The analysis now required is not something all that new and strange, but it seems to be new to many of us in health care because it wasn’t necessary when things were more stable and expectable. What we need is an enhanced version of a revenue-based strategy analysis common in other industries. Let’s call it the 4-Dimensional Strategy Template.


“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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“Winning” by Defeating the Triple Aim

by joeflower on November 16, 2015

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.


Does prevention save money? __ Yes __ No

August 6, 2015

Or…it’s complicated. The New York Times today published a story titled, “No, Giving More People Health Insurance Doesn’t Save Money.” A piece of the argument is, as the author Margo Sanger-Katz puts it, “Almost all preventive health care costs more than it saves.” What do you think? What’s the evidence? Leave aside, for the moment, the “big […]

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What Company Will You Keep? Strategy In the New Era

July 14, 2015
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In an era of complex change in healthcare, how do you plan? Obviously, you have to. Obviously, you can’t. Let’s step through it: the shape of the complexity we are dealing with, how the process must change to deal with it, and what kind of mind we need for this new thinking.

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How We Build Healthy Cities: Talking with Dr. Len Duhl, Pioneer of Population Health Management

June 18, 2015
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The Change-Master Series: Deep Dives Into the Essence of Change-Making and Leadership by Joe Flower Twenty years ago we talked in his cramped, book-lined, ex-carport study with the laden plum tree bowing its fruit over the garden gate outside. What Dr. Len Duhl had to say then is, if anything, more true today than it […]

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Obamacare Rates Set To Spike? Um…

June 11, 2015
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So it’s all over the news space and the shrieking blogosphere, with headlines like, “Obamacare Rates To Spike Up To 51%,” “Obamacare Hell…” and “Obamacare Inflationary Deluge…” And online friends are commenting about “Obamacare premiums set to rise next year as much as 51% in some states…” Hey, hey, hey. No need to panic. “Set […]

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Productivity? In Healthcare?

June 3, 2015

Obamacare is built on the assumption that healthcare can be more productive, that we can squeeze more health per dollar out to the system that is built to give it to us. Practically everything I write is based on the same idea — big time. I believe we could do healthcare better for half the […]

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GOP has The Fear: King v. Burwell

May 26, 2015

Republicans have raged against Obamacare for six years now. But do they really want to see it crash? We are rapidly approaching the day when the Supreme Court announces its decision in King v. Burwell. The case found a four-word phrase in the 900-page law that says that the tax subsidies are available to people […]

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The Smoking Gun: How U.S. Health Care Came to Cost Insanely More

May 19, 2015

A historic chart of health care spending exposes the culprit in rising costs: code-based fee-for-service medicine. To Be Notified When the Book Is Available for Purchase Go Here Cost is the big factor. Cost is why we can’t have nice things. The overwhelmingly vast pile of money we siphon into health care in the United […]

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