Tag: Featured

Switching Costs are Slowing Consumer Adoption of Healthcare Innovation

Healthcare seems ripe for disruption by new entrants, and there has been no shortage of trying.  According to a recent report published by PWC’s cbInsights, healthcare was the second largest US sector for investors in 2017, knocking the mobile and telecom sector into third place. It’s not hard to understand investor interest in the healthcare space. ...

Blended FFS and Capitation: Healthcare’s “Protective Collar” Paradox

Over a couple of posts I’ve discussed how difficult risk contracts can be for healthcare systems transitioning from fee-for-service. There are three main problems for systems trying to blend FFS and capitation-payment systems.  Two have been the subjects of earlier posts: Systems growing risk capability need to make big investments in population health and have to tolerate ...

On Getting Burned by Population Health Thinking: (Why has a Decade of Intervention not Prevented More Deaths From Brain Aneurysms?)

In our house we take a lot of fizzy vitamin C to prevent colds in the winter. As doctors, my wife and I both know that science doesn’t support our decision… We take it anyway. We shouldn’t. After all, the well respected Cochrane group (which grades and distills multiple studies into a single “meta-analysis”) clearly ...

Spending Money to Save Money? Navigating Population Health “Hard-Dollar” Investments vs. Downstream “Unicorns and Rainbows” Medical Savings.

Most medical groups considering risk contracts usually understand that they’ll need to make significant investments in population health infrastructure for capitation to work out financially.  After all, capitation can only be profitable if the risk-bearing group has the ability to manage the use of expensive downstream healthcare services and minimize unneeded care. The problem is that the relationships between ...

The “Religion of Big Data” in Medicine: Will Getting More Granular Help Doctors Make Better Decisions?

I’ve been thinking a lot about “big data” and how it is going to affect the practice of medicine.  It’s not really my area of expertise– but here are  a few thoughts on the tricky intersection of data mining and medicine. First, some background: these days it’s rare to find companies that don’t use data-mining and predictive ...