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6Feb, 2018

Amazon, Berkshire and JP Morgan Chase

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I am writing this blog from the San Francisco International (SFO) Airport, after spending a few days visiting investors in technology, venture capital, and private equity firms from Silicon Valley – known for technology innovation (more on what I learned from my visit in future installments). Nearly the minute I landed, news hit that three behemoths of industry, and with legendary leadership as Bezos, Diamond and Buffet, were effectively joining forces to change healthcare first for their employees, and some hope potentially for America. For the last three days, it […]
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19Jan, 2018

Healthcare Price Transparency Comes to America (Part 2)

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In our previous blog, Healthcare Price Transparency Comes to America (Part 1), we started a conversation on price transparency.  Today, we will discuss the findings of a recent report from Health Affairs.  The report, by the researchers from Harvard and UCLA, noted that they cannot find a previous report or research on this subject, making it potentially the first in the space.  I can confirm I have seen nothing like it.  I will add that I am sure this will not be the last time this subject is published. The […]
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18Jan, 2018

Healthcare Price Transparency Comes to America (Part 1)

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The Internet, and its natural progression to e-commerce, has transformed how we buy everything from groceries, apparel, and attaining an education, to how we purchase cars and even homes over the last 20 years. One industry has been only slightly impacted by the Internet; that industry is healthcare.  Let us be clear, we are very aware that we live in a world where Google is most of Americans’ first step in the self-diagnosis of a symptom or disease.  It is also our second step, once our physicians tell us what […]
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11Dec, 2017

Silicon Valley and Healthcare (Part 9)

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I’d like to take a small detour with our blog series on Silicon Valley and Healthcare and talk more about Amazon indirectly, and a lot more about the recent announcement of CVS’s acquisition of Aetna. In brief, and as best as I can gather, Aetna has (approximately): 1 million medical members 3 million dental members 3 million pharmacy benefit management services members 609 million group insurance members An estimated 1.2 million healthcare professionals under contract 695,971+ primary care doctors and specialists under contract 5,712 hospitals under contract $63 billion in […]
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6Dec, 2017

Silicon Valley and Healthcare (Part 8)

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In our last blog, we ended with a question: “Can Amazon use its special skills to transform healthcare?” The answer today is “Certainly, and in a major way!”  This past weekend we were alerted by the headline from the Wall Street Journal “CVS to Buy Aetna for $69 Billion, Combining Major Health-Care Players.” I believe that this action is in direct response to the reports that Amazon is planning to make major moves in healthcare.  In particular, playing to the strengths I noted in our last blog: “logistics, supply chain […]
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30Nov, 2017

Silicon Valley and Healthcare (Part 7)

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It is the most exciting time ever to be in healthcare! When we made the decision to switch industries from real estate, development and commercial construction, and spend a couple of years learning healthcare from the ground up, today is what I envisioned. The time we live in now is what I believed was an inevitable confluence of tectonic forces – technology, the aging baby boomers and the emergence of an interconnected world.  I could not totally foresee what the internet would become, however the signs were there. A look […]
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28Jul, 2017

Healthcare’s Disruptive Transition – Part 4

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One of the things that continues to shock us in healthcare are the costs to administer the back-office, or the cost to generate, send, process, pay and receive a medical claim. How big is this administrative cost of healthcare in the U.S.? What if we told you that the healthcare administration costs are approximately $333,000,000,000 USD (three hundred thirty-three billion USD) per year. Would you believe your eyes? Yes, the United States of America spends more in healthcare administration than many, many countries spend on healthcare in total! For instance […]
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9Jun, 2017

Healthcare’s Disruptive Transition – Part 2

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We began this series discussing how the second wave of Baby Boomers or the “trailing edge,” will likely change healthcare materially and permanently. In our last blog, we suggested that this “trailing edge” will change healthcare by being the first generation to take a more active role in their healthcare, be materially more demanding of technology, and more questioning of their caregivers. After all, this is the generation that has witnessed the emergence and mainstreaming of revolutionary technology: the color television, fax machines, pagers, cell phones, the Internet, social media, […]
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8Jun, 2017

Healthcare’s Disruptive Transition – Part 1

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Over the next 10 years, we will see more profound transformations in healthcare than the last 30 years. As we will discuss in our new series of blogs, the transformations will be driven by consumer demands and changes in the use of technology, as well as the pressure by the government to drive changes to payments to providers over the next five years. This process will require changes in all providers and hospitals, it will force modernization of payers systems (CMS, HMOs and other private insurance), and lastly the intensive […]
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19May, 2017

EHRs: We Have Barely Scratched the Surface

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For the last six years, the rush to install electronic healthcare records (EHR) in the entire United States healthcare industry, has been driven almost exclusively by the U.S. government’s proverbial “carrot and stick” approach. Originally, it offered $30 billion (USD) in incentives that one day in the not-too-distant future will be deemed wasted – this was the “carrot.” The “stick” was the mandated reductions or penalties in reimbursement if providers did not comply. Today that penalty is 3% of all government paid healthcare, increasing to 5% in 2019. We must […]
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