Category: Disruption

Will We Improve Healthcare Delivery By Building Hierarchies or Loose Networks? Considering Lunch Delivered in Mumbai

When you talk to patients about improving the “patient experience”, the conversation usually steers to how patients move between episodes of care; how information is shared; how scheduling works or doesn’t; how test results are lost and wait times are long. It’s rarely the science of medicine that antagonizes patients, but rather the lack of functional systems. I was ...

Failing at Health Reform: The Critical Importance of Both Motivation and Execution

Around the country, for every health system that is successfully navigating the early years of value-based healthcare, there are several others that are failing– even though many don’t yet realize it.   These failing organizations can’t or won’t restructure themselves to deliver effective, efficient and affordable care. I’ve come to the conclusion, after observing struggling systems, that ...

Is The Proliferation of Urgent Care Clinics an Evolutionary Step Towards Primary Care 2.0? Thoughts on Not Betting the Farm When it Comes to Urgent Care Mania…

About seven years ago, the California Healthcare Roundtable and HealthAffairs sat down to prepare a white paper on the emerging “phenomenon” of urgent care centers, and what it might mean for primary care. At the time the group couldn’t agree that urgent care was a “disruptive” innovation, but it seemed clear to all participants that it represented ...

T

The Growth of Doctor Networks: Will “Healthcare Islands” Appeal to Value-Seeking Millennials?

Around the country, doctors are leaving independent practice and joining large groups owned by healthcare systems. It’s a trend: the recruiting firm Merritt Hawkins predicts that if current growth continues, over 75 percent of newly hired physicians will be hospital employees within two years. There seem to be a number of reasons for this consolidation of ...

A

Academic Medical Centers Are Under Siege. Is the Best Strategy to Go Small or to Go Big and Own the Continuum?

The university hospital at my alma mater recently announced an intriguing deal. Jefferson University Hospital, around since 1825, signed a deal with an upstart company called American Well to provide “virtual ED” visits to patients who would otherwise have come to the hospital’s emergency department. A recent article in Becker’s noted: The American Well technology will ...

Budget Boutique Hospitals? Will The Search for Value Lead to Market-Segmentation in American Healthcare?

Years ago, a professor in a healthcare economics course introduced a healthcare adage: never forget, he said, that the way we pay for healthcare—through insurance premiums– distorts the consumer’s perception of value per dollar in healthcare. He meant that the insured pay into the system over time and are indemnified from sticker shock when it ...

Will Physician “Trust Platforms” Make System Affiliation Less Important? Considering Airbnb and Holiday Inn

In this week’s New York Times, columnist Thomas Friedman makes a great observation regarding the emergence of what he calls the “sharing economy.”  This is the peer-to-peer, internet enabled economy where ordinary citizens rent car trips and unused rooms.  It’s an area that has exploded in recent years, a trend fueled by the 80 million members of Generation Y– many who prefer ...