Pulse: Healthcare


A Chicago Story: Gun Violence; Budget Cuts and Social Contagion

It was an eventful July 4th weekend in the Land of Lincoln. The Illinois Senate over-rode Governor Bruce Rauner’s veto to pass its first state budget in over two years. This was the longest state budget impasse in the nation since the Great Depression.
 
Meanwhile, the mean streets of Chicago remained mean. The City recorded 15 homicides during the holiday weekend and over 100 shootings. Although down slightly, Chicago is on pace to record over 700 murders in 2017.
 

Forming a More Perfect Health System: Senate Republicans Confront Their Policy Demons

Senator Mitch McConnell is the most effective Senate Majority Leader since Lyndon Johnson. A tactical maestro, McConnell faces the seeming impossible task of uniting the Republican party’s divergent conservative and moderate wings to pass health reform legislation. Growing numbers of Republican senators have indicated they cannot vote for the legislation as currently drafted.

The Iceberg Cometh: Welcome to Sickville, USA

Co-authored with Kurt Waltenbaugh.

In the western suburbs outside Minneapolis, two men lead average lives. Surveying them as part of the general population, no health system, insurer or policy maker would notice anything that might be alarming. Yet, when it comes to the healthcare costs they will incur over the next few years, they are ticking time bombs waiting to go off.

Symbiotic Disruption: Skilled-Nursing-REIT Ecosystem Adapts to Market Dynamics

Co-authored with Wyatt Ritchie, a senior banker focusing on Post-Acute Care and Outsourced Services.  

Nature thrives on symbiosis. Its many ecosystems would not exist without important relationships between sometimes strange bedfellows. The oceans’ most colorful coral reefs, for example, are often found in clear water relatively devoid of nutrients.

40 Years in the Payment Reform Wilderness: DRGs to Nirvana - Part 1

Co-authored with Gaurov Dayal and Jeff Smith of Lumeris.

In an ideal state, a well-functioning healthcare delivery system should provide the right care at the right time and the right place, while being accountable for clinical and financial outcomes.

"Indumbent" Healthcare Thinking: Prices Don't Matter

In a March 29th New York Times article, author Elizabeth Rosenthal chronicles America’s dystopian system for coding and billing medical treatments. Rosenthal concludes that the medical-billing system itself is a primal cause of the nation’s sky-high medical costs,
 

Darwinian Outsourcing: Big Pharma Adapts to Market Realities

Co-authored with Kristin Carey.

Competitive markets drive innovations in business efficiency and strategy. Twenty-five years ago, Big Pharma companies did little outsourcing. Fortified by robust cash flows and high profit margins, they exercised near-total control over drug discovery, testing, approvals, manufacturing and distribution.

Trumpian Healthcare Reform: A “Silver Linings” Legislative Playbook

Last Friday was supposed to be the shootout at the healthcare corral where Republican gunslingers were going to take the first major step toward repealing Obamacare. Instead legislators retreated to their offices with no shots fired.

Speaker Paul Ryan pulled the vote on the controversial American Health Care Act (AHCA) as moderate and conservative Republican Representatives pulled their support in droves.

AHA! Healthcare is Both a Right and a Commodity

In late January, I participated in an Oxford-style debate regarding whether healthcare is a commodity. The debate was the featured event at Tata Memorial Centre’s Platinum Jubilee Conference in Mumbai, India.

A packed auditorium of over a thousand attendees buzzed with excitement as Professor Antonio “Tito” Fojo (my opponent) and I walked on-stage. The conference theme, “HEALTHCARE: A Commodity or Basic Human Need?” put the spotlight on our contest. We were midway through the 3-day conference, and it was show-time.

Avoid Mediocrity: Turbo-Charge Performance with Strategic Partnerships

Co-authored with Jake Crampton

Market forces demand constant performance improvement and optimization of resources and assets. In today’s complex healthcare marketplace, agility, efficiency and quality are the new drivers of success. To successfully compete, healthcare systems will need to overcome their preferences for "owning" sub-optimal business functions and align with strategic partners that can deliver superior products and services.

Pages