since the 1990s. It’s been a great 20-year run for the healthcare industry, but …
Consumerism
What Digital Health Technologies Investors Are Betting On
As a business journalist, I hang out at the corner of “follow the money” and “actions speak louder than words.” It’s the same place I go when I want to …
Consumerism
5 Healthcare Tech Segments with Massive Potential
Consumerism was the hot topic of healthcare in 2019. Retail giants CVS, Walmart, Apple and Amazon now offer healthcare services at scale. Patients are starting to “shop” for healthcare services …
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Innovation |
Outcomes |
System Dynamics |
Interest in Clinical Decision Support Lacking
If you spend your Saturday afternoons watching home remodeling shows or cooking shows, you realize that having the right tools for the job makes all the difference. What you struggle …
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Consumerism |
Economics |
Innovation |
Outcomes |
Policy |
System Dynamics |
What Revolutionary Healthcare Leaders Read This Year: The Top 5 Commentaries on 4sightHealth.com for 2019
Here at 4sight Health, we like to call it like it is. We see and throw a flag on the things that prevent the healthcare system in the U.S. from …
House Calls
Podcast: Commercializing Breakthrough Drugs in a Value-Based Market
What does it take to bring a breakthrough drug to a value-based market? John Kerins, Director at Cain Brothers, a division of KeyBanc Capital Markets Inc., and David Johnson discuss …
Market Corner Commentaries
Commercializing Breakthrough Drugs In a Value-Based Market
Key Takeaways: Society demands both innovation and fair pricing from drug companies that develop treatments for all diseases. Proving meaningful efficacy and value is essential for successful drug commercialization. The …
Podcasts
Cup of Joe Podcast: HFMA’s President and CEO Joe Fifer Interviews 4sight Health’s CEO Dave Johnson
HFMA’s President and CEO Joe Fifer interviews healthcare industry experts about healthcare finance on his podcast, HFMA Cup of Joe. Listen to his interview with Dave Johnson, CEO of 4sight Health. …
Blog
Trying to Wake Up Patient Engagement
Your patient engagement strategy would have worked, too, if it wasn’t for those darn patients. That’s the sentiment from a new survey of 70 CIOs, executives and directors at 65 …
Podcasts
Podcast: Mission-Critical Repurposing: Converting Aging Senior Living Properties to Affordable Housing
Bill Pomeranz, Managing Director at Cain Brothers, a division of KeyBanc Capital Markets Inc., and David Johnson dive into the plight of senior living facilities around the country that haven …
Blog
From Fragmented to Coordinated: Cancer Care Solutions for Communities
Cancer is America’s second leading killer behind heart disease and accounts for one quarter of total U.S. deaths.[1] Cancer constitutes over 100 diseases, typically categorized by organs (breast, lung, colon, …
Blog
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 …
Market Corner Commentaries
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. …
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Economics |
Innovation |
Outcomes |
System Dynamics |
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 …
Market Corner Commentaries
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 …
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Economics |
Innovation |
Outcomes |
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. …
Market Corner Commentaries
A Second Coming: Medical Education’s Desperate Need for Another Flexner Revolution
On June 26th, 2019, American Academic Health Systems announced its intention to cease all medical activities at Hahnemann University Hospital by September 6th, 2019. With roughly 17,000 annual admissions, Hahnemann …
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Consumerism |
Innovation |
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 …
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Economics |
Innovation |
Podcasts |
Podcast: Getting Urgent about Urgent Care: Health Systems Go Big on Retail
Wyatt Ritchie, Managing Director at Cain Brothers, a division of KeyBanc Capital Markets Inc., and David Johnson discuss the rise of urgent care clinics that are meeting market demand for …
Blog
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 …
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Economics |
Innovation |
Outcomes |
System Dynamics |
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 …
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Economics |
Innovation |
Market Corner Commentaries |
Outcomes |
Policy |
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 …
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Economics |
Innovation |
System Dynamics |
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 …
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Innovation |
Outcomes |
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. …
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Consumerism |
Innovation |
Outcomes |
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 …
Economics
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 …
Blog
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 …
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Consumerism |
Innovation |
System Dynamics |
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 …
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Consumerism |
Innovation |
System Dynamics |
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 …
Outcomes
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 …
Economics
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 …
Innovation
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 …
Innovation
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 …
Economics
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 …
Innovation
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 …
Policy
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 …
Outcomes
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 …
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Consumerism |
Economics |
Innovation |
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 …
Consumerism
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 …
Outcomes
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 …
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Innovation |
Outcomes |
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 …
Economics
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. …
Consumerism
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 …
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Consumerism |
Innovation |
Outcomes |
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 …
Innovation
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 …
Innovation
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 …
Innovation
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 …
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Burda on Healthcare |
Economics |
Innovation |
Policy |
System Dynamics |
HHS Goes All In on Competition as the Way to Fix Healthcare Woes – Burda on Healthcare
Competition good. Regulation bad. That’s my caveman summary of HHS’ manifesto released on Dec. 3 on how to improve the quality and safety of patient care while simultaneously lowering healthcare …
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Innovation |
Market Corner Commentaries |
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Frontline Decisions in Real Time: What Health Systems Can Learn from the U.S. Military’s Defeat of Al Qaeda in Iraq
“The teams were operating independently—like workers in an efficient factory—while trying to keep pace with an interdependent environment. We all knew intuitively that intelligence gathered on AQI’s [Al Qaeda in …
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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 …
System Dynamics
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 …
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MARKET CORNER CONVERSATIONS: JIM HARDING, FOUNDER & CEO, MULTISCALE HEALTH NETWORKS
Jim Harding, Founder & CEO of MultiScale Health Networks, joins David Johnson for Episode 13 of Market Corner Conversations. Jim discusses how he applied his experience as a serial tech entrepreneur …
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Man or Corporate Culture: Who Has More Power to Disrupt Healthcare? – Burda on Healthcare
We’re at a branch point in healthcare’s evolution. We’ll learn soon whether disruptive innovation is the product of individuals or organizations. When we find out, we’ll know the best path …
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MARKET CORNER CONVERSATIONS: Mudit Garg, Founder & CEO, Qventus
Mudit Garg, Founder & CEO of Qventus, joins David Johnson for Episode 12 of Market Corner Conversations. Mudit shares how he views the challenges clinicians push through to provide care data …
Innovation
No Time to Waste: Revolutionizing Healthcare Data Collection, Curation and Application
Healthcare data wants to be free, but it is oppressed. Entrenched oligarchs trap information within closed, centralized systems that prioritize revenue collection, misuse resources and tolerate medical error. Data gasps …
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A Concrete Description Of The Cloud
In the simplest terms, cloud computing means storing data and software applications on the Internet, in secure files, then accessing that data and programs over the Internet rather than from physical …
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Geeking-Up Healthcare: Consumer Giant Best Buy Makes a Big Move
Healthcare has experienced a parade of surprising megamergers and acquisitions during the last year. At first glance, Best Buy’s August acquisition of GreatCall may be the most startling. At a …
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Belts and Suspenders: Major Healthcare Transactions Position Companies for Whatever Comes Next
During President Richard Nixon’s historic 1972 trip to China, the press asked China’s premier Zhou Enlai to comment on the French Revolution’s impact on world affairs. Zhou famously replied, “Too early to …
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MARKET CORNER CONVERSATIONS: JAKE CRAMPTON, MEDSPEED
Jake Crampton, CEO of MedSpeed, joins David Johnson in Episode 8 of Market Corner Conversations. Crampton shares how MedSpeed facilitates “intra-company logistics.” MedSpeed’s customers transform their transportation networks from cost …
Innovation
Market Corner Conversations: Jake Crampton, CEO, Medspeed
Jake Crampton, CEO of MedSpeed, joins David Johnson in Episode 8 of Market Corner Conversations. Crampton shares how MedSpeed facilitates “intra-company logistics.” MedSpeed’s customers transform their transportation networks from cost …
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Market Corner Conversations: Dr. Rushika Fernandopulle, 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 …
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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 …
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Scaling Relationship-Based Care: “Different Spokes (Care Models) for Different Folks”
In 1970, Marcus Welby, MD became ABC Television’s first show to top network television ratings. Dr. Welby was a cheerful family practice physician with a soothing bedside manner who was …
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Platforming Healthcare (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 …
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Is Tax-Exemption Necessary? Enlightened Health Systems Should Consider the Unthinkable
In the mid-1800s, English philosopher and political economist John Stuart Mill developed “Utilitarianism,” a framework for making moral decisions. In Mill’s formulation, an action achieves optimal social utility when it …
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5 Days that Shook the Healthcare World
In 1919, journalist John Reed published Ten Days that Shook the World, a first-hand account of the October 1917 Russian Revolution. During that dramatic 10-day period, Vladimir Lenin’s Bolsheviks took …
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Capitalizing on Comprehensive Care: Cultivating a Medicare Advantage Mindset
This paper is Part 3 in our series on payment reform. After highlighting various efforts to reign in healthcare costs over the past 50 years in Part 1, Part 2 …
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Market Corner Conversations: Rick Kimball, NFL & Medical Marijuana
In Episode 3 of Market Corner Conversations, Dave Johnson speaks with Rick Kimball about their commentary Mile High Potential: NFL Veterans Tackle America’s Opioid Crisis. The podcast digs into the social catastrophe …
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Market Corner Conversations: Kurt Waltenbaugh, Carrott Health
In Episode 2 of Market Corner Conversations, Dave Johnson speaks with Kurt Waltenbaugh, the founder and CEO of Carrot Health, an exciting data analytics startup based in the Twin Cities. …
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In the Eye of the Storm: When Outcomes Matter, Telemedicine Delivers
During the last week in August, Noah’s Ark found a new home in Houston. Unfortunately, it didn’t deliver medical supplies. Between August 25th and 29th, Hurricane Harvey dropped an almost …
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Battling Cancer: Partnering to Make Headway Against Medicine’s Toughest Foe
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, …
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Amazoning Pharmacy: Attacking “Indumbent” Business Practices
Sky-rocketing drug prices have captured the nation’s attention. President Trump echoes Senator Bernie Sanders when he asserts that drug companies are “getting away with murder.”[1] Republican and Democratic legislators alike assert …
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Market Corner Conversations: Paul Walczak, NuVista
4sight Health’s inaugural episode with Paul Walczak, the CEO from NuVista, a remarkably innovative post-acute care company coordinating value-based delivery in southern Florida that achieves superior outcomes at very low costs. …
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How Health Systems Get Technology, Innovation and the Patient Wrong
The minute I walked into the new digs of the clinic, I knew it was very different and could get the gist of what they were trying to do. It …
Innovation
40 Years in the Payment Reform Wilderness: DRGs to Nirvana
Introduction In an ideal state, a well-functioning healthcare delivery system should provide the right care at the right time and the right place, while being accountable for clinical and financial …
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Darwinian Outsourcing: Big Pharma Adapts to Market Realities
by Kristin Carey and David W. Johnson Competitive markets drive innovations in business efficiency and strategy. Twenty-five years ago, Big Pharma companies did little outsourcing. Fortified by robust cash flows …
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Scaling Healthcare’s Mt. Everest: Peak Performers Engage Technology and Consumers
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 …
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ZDogg Speaks: Rebooting Primary Care (The Unedited Version)
For the better part of a decade, I practiced inpatient hospital medicine at a large academic center (the name isn’t important, but it rhymes with Afghanistan…ford). I used to play …
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Moving at the Speed of Medicine: Turbo-Charging Performance with Strategic Partnerships
Insourcing is a time-honored practice employed by market-dominant companies. Rather than contract with external experts, companies dedicate internal resources for specialized functions. While generally less efficient, insourcing enables companies to …
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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. …
System Dynamics
Behavioral Health Goes Local: The Emergence of Integrated, Community-Based Services
by Todd Rudsenske and David W. Johnson From addiction to depression to psychosis, mental illness exacts a growing toll on individuals, families, communities and health systems. We can measure its …
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HealthCare.Gov’s Death-Defying 2013 Launch: Implications for Government-Led Payment Reform
Enrollment for purchasing health insurance on public health exchanges began November 1st. Headlines for this fourth enrollment period include: 22% average price increases; major health insurers dropping coverage; and single …
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Medtech in the Fast Lane: Embracing Services, Solutions and Consumerism
by Rafe Hanahan and David W. Johnson Manufacturing built America. The iconic automotive industry epitomizes this organic relationship between industrial strength and economic growth. Since the early days of Ford …
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What Would Einstein Do? Embedded Dilemmas in Disrupting Markets
Earlier this month, Ford CEO Mark Fields made two head-scratching announcements to advance transportation services in San Francisco. Ford acquired Chariot, a popular crowd-sourced shuttle-van service that uses algorithms to …
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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 …
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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 …
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FTC Chasing the Wrong Healthcare Villain in Chicago
Last December the Federal Trade Commission sued to block the proposed merger between Advocate Health Care and NorthShore University Health System. The combined company’s annual revenues would exceed $7 billion. …
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Market vs. Medicine Book Launch: You Are Invited
After more than a year of research, writing, editing, re-writing, and re-editing, Market vs. Medicine: America’s Fight for Better, Affordable Healthcare is being printed and will be available on May …
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Two Runners, Two Countries, Two Emergencies: You Decide
For over a decade I’ve plodded up and down the Chicago lakefront with the same group of idiotic runners. Through wind, sun, snow and rain we babble about anything that …
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Misdirected Fury: The Boston Globe “Spotlights” Concurrent Surgeries
Market Corner Commentary for March 2, 2016: Misdirected Fury: The Boston Globe “Spotlights” Concurrent Surgeries At Sunday night’s 88th Academy Awards, Spotlight won the Oscar for best picture. The movie chronicles …
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Big Data’s Ups and Downs: The Good, The Scary and The Creepy
Market Corner Commentary for February 10, 2016-Big Data’s Ups and Downs: The Good, The Scary and The Creepy Big data analytics are essential for understanding consumer preferences. Collecting, measuring and …
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Pursuing What Works: Genetics, Epigenetics and Chronic Disease
Market Corner Commentary for February 3, 2016-Pursuing What Works: Genetics, Epigenetics and Chronic Disease Genetics-based therapies represent the pinnacle of medical science. Billions of dollars have poured into research to …
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U.S. Healthcare in 2016: Enjoy the Sideshow; Watch the Main Event
Market Corner Commentary for January 27, 2016- U.S. Healthcare in 2016: Enjoy the Sideshow; Watch the Main Event For the sixty-second time, the U.S. House of Representatives passed legislation repealing Obamacare …
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Exchange Matters: UnitedHealth Takes a Stand or Does It?
Market Corner Commentary for January 20, 2016 During an investor call in November, the nation’s largest health insurance company (UnitedHealth Group) delivered a body blow to the Affordable Care Act’s …
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Rational Lending: Demystifying Medical Student Loan Debt
Market Corner Commentary—Demystifying Medical Student Loan Debt, for December 16, 2015 Winston Churchill famously observed that “Russia was a riddle wrapped in mystery inside an enigma.” Churchill’s language provides an …
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Fujifilm’s “Moment”: Disruption, Adaptation and Health System Transformation
Almost every healthcare “transformation” discussion includes Kodak’s cautionary tale – how the once iconic company fails to embrace digital imaging, capsizes and drowns. The story’s moral is to embrace disruption, …
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November Indigestion: The Idiocy and Promise of Benefit Selection
Market Corner Commentary for December 2, 2016- November Indigestion: The Idiocy and Promise of Benefit Selection David Johnson and Nathan Bays Dave’s wife Terri Brady is a Senior Leadership Coach at …
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Righteous Analytics: Right Data. Right Time. Right Way
Market Corner Commentary for November 4, 2015- Righteous Analytics: Right Data. Right Time. Right Way Technology is on the cusp of channeling diagnosis and treatment toward best outcomes at lowest costs. …
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“Amazoning” Healthcare’s High Prices
“Amazoning” Healthcare’s High Prices A recent Kaiser Health News article reports that prices for basic women’s health services vary dramatically within and across markets. The cost for mammograms in Dallas …
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Rebels with a Cause: Venture Companies Attack Healthcare
Market Corner Commentary for September 2, 2015-Rebels with a Cause: Venture Companies Attack Healthcare There is a meaningful shift occurring in healthcare private equity and venture investing. The “smart money” …
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King for a Day: Winning Strategies in Post-Reform Healthcare
Market Corner Commentary for August 12, 2015 -King for a Day: Winning Strategies in Post-Reform Healthcare-(#Quality Outcomes) Great leaders ask great questions. Banner Health’s CEO recently wrote and asked me, …
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Medicare at Fifty: More Yesterdays than Tomorrows?
Market Corner Commentary: August 5, 2015-Medicare at Fifty: More Yesterdays than Tomorrows? A version of this commentary appeared in Huron Healthcare’s “Perspectives” on July 30th With Harry Truman watching, Lyndon …
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Crossing the Technology Chasm: Tele-ICUs Save Lives and Money
Crossing the Technology Chasm: Tele-ICUs Save Lives and Money The Leapfrog Group’s[1] fact sheet on ICU Physician Staffing estimates that preventable ICU deaths exceed 54,000 each year. This figure excludes …
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Uber Up! Customer Interfacing Discovers Healthcare
Market Corner Commentary: July 15, 2015-Uber Up! Customer Interfacing Discovers Healthcare A version of this commentary first appeared in “Academy 360” on July 9, 2015 More “suits” flock to downtown …
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No One is an Island: Meaningful Second Opinions
Market Corner Commentary: July 1, 2015-No One is an Island: Meaningful Second Opinions A good friend (let’s call him John Donne) in his mid-fifties recently wrote describing his treatment for …
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Welcome Back, Kotter! Leading Health System Change
#Leading Change-Market Corner Commentary: June 24, 2015-Welcome Back, Kotter! Leading Health System Change A version of this commentary first appeared in “Academy 360” on June 11th In the popular 1970s …
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Chasing Colonoscopies: It’s the Customer, Stupid!
Who knew a routine colonoscopy could illuminate the wild world of healthcare consumerism? Before getting to my story, let’s examine the current state of colonoscopies in America.[1] Colonoscopies are the …
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Deep Web Rising: Healthcare’s Looming Cyber Threat
A version of this commentary first appeared April 30th in “Academy 360”-Deep Web Rising: Healthcare’s Looming Cyber Threat Healthcare is a “target-rich” environment for cyber criminals. Cyber attacks on health …
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Exploiting Perverse Incentives: Kentucky Basketball and Prime Healthcare
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 …
Economics
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 Economics. Highlighting used-car sales, Akerlof explored why market failure occurs …