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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 …

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 …

An Unbearable Burden: Paying for Commercial Health Insurance


The Healthcare Affordability Index (the Index) is a simple and powerful metric for assessing the impact of rising healthcare cost on American living standards. The Index measures the relationship between …

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 …

When the Price Is Right: Aligning Payment with Health System Transformation


In 1952 at the tender age of 25, Elizabeth became the Queen of England upon the death of her father King George V. The popular Netflix series “The Crown” depicts 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 …

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 …

Brand-Heavy and Asset-Light: Moving Beyond the Acute-Care Mindset


For health systems, the day of reckoning is near. A recent Morgan Stanley report states that over 1,000 of the nation’s 5,000+ hospitals are currently weak or at risk of closing. …

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 …

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 …

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