Pulse: Industry


An Unbearable Burden: Paying for Commercial Health Insurance

The Healthcare Affordability Index shows how the rising costs of healthcare insurance, both for companies and employees, stagnate wages.

EconVue Spotlight | Peak Davos

The biggest economic conference of the season, the World Economic Forum, has just wrapped up in Davos. Most of the sessions are now available as they happen, and with the snow piled high here in Chicago, watching them online almost seemed like being there. I’ve included links to some of the best discussions and interviews you might enjoy on this even colder weekend.

Getting Precise about Precision Medicine: Balancing Hope, Potential and Cost

Co-wrote with Dr. Harold Picken, Huron Consulting.

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 long odds for the chance to improve or extend life, but they want health insurers to cover the costs.

EconVue Spotlight

I know some people abhor social media.  The sector has certainly taken a beating lately in the markets, but I really love Twitter. It gives me the ability to hear the (curated) voices of people I know, don’t know, and in some cases hope I never know, but who make me think.  I follow the newspapers and journals I used to have to login to separately, read other media from all around the world I didn’t even know existed, and get into impromptu conversations with real experts. 

Left and Right Both Hate It -- a Good Sign for the Amazon HQ Deal

FMI’s commentary on the use of state & local incentives in the Amazon headquarters deals.

Amazon HQ Flawed But Still Good Deals for Winning States

When Socialist flavor-of-the-month Representative-elect Alexandra Ocasio-Cortez and conservative Fox host Sean Hannity both denounce a policy as an outrage, it must be truly outrageous. Or they must both be very confused. In the case of the incentives given Amazon for its new headquarters, it is the latter.

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. (1) This is the beginning of a larger wave.

The pressure is top down and bottom up. Payers are unwilling to continue unadulterated fee-for-service (FFS) payment formularies. Consumers increasingly expect convenience, lower costs, better outcomes and improved customer experience.

Amplifying Transformation: Addressing Medicare Advantage's Disadvantages

The U.S. healthcare system will not change the way it delivers care until it changes the way it pays for care. Perverse incentives riddle fee-for-service payment (FFS) and lead to overtreatment, fragmented delivery and runaway medical inflation. Incremental attempts to reform care delivery through value-based payment reform and provider education (e.g. the “Choosing Wisely” initiative) have not changed practice patterns in meaningful ways.

Markets are Spooked - but will the Fed give us a Merry Christmas?

As everyone knows, October has been a terrible month for equity markets. Some market participants feel that this did not just coincide with higher interest rates, but was caused by flawed Fed monetary policy and comments on overshooting. Like the humming chorus in Madama Butterfly, there has been a steady rise in the number of voices supporting a Fed pause in December. These include members of the Federal Reserve Open Market Committee itself, such as Neel Kashkari, and leading economists such as Jason Furman. 

No Time to Waste: Revolutionizing Healthcare Data Collection, Curation & 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 for breath as it fights to break into curated systems that produce insight.
 

Autism Therapy Shines Bright: Innovative Therapies, More Reimbursement, Sector Poised for Growth

Co-authored with Todd Rudsenske & Daniel A. Gofman*.

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 are now increasingly available in communities across the United States.

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