David W. Johnson

Expertise: Market-driven health reform

Dave is the CEO and founder of 4Sight Health, a healthcare boutique specializing in thought capital, strategic advisory services and venture investing.  4Sight Health operates at the intersection of healthcare economics, strategy and capital formation. The company’s four-stage analytic (Assess. Align. Adapt. Advance.) reflects the bottom-up, evolutionary character of disruptive, market-driven reform.  Mr. Johnson speaks frequently, authors a widely-read blog on market-driven healthcare reform and is currently writing Market versus Medicine: America’s Battle for Better Healthcare at Lower Prices that will publish in 2015.

During his 28-year investment-banking career, Mr. Johnson lead managed over $30 billion in healthcare revenue bonds, led significant strategic advisory engagements and advanced capital formation, asset-liability management, enterprise risk analytics and new business-model development for his large health system clients.  Dave’s expertise encompasses health policy, academic medicine, economics, statistics, behavioral finance, disruptive innovation, organizational change and complexity theory.

Mr. Johnson holds a Bachelors of Arts degree in English Literature from Colgate University and a Master’s degree in Public Policy from Harvard University.  Dave was a Peace Corps Volunteer in Liberia, West Africa and a United States Presidential Management Intern.  His civic and professional affiliations have included Harvard Medical School (Visiting Committee); the Chicago Council on Global Affairs (Board, Executive and Finance Committees); the University of Chicago (Harris School of Public Policy’s Visiting Committee and Student Engagement Sub-Committee Chair); the Health Management Academy; Harvard School of Public Health (occasional lecturer); CHRISTUS Health (Audit Committee); the British-American Project (U.S. Chair); and Terence Cardinal Cooke Health Center (Finance Committee Chair).

Dave enjoys reading, travelling and has run ten marathons.

While media attention focuses on the white-hot politics of Obamacare, private-market activity (e.g. Walmart’s desire to be the country’s largest primary care provider) is reshaping American healthcare in fundamental ways that will result in better care, lower prices and increased customer convenience.

declining rate of U.S. healthcare spending


current prolonged period of low long-term fixed interest rates

What I Learned:

U.S. healthcare is too expensive, too fragmented, too variable, asset-heavy, over-invested in acute/specialty care and under-invested in prevention, primary care, behavioral health, chronic disease management and health promotion. I’ve launched 4Sight Health to spotlight and assist companies delivering better healthcare at lower prices. 

American healthcare will advance by responding to customers’ needs, delivering superior outcomes and cutting waste. By focusing on value creation, private health companies will lead the transformation.

May 12, 2022

Overcoming Medical Orthodoxy (Part 3): Forces Disrupting “Old Medicine”

This is the third article in a four-part series on reimagining American medical education and ongoing clinician training. 

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April 29, 2022

Separate And Unequal (Part 1): Healthcare’s Profound Maldistribution of Facilities

As part of its announcement of payment guidelines for FY 2023, the Centers for Medicare and Medicaid Services (CMS) launched six initiatives to advance health equity and improve maternal health outcomes within hospitals. These initiatives are central to the Biden Administration’s commitment to “improving care for people and communities who are disadvantaged and/or underserved by the healthcare system.”

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April 06, 2022

Cracks in the Foundation, Part 3: Overcoming Healthcare’s Services-Need Mismatch

This piece is the third in a series of six columns in which David Johnson addresses five structural defects undermining nonprofit healthcare. He outlined all five defects in the first column of the series. Part two is here.

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March 24, 2022

Overcoming Medical Orthodoxy (Part 2): Reinventing Medical Education

This is the second article in a two-part series on reimagining American medical education and ongoing physician training.

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March 17, 2022

Overcoming Medical Orthodoxy (Part 1): The Origins of Dysfunction

This is the first article in a two-part series on reimagining American medical education. This article details the limitations of the current models in training doctors to combat chronic disease and practice value-based care. Part 2 illustrates innovative approaches to training medical professionals through the lens of four new medical schools. These schools have developed innovative approaches for training medical professionals to manage the health of distinct populations holistically and cohesively.

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U.S. government whiffs on 10-year health expenditure forecast


Expert Information


Market-driven health reform




Current Experience

CEO and founder of 4Sight Health

Past Experience

  • Managing Director, BMO Financial Group


  • Master’s degree in Public Policy from Harvard University
  • Bachelors of Arts degree in English Literature from Colgate University