Value Based Care – The Dice Are Often Loaded
VBC is a step in the right direction for primary care. But the cost to get in the game may be beyond the reach of many primary care groups.
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Observations
"As long as I'm learning something, I figure I'm OK - it's a decent day."
- Hunter S. Thompson
- Sep 24
- 3 min
Blue Zones – No Magic Beans
To avoid just being this year’s fad and achieve sustained growth, let data precede and inform your solutions, not the other way around.
- Sep 18
- 3 min
Healthcare Data Atherosclerosis and the AI Pipe Dream
Healthcare AI solutions without high value data from payers and providers are unlikely to achieve seamless healthcare data integration.
- Sep 5
- 7 min
Health Insurance Lingo – Drivers of the Health Insurance Business
The lingo and business strategies deployed by health insurance carriers to control costs, manage utilization, and support their bottom line.
- Aug 21
- 4 min
Wellness Apps and Point Solutions - What's the point?
Without an answer to “what are we trying to achieve?” answered by data - wellness apps, programs and point solutions are just more noise.
- Aug 13
- 3 min
Mental and behavioral health – What’s in a name?
Insurers recognize the importance of mental and behavioral health, but they haven't effectively engaged the wide range of consumer needs.
- Jul 24
- 3 min
Prior Authorizations – Sand in the Bathing Suit
Prior authorization create friction in the hope of reducing healthcare utilization. They also create new business opportunities.
- Jul 10
- 3 min
Value Based Care + Predictive Analytics: Letting The Light Shine In
VBC primary care is struggling in the darkness of retrospective data. The right kind of tool would empower better care and lower costs.
- Jul 2
- 5 min
ICHRA Insurance: Passing the Hot Potato
Are ICHRAs a better option for employees or just a way for employers to pass the headache of rising healthcare costs on to their employees?
- Jun 24
- 4 min
Self-funded vs Fully Insured - What's The Difference?
Self-funded employers have financial skin in the game. They are hungry to hear about new ideas that will shift the odds in their favor.
- Jun 10
- 5 min
Medicare: The Three Flavors
Medicare is one of the largest and fastest growing healthcare segments with many opportunities to add value to the various Medicare flavors.
- Jun 3
- 3 min
Leadership: Gaining Alignment and Making Change
Leadership: Gaining Alignment and Making Change
- May 22
- 3 min
Medicare Advantage: yesterday’s choices deliver today’s results
Decisions made by the C-suite a few years ago are now delivering results – both good and bad.
- May 14
- 3 min
HIPAA: the Blu-Ray player of healthcare regulations
HIPAA has created an enormous constraints on new market entrants. The healthcare industry needs a privacy law written in the 21st Century.
- Apr 19
- 4 min
Healthcare user experience: the moments of truth
The healthcare user experience is like “fine wine" - one person’s great experience may be disappointing to another.
- Apr 16
- 5 min
Becoming a health insurance covered benefit
Trying to get a seat at the table can be daunting. But if you position your offering to positively impact the health insurance revenue and i
- Apr 9
- 4 min
Primary Care Innovation: Wins, Losses and Lessons
“Intelligence is the ability to adapt to change.” - Stephan Hawking Insufficient capacity and a hampered business model The challenging...
- Apr 1
- 3 min
Business strategy is about growth not buzzwords
Business strategy is about growth not buzzwords
- Mar 25
- 3 min
Health insurance provider networks: a disruption opportunity
“It’s easy to maintain your integrity when no one is offering to buy it.” - Marc Maron Commercial health insurance is hog-tied More than...
- Mar 19
- 8 min
Medicare Advantage Product Design
“A party without a cake is just a meeting.” - Julie Child Springtime is Medicare Advantage time Private Medicare Advantage carriers are...
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