In 2005, Humana engaged me to develop a business plan to enter the population health business in the United Kingdom. As I sat in the Virgin Health office on the sixth floor of a house on Half Moon Street in..
In Frozen 2, Elsa follows a mysterious voice on a journey that leads her to being frozen on the mythical glacier of Ahtohallan. Fortunately, the Earth Spirits come to Elsa's rescue by creating a flood that allows Elsa to thaw out and return to save her kingdom...
Imagine the unimaginable: what if United bought HCA? The world is in the midst of what John Lennon would say are “strange days indeed, most peculiar, Mama.” In less than 30 days, the U.S. healthcare system has endured what Nassim Nicholas Taleb refers to as a “Black..
Every health system executive remembers how the Federal government effectively determined the fate of large banks in the 2008-2009 recession. While certain firms like AIG were deemed “too big to fail”, others like Lehman Brothers were doomed to immediate demise. A..
As the decade comes to a close, we reflect on the ongoing transformation of the U.S. healthcare system. In one sense, nothing much has changed, as health systems are, as always, being assaulted on all sides by numerous market forces. On the other hand, the pace of..
So, now what?
All the experts said it would not happen, that it could not happen, that the President could not do what he just did. Most of the experts haven’t read the Constitution. Most of the experts get paid to tell you what you want to hear. Most of the experts..
Like a modern-day Rip Van Winkle, I returned to the claims analytics industry in 2017 after a decade-long hiatus. Unlike Rip Van Winkle, I recently discovered that nothing has changed about the fascination that health system executives have with “state data”.
With the announcement by the Department of Health and Human Services (HHS) of the January 1, 2019 effective date of new, and lower, payments for drugs acquired under the 340B program, I was reminded of a post that my friend Wes Chapman published a little more than a..