Strategy: Use Your Influence to Move Your Patients to the Risk-Bearing Arrangement that Bests Serves Them
AI May Not Be Replacing Clinicians After All
There is a tidal wave of data out there both supporting and undermining the use of patient-facing AI assistants in healthcare. Heck, even ChatGTP is hiring forensic psychologists because its uses are sliding into mental health problems. What’s a leader to do? Tread carefully, don’t spend too much money right now, and […]
The Big Beautiful Bill Both Proves Me Right and Offers a Glimpse of the Future
The BBB is a concrete example of what the future holds. “Cuts” in healthcare spending as the headline, in this case Medicaid Bailouts on the backend In this case a 5 year, $50B fund to mitigate the impacts of those cuts on “rural hospitals,” passed entirely without specifics on how it is […]
A Real-World Glimpse into the Dystopia to Come
https://www.resolutionfoundation.org/press-releases/britain-is-turning-into-a-national-health-state-as-lower-income-families-gain-most-from-spending-review/ This is a press release for an advocacy organization in Britain, looking to innovate the delivery of healthcare Imagine the picture it paints. It’s like one of those science fiction movies where the hero gets a glimpse of the dystopia that will be if they do not complete their quest. Britain […]
Tactics Change as Payment Models Change
How else could you integrate this wisdom into your treatment plans? ______________________________ FFS is all about throughput. If your patient doesn’t take their meds, that’ll just generate another encounter, maybe a procedure. In VBC, those extra costs have to come out of your pocket. So you have to focus on outcomes. […]
Create Your VBC Practices Here
Montana aims to become the “Los Alamos of Longevity Science.” And it has modified its laws to encourage it. An excellent example of a jurisdiction welcoming to innovation. No restrictions on outside money. A CON focused mostly on LTC facilities. Start a VBC there and the return on your investment […]
Where Not to Set Up Your New VBC Practice
Jurisdictions are beginning to restrict the ability of outside money to invest in healthcare. Like it’s their fault that the delivery of healthcare is so poor. These laws are transparent incumbent protection acts, a natural extension of CONs designed to restrict competition. It also limits the value of any VBC system you […]
Succeeding in VBC; You’re Getting More and More Help
Incest There used to be a lot of incest on corporate boards. Pharma. Healthcare, Agriculture. Boards worked together to align incentives. Many of those incentives made people sick and kept them that way. There was money to be made. Those alignments are breaking down. You think GLP-1 for obesity would have been allowed even ten […]
Where to Practice Value-Based Care
Certificate of Need states are mostly run by cartels of health systems banding together to prevent new grassroots entrants. Laws like this prevent investments from without. The result? Sclerosis. I have no special love for VC. I can’t. I’ve seen how the sausage is made. But sclerosis, price-fixing, and collusion are exactly the opposite of […]
The Government Has a Big Problem
The solution is going to be you.