The inflection point in the healthcare value chain

In 1965 there were 4.6 workers for every beneficiary on Medicare. In 2030 that number is slated to be 2.3 workers and 10,000 baby boomers will be retiring every single day through that same time period. The healthcare value chain is the system of resources that an organization uses to drive its outputs as wellContinue reading “The inflection point in the healthcare value chain”

Healthcare technology, please don’t revert to the mean

A combination of cognitive dissonance, Stockholm’s syndrome, and poor incentive structure have been a burden to the consumer healthcare experience, that is until the democratization of healthcare data. The decision-making power that patients now possess with access to “their data” is creating an environment that is not your father’s healthcare system. Information is really theContinue reading “Healthcare technology, please don’t revert to the mean”

What’s a guy (or gal) have to do to get a fiduciary for a health insurance broker?

Employers spent an estimated $738B on health benefits covering roughly 170 million Americans in 2018. Half of US employers use a health insurance broker to put together a package of health benefits that will best suit their employees. Tony Robbins does an Unshakeable job of analyzing the ways individual American consumers should be shopping forContinue reading “What’s a guy (or gal) have to do to get a fiduciary for a health insurance broker?”

To capitate or nah, that is the question!

One look behind the curtain of organizations like ChenMed, Iora Health, and Oak Street Health and the signs of disruption in the way that healthcare is delivered permeate. To start, they don’t employ billing staff and every patient has a multi-disciplinary care team assigned to them. Appropriateness of care and waste are two concepts thatContinue reading “To capitate or nah, that is the question!”

The pharmacy benefit manager and private equity firm will see you now

The #1 cause of personal bankruptcy in the United States is medical debt and healthcare is officially the largest employer in the United States of America. When anyone with a heartbeat can take on a mortgage or apply for a college loan, bubbles happen. Similar to the principles that underlie The Giving Pledge trying toContinue reading “The pharmacy benefit manager and private equity firm will see you now”

Why are self-pay charges still a black box?

Recently, my significant other got into a grappling match with my power drill. Let’s just say, drill bit-1 and wife-0. This piece is a bit more opinionated and much more personal than usual (I hope). With both HIPAA and current employment in mind, let’s tap dance into describing an emergent healthcare experience and offer someContinue reading “Why are self-pay charges still a black box?”

A case for blockchain, and ADEIT:

Why is it that black hats are happy to hand over our healthcare data in exchange for Bitcoin? There is probably utility in understanding why the people stealing our healthcare data leverage blockchain technology as a mechanism for capturing revenue for their “services”. And if data breaches don’t justify the means, how about our abilityContinue reading “A case for blockchain, and ADEIT:”

Office of National Coordinator, can we get a blockchain?

In 2008, 9% of US Hospitals had some form of an electronic health record system (EHR, EMR), today over 96% of US Hospitals have an EHR system. The arms race in healthcare information technology adoption since The HITECH Act has created a patch work quilt of systems to communicate our nation’s healthcare data. The doubleContinue reading “Office of National Coordinator, can we get a blockchain?”

Why can’t all health plans pick us up and take us to the gym?

If we look at the bell curve of adopting healthcare delivery models in the United States, rest assured we are still early adopters of the quality variety in 2019. Take the Medicare Access and Chip Re-Authorization Act (MACRA) which has been the flavor for Medicare Part B’s quality reimbursement programs since 2015. The Merit-Based IncentiveContinue reading “Why can’t all health plans pick us up and take us to the gym?”

Patient Experience is a real thing, finally

The HITECH Act created an immense opportunity for healthcare providers with the appropriate tools and culture to thrive by engaging with their patient populations. There are example after example where organizations are skating quickly towards who the payor is becoming, the patient. Couple the rise of mobile devices with the advent of organizations like TheContinue reading “Patient Experience is a real thing, finally”