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Follow the money. Then follow the trust.

by joeflower on July 20, 2016

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 […]


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, […]


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 […]


Artificial Intelligence Picks Up Speed

June 22, 2016
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What it is: Pundits, start-ups, and marketing firms right now are throwing the term “Artificial Intelligence” like confetti on a parade. It’s the new “greenwashing.” What makes an AI system different from a really good program with massive computing power and a monster database is that the computer will only do what you program it […]

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Republican State Struggles To Keep Obamacare Alive

June 22, 2016
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What it is: Alaska’s GOP-dominated legislature has passed and Sarah Palin endorsed Governor Bill Walker has signed a bill to bail out the state’s one remaining Obamacare insurer, using $55 million in tax money. Take a look: What it is not: A sign that Republican states are just caving in to the inevitability of […]

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Are We Ready for Augmented Reality in Healthcare and Medicine?

June 15, 2016

What it is: Keiichi Matsuda created a video to simulate an “augmented reality” or “hyper-reality” future, in which the real world around you is “augmented” with all kinds of information feeds. Take a look below, it’s a little over 6 minutes long and it is more than a little astonishing. HYPER-REALITY from Keiichi Matsuda on Vimeo. […]

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When Does “Personal Responsibility” Come into Healthcare?

June 9, 2016
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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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How to Be a Better Futurist, and Why

May 25, 2016
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You can hone your crystal ball–gazing skills to better forecast healthcare trends. The best forecasters read widely about all kinds of developments, even about trends that have nothing to do with their fields of expertise. You need to become a better futurist. You need to up your game at least to “prosumer” level. Why? Because […]

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What Would President Trump Do About, To, Or For Healthcare: The Definitive Answer

May 19, 2016

Are you ready? Here it is: We don’t know. You don’t know. Nobody knows. In fact, Trump doesn’t know. And this is not a criticism, at least not exactly. It’s more an observation of his style, of what makes Trump tick. A mad-for-Bernie friend, just yesterday, said to me, about Trump: “Well at least he’s […]

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Looking Back From 2019: Why the Republicans Nationalized Healthcare

May 5, 2016

It was the Mother of unintended consequences. By the time of the 2016 elections, health plans, hospitals and health systems had squeezed and consolidated and trimmed and cut costs under the gun of lower Medicare reimbursements and the new rules of Obamacare — but mostly they had adapted. Most of them had survived. On November […]

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