Outcomes

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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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Tracing: Get It Done, Make It Permanent.


Key Takeaways The U.S. needs a comprehensive tracing program to safely reopen an economy hobbled by COVID-19. State and local governments must hire between 100,000 and 300,000 workers for a …

Tracing: Get It Done, Make It Permanent.

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


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

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

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 …

Public Health and Healthcare in Post-COVID America

Rogue Cops and Vigilantes: COVID-19’s Best Friends


Key Takeaways Widespread civil unrest in the wake of the police and vigilante murders of two African Americans has set back the effort to control the COVID-19 pandemic. Public health …

Rogue Cops and Vigilantes: COVID-19’s Best Friends

Workplace Wellness Programs and the Coronavirus Pandemic


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

Workplace Wellness Programs and the Coronavirus Pandemic

A Fortunate ACO Coincidence


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

A Fortunate ACO Coincidence

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


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

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

Pandemics and Your Medication Adherence


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

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

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 …

Healthcare’s COVID-19 Echo Chamber


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

Then and Now: What Woodrow Wilson’s 1918 Pandemic Failure Can Teach Us Today


Key Takeaways: There are eerie parallels between the 1918 and current viral pandemics. Woodrow Wilson’s decision to pursue the war irrespective of the pandemic accelerated the disease spread and increased …

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


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

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 …

Differential Susceptibility of Individuals and Communities to COVID-19


COVID-19 strikes with alarming inconsistency. Most recover quickly while others die. The disease devastates some communities and spares others. Understanding why and how COVID-19 preys on some and not others …

Oh, hey. About that Accreditation Survey


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

The FDA’s Vast, Uncontrolled, COVID-19 Science Experiment


Add the Food and Drug Administration to the lengthening list of federal agencies abandoning best scientific practices as it caters to the ill-informed whims of the president of the United …

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 …

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 …

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 …

Pandemic Preparedness 101: Creating Appropriate Surge Capacity


In 2014, Israel opened a parking garage that can be turned transformer-like into a 2,000-bed hospital. The architects hired by the Rambam Medical Center in Haifa designed the walls of …

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


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

Adjusting to Life with Spreading Covid-19: Stay Safe and Be Productive


Covid-19 is stressing American society and us all in fundamental ways. The obvious and most important impact is the potential loss of life, particularly for the frail elderly and medically …

The Next Moonshot: Moving to Reverse America’s Declining Life Expectancy


Meet Dr. Allen Weiss, veteran health system administrator, former AHA Board member, thought leader, healthcare revolutionary, and Chief Medical Officer for the Blue Zone Project. While Allen was President & CEO …

Why Strategic Partnerships Are Vital To Hospital and Health Systems Success


In our January 9th, 2020, Market Corner Commentary we identified the following five forces that are coalescing to drive more value into the delivery of healthcare services: More disciplined purchasing …

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 …

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 …

How Can Healthcare Avoid Screwing Up AI’s Potential?


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

How Fee-for-Service Makes Doctors Choose Poorly


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

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, …

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 …

Which Way Will the Private Equity Pendulum Swing for Patients?


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

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 …

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 …

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 …

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 …

Overcoming Collateral Damage: Healthcare Price Transparency Now and Forever


Key Takeaways: Providers and payers fight the implementation of transparent prices with all their considerable resources and influence. Monopolies and monopsonies resist transparent pricing for their services because it threatens …

Join the Revolution!


“The revolution is not an apple that falls when it is ripe. You have to make it fall.”  Pawan Kalyan                     …

Has Healthcare Lost Its Appetite for Value?


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

healthcare, value-based care

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 …

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, …

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 …

The Rush to Move Patient Care Out of the Hospital


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

Will Misuse of Antibiotics Respond to Regulation?


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

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.               …

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                                 …

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 …

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 …

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 …

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 …

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 …

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 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. …

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 …

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 …

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 …

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 …

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 …

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 …

Hitting a Wall on EHR Interoperability, Patient Access


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

What Fish and Colonoscopies Have in Common


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

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


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

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 …

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 …

Opioid Variations and State Interventions


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

Why Healthcare is Spinning Its VBR Wheels


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

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. …

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 …

Digital Disillusionment: Are We There Yet?


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

When Hospitals Merge, Patient Satisfaction Gets Squeezed


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

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


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

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 …

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 …

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


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

Everything in Healthcare is Changing—Except One Thing


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

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


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

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 …

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, …

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 …

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 …

Few On The Same Page When It Comes To The Value of Value-Based Reimbursement


Yet another report shows that fee-for-service medicine is hard to kill. This time the culprits are a lack of faith in value-based reimbursement by clinicians and a lack of trust …

Pointing the Finger at Health Plans for Providers’ Price Variations


Wide variations in what providers charge for the same medical services are notorious. But providers are not acting alone. They’re aided and abetted—and some would say coerced—by health plans whose …

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 …

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 …

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 …

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 …

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 …

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 …

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

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 …

Good Intentions Aren’t Enough: Choosing Wisely Misses the Target


Market Corner Commentary Special Report for November 8, 2017 Earlier this year, the Choosing Wisely campaign celebrated its 5th anniversary. Choosing Wisely is a well-funded, practice-focused organization created to reduce …

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 …

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 …

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. …

The Iceberg Cometh: Welcome to Sickville, USA


In the western suburbs outside Minneapolis, two men lead average lives. Surveying them as part of the general population, no health system, insurer or policy maker would notice anything that …

Symbiotic Disruption: Skilled-Nursing-REIT Ecosystem Adapts to Market Dynamics


Nature thrives on symbiosis. Its many ecosystems would not exist without important relationships between sometimes strange bedfellows. The oceans’ most colorful coral reefs, for example, are often found in clear …

clinical academic medicine 

“Indumbent” Healthcare Thinking: Prices Don’t Matter


In a March 29th New York Times article, author Elizabeth Rosenthal chronicles America’s dystopian system for coding and billing medical treatments. Rosenthal concludes that the medical-billing system itself is a …

best health policy

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 …

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 …

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

Market Evolution: Addressing Structural Flaws on Public Health Exchanges


After two-plus years of operations, clear structural flaws have emerged in the design and function of public health exchanges. Health insurance cooperatives have largely failed. Many traditional insurers have suffered …

health care 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 

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 …

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

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 …

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 …

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 …

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 …

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 …

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 …

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 …

chronic disease management

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 …

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 …

Dynamic Tension: Rethinking Health System Governance


Market Corner Commentary- Health System Governance- for January 6, 2015 John Koster MD and David Johnson The winds of post-reform transformation are blowing through healthcare. Long-established health systems confront existential …

market-based health care system

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

Value Rules: Playbook for Post-Reform Healthcare


Market Corner Commentary for October 21, 2015-Value Rules: Playbook for Post-Reform Healthcare Warren Buffett famously noted that “price is what you pay and value is what you get.”  In fee-for-service …

value

“The Cubs Way”: Lessons in Leadership, Cultural Change and Performance Improvement


Market Corner Commentary for October 14, 2015-“The Cubs Way”: Lessons in Leadership, Cultural Change and Performance Improvement Any team can have a bad century!  The Chicago Cubs define ineptitude.  They …

Doc-Fix Legislation: Medicare Makes Physicians an “Offer They Can’t Refuse”


David Johnson and Nathan Bays-Doc-Fix Legislation: Medicare Makes Physicians an “Offer They Can’t Refuse” After years of temporary fixes and short-term extensions, the U.S. Congress repealed Medicare’s Sustainable Growth Rate …

The Tyranny of Average Costing: Profit and COST in Value-Based Delivery


Market Corner Commentary for September 23rd-The Tyranny of Average Costing: Profit and COST in Value-Based Delivery Michael Porter, the eminent Harvard Business School professor, defines “value” in healthcare as “achieving the best …

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 …

Of Metrics and Meaning: Making Sense of Healthcare Quality Ratings


Market Corner Commentary for September 9, 2015-Of Metrics and Meaning: Making Sense of Healthcare Quality Ratings As healthcare becomes more consumer-focused, hospital and physician rating systems are proliferating.  Yelp is …

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, …

Individual Mandate: Are You Up for N=1 Healthcare?


Market Corner Commentary for August 19, 2015 (disruption)-Individual Mandate: Are You Up for N=1 Healthcare? Yogi Berra famously observed, “The future just ain’t like it used to be.”   In N=1: How …

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 …

David Jones’ Locker: Humana and the Perils of Vertical Integration


Market Corner Commentary: July 22, 2015-David Jones’ Locker: Humana and the Perils of Vertical Integration American healthcare is losing the iconic Humana brand.  Aetna has announced it will acquire Humana …

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 

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 …

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 …

Holy Sheets! Fast-Tracking Delivery Innovation



Holy Sheets! Fast-Tracking Delivery Innovation Hospitals have used cotton linens since the early 1900s.  Crisp, white sheets touch all patients and epitomize healing.  “Hospital corners” describe the proper way to …