“There Are Too Many Entrenched Interests”

Those are promising signs. On the other hand, the fundamental economics of the value-based arrangement still aren’t clear. If fee-for-service turns out to more profitable for both payer and provider, then value-based care won’t survive outside of Medicare Advantage. And there have been failures in the past, as cited above.

Accrue the efficiencies that tech can bring. If you’re just selling a tool then eventually you’ll handoff to the legacy healthcare system and most of those efficiencies will vanish. If you build a tech-enabled service from the ground up, you can build workflows for the services component that actually take advantage of the tech.

After sharing the Visa story and underlying concepts, I told a small story. [...] Why then does such a system still lie dormant in the field of health? The answer is not complicated. Who would you trust to own and control such a system? [...] Only with the evolution of a chaordic organization in which all relevant and affected p

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