Observations

New healthtech products are great. But building on consumers’ needs and payer priorities will vastly increase the value created.

With stagnant revenue and increasing carrier demands, PCP practices need to reduce the number of payer contracts and reduce overhead.

If vaccinations become a personal choice, then the costs associated with that choice should be transparent and apportioned appropriately.

The new administration is muttering about reducing ACA subsidies. But if they want to fix the ACA they need look beyond the subsidies.

PCPs have either embraced VBC or are being nudged to it. As with most strategic choices, revenue is a major factor influencing the choice.

The annual Med Adv open enrollment period upon us . C-Suite leaders will gain plan enrollment. Those who lack a clear strategy will not.

Many factors influence a decision to exit a market: shifting demographics, physician practice patterns, competitor tactics and CMS rates.

VBC is a step in the right direction for primary care. But the cost to get in the game may be beyond the reach of many primary care groups.

To avoid just being this year’s fad and achieve sustained growth, let data precede and inform your solutions, not the other way around.

Healthcare AI solutions without high value data from payers and providers are unlikely to achieve seamless healthcare data integration.

The lingo and business strategies deployed by health insurance carriers to control costs, manage utilization, and support their bottom line.

Without an answer to “what are we trying to achieve?” answered by data - wellness apps, programs and point solutions are just more noise.

Insurers recognize the importance of mental and behavioral health, but they haven't effectively engaged the wide range of consumer needs.

Prior authorization create friction in the hope of reducing healthcare utilization. They also create new business opportunities.

VBC primary care is struggling in the darkness of retrospective data. The right kind of tool would empower better care and lower costs.

Are ICHRAs a better option for employees or just a way for employers to pass the headache of rising healthcare costs on to their employees?

Self-funded employers have financial skin in the game. They are hungry to hear about new ideas that will shift the odds in their favor.

Medicare is one of the largest and fastest growing healthcare segments with many opportunities to add value to the various Medicare flavors.

Leadership: Gaining Alignment and Making Change

Decisions made by the C-suite a few years ago are now delivering results – both good and bad.