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.

Ochsner and River Parishes: one type of endgame for managing redundant hospital capacity (updated)

  • Providers
Please see update at end of post. If value-based care broadly delivers…

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Payment reform: some observations on skepticism

  • Payers
There have been some blog posts (here and here) about a discussion on …

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Franchising specialties: model for breaking down geographic barriers to competition?

  • Providers
Summary Geographic barriers to provider competition are a headache fo…

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“Savings illusion” can become savings reality in the long haul: baby boomers to the rescue

  • Payers , 
  • Providers
A recent article in the NEJM argues that cost savings from quality imp…

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A gradual roll-out of ACOs will minimize disruption and resistance

  • Payers , 
  • Providers
Part of the theory of ACO value creation is trading off more primary c…

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Primary care capacity and the looming Medicaid surge: Medicaid-focused providers must be part of the answer

  • Payers , 
  • Providers
Summary A new study from Center for Studying Health System Change su…

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Conventional wisdom that provider capacity drives cost questioned in new study

  • Providers
Remember the idea that coordination will improve care? Well, if physic…

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