Healthcare Economics Archives - Joe Flower Healthcare Futurist https://imaginewhatif.com/healthcare-economics/ Healthcare Speaker, Consultant Tue, 11 Apr 2017 15:55:02 +0000 en-US hourly 1 Healthcare Economics: Why this stuff doesn’t work the way you think it does — and how to fix it https://imaginewhatif.com/healthcare-economics-why-stuff-doesnt-work-way-you-think-how-to-fix/ https://imaginewhatif.com/healthcare-economics-why-stuff-doesnt-work-way-you-think-how-to-fix/#comments Sat, 18 Mar 2017 00:12:33 +0000 https://imaginewhatif.com/?p=3816 Healthcare economics are weird, opaque, and convoluted. The business of healthcare is unlike any other business. The politicians and pundits arguing about how to fix healthcare in the United States don’t understand what they are trying to fix. Neither do you, probably, because almost no one does. So let me help with this explainer, your best eight minutes on healthcare economics, why healthcare economics are different, and what would work.

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]]> https://imaginewhatif.com/healthcare-economics-why-stuff-doesnt-work-way-you-think-how-to-fix/feed/ 1 Not Normal Chaos https://imaginewhatif.com/not-normal-chaos/ Sun, 22 Jan 2017 03:33:15 +0000 https://imaginewhatif.com/?p=3598 The short version of Vox’s Sarah Skiff on “Why Republican Disarray on Health Care Doesn’t Doom Repeal Efforts” would read something like: “It always looks this way in the throes of preparing major legislation. Remember how wild and confusing it was when the Democrats were trying to put together healthcare reform in 2009? Joe Lieberman was insisting on a public option, ‘pro-life’ Democrats […]

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]]> Healthcare: Where’s the Bin Marked “Productivity”? Where’s the Lever Marked “More”? https://imaginewhatif.com/healthcare-wheres-the-bin-marked-productivity-wheres-the-lever-marked-more/ Tue, 01 Nov 2016 14:48:41 +0000 https://imaginewhatif.com/?p=3104 Healthcare costs too much, and we don’t get enough of the healthcare that we need. This is our core problem in one word: “productivity.” The obvious difficulties of healthcare in the U.S., where we can’t seem to take care of everyone, millions are saddled with coverage that is too expensive for them to really use, Medicaid […]

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]]> MACRA: We Can’t Expect the Feds To Be The Key Lever of Change https://imaginewhatif.com/macra-we-cant-expect-the-feds-to-be-the-key-lever-of-change/ Sat, 22 Oct 2016 18:55:36 +0000 https://imaginewhatif.com/?p=3160 The final MACRA rules are out. MACRA stands for the Medicare Access and CHIP Reauthorization Act (MACRA), the historic Medicare reform law that passed last year that nobody outside of healthcare has even heard of, and everyone inside the industry is in a sweat about. There is plenty of room for debate about the rules, […]

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]]> Follow the money. Then follow the trust. https://imaginewhatif.com/follow-the-money-then-follow-the-trust/ https://imaginewhatif.com/follow-the-money-then-follow-the-trust/#comments Wed, 20 Jul 2016 23:12:57 +0000 https://imaginewhatif.com/?p=3057 How will healthcare be distributed in the future? In ways that bear only some resemblance to the way it is distributed today. The changes will be driven by the new economics of healthcare embedded in the “volume to value” movement, based as it is on “provider-sponsored risk,” the basic, obvious and yet startlingly opaque logic […]

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]]> https://imaginewhatif.com/follow-the-money-then-follow-the-trust/feed/ 3 Trust. Partners. The Secret Sauce of the Next Healthcare https://imaginewhatif.com/trust-partners-the-secret-sauce-of-the-next-healthcare/ https://imaginewhatif.com/trust-partners-the-secret-sauce-of-the-next-healthcare/#comments Wed, 20 Jul 2016 19:17:32 +0000 https://imaginewhatif.com/?p=3053 The double doors to the ambulance bay slide open, and one more patient on a gurney is hauled across the threshold of your Emergency Department. This one’s in diabetic shock. Stop the picture right there and ask yourself: Is this a medical success, because you can do something for this person? Or a medical failure, […]

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]]> https://imaginewhatif.com/trust-partners-the-secret-sauce-of-the-next-healthcare/feed/ 3 Why Did Healthcare Inflation Slow Down? Why Does It Matter? https://imaginewhatif.com/why-did-healthcare-inflation-slow-down-why-does-it-matter/ Thu, 30 Jun 2016 18:07:25 +0000 https://imaginewhatif.com/?p=3039 The costs of healthcare turned a corner in 2009. You can see it on any graph of National Health Expenditures, whether by dollars or dollars per capita or percentage of the economy. There is a decided downward bend in the trend line between 2008 and 2009. The line then stays nearly flat, close to or […]

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]]> When Does “Personal Responsibility” Come into Healthcare? https://imaginewhatif.com/when-does-personal-responsibility-come-into-healthcare/ https://imaginewhatif.com/when-does-personal-responsibility-come-into-healthcare/#comments Thu, 09 Jun 2016 14:42:11 +0000 https://imaginewhatif.com/?p=2949 The answer: Never. Here’s why. The question came over steak and a seafood tower. The steak was $51, if memory serves. A really good steak. The wine was an excellent Napa Valley red blend. We ate in a private room in a restaurant overlooking the Chicago River. Tourist boats passed by outside the picture windows, […]

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]]> https://imaginewhatif.com/when-does-personal-responsibility-come-into-healthcare/feed/ 4 “Obamacare is Failing,” According to Industry Expert C. Little https://imaginewhatif.com/obamacare-is-failing-according-to-industry-expert-c-little/ https://imaginewhatif.com/obamacare-is-failing-according-to-industry-expert-c-little/#comments Wed, 25 Nov 2015 19:12:39 +0000 https://imaginewhatif.com/?p=2521 “See? Obamacare is failing!” according to industry expert C. Little, citing Wolf Report 712A just filed by Boy W. Cried. But before we perform the Last Rites over Obamacare, perhaps we should think for a moment about the hit ratio of the first 711 Wolf Reports from the young Mr. Cried and ask a few questions.

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]]> https://imaginewhatif.com/obamacare-is-failing-according-to-industry-expert-c-little/feed/ 2 “Winning” by Defeating the Triple Aim https://imaginewhatif.com/winning-by-defeating-the-triple-aim/ Mon, 16 Nov 2015 20:26:02 +0000 https://imaginewhatif.com/?p=2515 Maintaining market dominance is actually a fragile strategy based on a single scenario and a monochromatic set of assumptions about the future. If your entire business structure depends on keeping your prices a high secret, and not exposed to real competition on price and quality, you are on the crumbling edge of a cliff as the seas advance.

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