Insights

Fifteen+ years of
Healthcare thinking.

Several hundred perspectives on the questions facing payers, providers, biopharma, medtech, and digital health — plus our running read on the clinical literature. Start with our sharpest work, or filter to your world.

Survivorship Is Expanding Cancer Care — How Are Oncology Providers Responding?

  • Providers , 
  • Digital
Survivorship care is increasingly pivotal to cancer care delivery and …

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Stylized representation of digital health

Keys to harnessing the value of digital biomarkers in clinical trials

  • Biopharma , 
  • Medtech , 
  • Digital , 
For years, digital biomarkers have seemed like a promising way to tran…

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Artificial Intelligence for Pipeline Discovery and Beyond

  • Biopharma , 
  • Digital , 
The biopharma industry is known for its high risk and potential high r…

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Can doulas help with our maternal health crisis? Promises and obstacles to impact

  • Digital , 
This post, by a high school senior who spent the summer with Recon Str…

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A Kaplan-Meier view of oncology development

  • Biopharma , 
  • Digital , 
We refresh a prior analysis of two cohorts of oncology development pro…

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Amazon becomes a shopping facilitator for healthcare services (finally…)

Back in 2018, I offered a speculation about what Amazon might do in he…

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What’s so special about One Medical in the eyes of Amazon? A few quick thoughts

  • Providers , 
  • Digital , 
There isn’t a bricks-and-mortar primary care acquisition out there tha…

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Advances in AI for Health in 2021: An Analysis of the Clinicaltrials.gov Registry

  • Digital , 
The role of artificial intelligence (AI) and machine learning (ML) in …

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The Puzzling Future of Healthcare

  • Biopharma , 
  • Providers , 
  • Digital , 
This post is from a talk at the 2021 Link Ventures CEO summit. Origin…

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Clinicaltrials.gov and AI-related studies: a brief status check in April 2021

  • Digital , 
Healthcare is by nature conservative; despite a huge level of interest…

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Walmart Health: Will the fifth attempt at clinics be the charm?

  • Providers , 
Eighteen months ago, WMT opened its first Walmart Health clinic attach…

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A tale of two cities: Referral networks of orthopedic surgeons in Miami and Seattle

  • Providers , 
  • Digital
Summary: We conducted a comparative analysis of the referral networks …

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AI in healthcare III: COVID-19 applications and implications

  • Biopharma , 
  • Payers , 
  • Providers , 
  • Medtech , 
  • Digital , 
COVID-19 has accelerated the adoption of AI in healthcare. AI based to…

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Strategy in the Time of Covid

  • Biopharma , 
  • Payers , 
  • Providers , 
  • Medtech , 
  • Digital , 
Preamble A recent post from Recon Strategy outlined the longer-term st…

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The day after: Implications for hospitals, payers, biotech and more…

  • Biopharma , 
  • Payers , 
  • Providers , 
  • Medtech , 
  • Digital
Even as our priority today is dealing with the Covid crisis, healthcar…

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Choosing your customers wisely: are hospitals the right place to engineer the future of healthcare (and the software services to support it)?

  • Providers , 
  • Digital
MSFT’s pathbreaking alliances in healthcare services are impressive an…

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Amazon to startups: stay close to the consumer and let us own the platforms

  • Digital , 
Amazon’s healthcare play appears to be heavily focused on platforms ra…

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There’s always a bigger fish: healthcare services giants are looking anxiously over their shoulders

  • Payers , 
  • Providers , 
  • Digital , 
With the closing of the CVS/AET and CI/ESRX combinations, healthcare s…

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New class of therapeutics calls for new regulations: thoughts on the FDA’s new process for regulating digiceuticals

  • Medtech , 
  • Digital
Interest and investment in digital health has increased rapidly in rec…

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Consider this speculative scenario on WMT-HUM: nibbling at the bottom and taking a slice off the top of the healthcare delivery pyramid

  • Payers , 
  • Providers , 
WMT is in talks with HUM about a relationship enhancement, possibly an…

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Google’s health insurance apprenticeship: some unicorns (maybe) but no masterpieces

  • Payers , 
  • Digital , 
Last month, word got out that Verily is in talks with health plans to …

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Amazon offering health insurance: a potential mistake

35%+ of consumers who purchased on Amazon over a 30-day period say the…

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Consider this speculative Amazon scenario in your strategic planning

  • Payers , 
  • Providers , 
Amazon has many puzzled about its plans for healthcare. Arguably, Amaz…

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Urgent care gets drawn into system-level market share battles in the Big Apple

  • Providers , 
Warburg Pincus, the new majority owners of CityMD, a 68 site urgent ca…

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Rapid cycling to get medications right: a potential use case for coupling wireless patient monitoring with remote support?

  • Providers , 
  • Digital , 
Summary Cheap home devices are starting to generate a flood of high f…

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Attacking an oligopoly by integrating downstream services: Can Livongo’s closed loop get traction vs. the big glucometer incumbents?

  • Medtech , 
  • Digital , 
Summary Livongo is marrying a cellular-enabled glucometer and a data …

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When is a patient not a patient? More often than you think

  • Medtech , 
  • Digital , 
I have been conducting an informal test for the past year and a half. …

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Context is King – When to use an Agile corporate strategy?

  • Biopharma , 
  • Payers , 
  • Providers , 
  • Digital , 
“Agile corporate strategy” (as defined in a previous post) is already …

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Sustainable Agility – Activity Systems for the Agile Competitor

  • Digital , 
The dirty little secret of the booming agile training and coaching ind…

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Enterprise Agility as Corporate Strategy

  • Digital , 
In a previous post, I explored Maxwell Health as an example of agile p…

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The Walgreens-Advocate deal: end of urgent care’s strategic neutrality in Chicago?

  • Providers , 
This past January, Walgreens assigned operational control of 56 in-sto…

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Emails substituting for visits: Evidence points to “yes” but providers need to answer a lot of emails to replace a single visit

  • Providers , 
  • Digital , 
Earlier this month, researchers released a study of patient-initiated …

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Maxwell Health and Agile Healthcare Strategy

  • Digital , 
Maxwell Health LLC is a rapidly growing company that offers a platform…

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Convenience care, telemedicine and breaking down barriers to geographic competition – a speculation

  • Providers , 
  • Digital
A few problems Geographic barriers to the entry have long protected pr…

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Working paper: the coming age of algorithmic medicine

  • Payers , 
  • Providers , 
  • Digital , 
Summary In this working paper, we develop the following thesis. In the…

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Can convenience care be a platform for an insurance product?

  • Payers , 
  • Providers , 
Summary A Portland-based urgent care operator is launching a health p…

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Shifting lines in the mobile health competitive battlefield: Aetna makes a strategic retreat while United digs in?

  • Payers , 
  • Digital
The battle to own healthcare’s consumer relationship is being nowhere …

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Apple HealthKit, provider partnerships and walled gardens: three observations

  • Providers , 
  • Digital
A number of observers have noted that the Apple’s partnership with Epi…

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Boiling the Ocean…or not

  • Payers , 
  • Providers , 
  • Digital , 
We've all heard the term, "Boiling the Ocean" to refer to an approach …

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Cigna and Samsung: assembling a “global account”-based business model for mobile

  • Payers , 
  • Digital
Samsung and Cigna have agreed to a multi-year development alliance for…

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Declining value of the EMR walled garden? An emerging signpost from Cleveland Clinic

  • Providers , 
  • Digital
Quick follow-up to our post about the Epic-eClinicalWorks deal: Today…

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Change in tactics or change of heart? Speculations on the eClinicalWorks–Epic interoperability announcement

  • Providers , 
  • Digital
Epic is famous for its intense focus on interoperability across its ow…

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Deploying analytics in a healthcare world flooded with data

  • Digital , 
We live in a society with too much data. In the field of market resear…

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