← Back to Insights
March 9, 2021
Authors
David W. Johnson
Topics
Economics Innovation
Channels
Blogs Dispatches

Sludgebusters

Last Thursday’s Dispatch profiled how medical bill hassles cost workers and their employers an astounding $144 billion each year. This hassle factor adds to the already monumental $266 billion in waste generated by healthcare’s administrative complexity. The combined annual cost of healthcare’s administrative sludge now exceeds $400 billion.

$400+ billion equates to 2% of U.S. GDP. That’s almost equivalent to the economic impact (2.7% of GDP) created by the U.S auto industry. Ford, GM and other automotive companies literally propel the U.S. economy forward. Nationwide, they employ 18 million workers. They increase national productivity through value creation. 

By contrast, healthcare’s administrative sludge is a massive drag on the overall U.S. economy. It consumes enormous resources without adding commensurate value. It gunks up the nation’s economic engine like a bad carburetor. With less sludge, the U.S. economy would run better. “So who we gonna call” to reduce healthcare’s administrative sludge?

The genius of capitalism is that market inefficiencies create opportunities for innovative companies to earn profits through value creation. New business models emerge to deliver better outcomes at lower costs with better customer service. Viewed through this lens, reducing healthcare’s administrative sludge is a massive business opportunity.

Many savvy companies are rising to the challenge of reducing payer-provider friction through connected, easy-to-use, tech-enabled platforms. They include Aerete, Apervita, Collective Health, HealthBridge, Lumedic and Ooda Health among others. Companies like these deliver value to payers, providers and consumers by simplifying and standardizing healthcare transactions transparently.

They ain’t ‘fraid of no sludge!

Read all dispatches from Dave Johnson here

About the Author

David W. Johnson

David Johnson is the CEO of 4sight Health, an advisory company working at the intersection of healthcare strategy, economics, innovation. Johnson is a healthcare thought leader, keynote speaker, and strategic advisor to organizations busting the status-quo to reform our healthcare system. He is the author of Market vs. Medicine: America’s Epic Fight for Better, Affordable Healthcare, and his second book, The Customer Revolution in Healthcare: Delivering Kinder, Smarter, Affordable Care for All (McGraw-Hill 2019). As a speaker, Dave plays the role of rebel, challenger, industry historian, investor and company evaluator to push audiences forward. (Watch bio video.) Johnson applies his 25+ years of investment banking in healthcare to identify ways the healthcare industry must change to deliver better care. He received a Masters in Public Policy from Harvard Kennedy School, an English degree from Colgate University, and served in the African Peace Corp service. Join over 10k+ healthcare executives who read our weekly insights and commentary on www.4sighthealth.com.

Dave wakes up every morning trying to fix America’s broken healthcare system. Prior to founding 4sight Health in 2014, Dave had a long and successful career in healthcare investment banking. He is a graduate of Colgate University and earned a Masters in Public Policy from Harvard Kennedy School. Employing his knowledge and experience in health policy, economics, statistics, behavioral finance, disruptive innovation, organizational change and complexity theory, Dave writes and speaks on pro-market healthcare reform. His first book Market vs. Medicine: America’s Epic Fight for Better, Affordable Healthcare, and his second book, The Customer Revolution in Healthcare: Delivering Kinder, Smarter, Affordable Care for All (McGraw-Hill 2019), are available for purchase on www.4sighthealth.com. Get his new book with Paul Kusserow, The Coming Healthcare Revolution: 10 Forces that Will Cure America’s Healthcare Crisis now.

Recent Posts

Outcomes
Podcast: 5 Healthcare Headlines We Didn’t Expect to See 7/30/26
The healthcare industry makes news every day, some of which we never thought we’d see. But here we are…. Read More
By July 30, 2026
Outcomes
How Consumers Pick Health Plans and Providers
Let’s take a deep breath and then stop talking about healthcare AI chatbots for a moment. Instead, let’s… Read More
By July 29, 2026
Consumerism
How to Save Primary Care
Primary care is declining rapidly, threatening the stability of our healthcare system. Even though less than 5% of… Read More
By July 28, 2026