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Consumers are Linking Budget Airline Itineraries: Will They “Virtual Interline” Medical Services Too?

A few weeks ago, WOW Air, an Icelandic budget airline, announced that they would be flying Boston-Reykjavik at an introductory fare of $99.  Despite the growth of budget airlines in both Europe and the US, WOW is apparently the first airline to try to make a margin on trans-Atlantic routes. WOW argues that smaller planes (made possible ...

Structure Follows Strategy: What’s the Best Organizational Model for Capitated Healthcare Systems?

“Structure follows strategy” is an old business motto coined by the business historian Alfred Chandler. The adage refers to Chandler’s observation that organizational structures should change to reflect an organization’s evolving corporate strategy. As strategy evolves, so too should the organizational structure. 

Empowering Patients to be Better Insurance Shoppers: Should We Offer “Name Your Price” Health Insurance?

Anyone who watches a lot of TV has likely seen Flo, the energetic Progressive Insurance spokeswoman.  Flo spends a lot of time advertising Progressive’s “Name Your Price” tool which allows consumers to (right upfront) enter on a website what they are prepared to pay for insurance and to then select from a range of options at that ...

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 ...

Risk-Bearing Contracts Are Pushing Health Systems Into Adjacent Areas of Business– With New Back Office Needs

An recent interesting HBR blog discusses what I think is an important lesson for health systems migrating to risk-bearing insurance contracts.

Healthcare Innovation is Happening in the “Valleys” Between Episodes of Illness

A few years ago (likely when the idea of paying for “bundles” of care came into fashion) somebody introduced the concept of patients and healthcare delivery systems interfacing in an “episodic” fashion. Roughly speaking, the idea was that patients interact with the healthcare system for defined periods of time as they become sick and that these “episodes” are interspersed ...

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 ...

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