Health Care Should Be Treated as an Investment

Regardless of your stance on the future of healthcare, one thing most of us can agree on is that we need to think of healthcare as an investment for payers, providers, and patients. While a focus on profit certainly should not be the primary driver, money does matter because we have to pay for health […]

Instituting True Risk-Based Payments

In a time where many in this nation are confused about the direction of health care, we look toward the future. Regardless of the design one thing is clear, we need more accountability in health care. There still isn’t a clear understanding of risk-based contracting in the healthcare industry. This value-based payment model is inevitable […]

The Need for Transparency in Medical Costs

My healthcare career began in 1991 at a small HMO that was quickly purchased by Blue Cross. Over the years, I witnessed the changes in offerings from traditional Commercial plans to HMOs, PPOs, EPOs, etc. Looking back over my 26 years in the industry, I see how complicated healthcare coverage has become. As we struggle […]

Goodbye Obamacare – Where Do We Go from Here?

We’re on the brink of seeing significant shifts in health care with the Republican repeal of the Affordable Care Act. I’m hopeful that we will see wisdom and thoughtfulness in the replacement, but there are fundamental challenges that need to be brought to light as this process goes forward. Health insurance as a for-profit business […]

What’s Broken in Health Care Blog Series

Health care is one of the few things in life that affects all parts of our lives, including our physical, mental, emotional, and financial well-being. People tend to point fingers and complain about what’s broken in health care, but we should instead be collaborating to find solutions for these problems. It may seem futile when […]