The Administrator for the Centers for Medicare & Medicaid Services (CMS), Dr. Mehmet Oz, spoke to non-profit health system executives, investors, and industry observers this week at the 25th Annual Not-for-Profit Healthcare...more
This week in New York, many leading health systems came together for the long-running Not-For-Profit Health Care Investors Conference, now sponsored by Barclays, HFMA and the American Hospital Association. The conference...more
5/24/2024
/ American Hospital Association ,
Artificial Intelligence ,
Barclays ,
Health Care Providers ,
Healthcare ,
Healthcare Reform ,
Investment ,
Investors ,
Machine Learning ,
Non-Profit Hospitals ,
Professional Conferences
Looking out at the San Francisco skyline from the top floor of the Westin St. Francis on Day 3 of the 42nd Annual J.P. Morgan Healthcare Conference, the iconic Transamerica pyramid is not too far away. But my mind, being...more
Sustainability of our healthcare system was an interesting topic at Day 2 of the 42nd Annual J.P. Morgan Healthcare Conference. Paul Markovich, CEO of Blue Shield of California, expressed the concern that “[T]he status quo is...more
At the first day of the J.P. Morgan Healthcare Conference, “[T]he answer to the ultimate question of life, the universe and everything is 42.” Recognize that famous line? No, it’s not something from ChatGPT, it’s Douglas...more
1/9/2024
/ Artificial Intelligence ,
Chronic Care Managment (CCM) ,
Healthcare ,
Life Sciences ,
Machine Learning ,
Medicaid ,
Medical Devices ,
Medicare ,
Pharmaceutical Industry ,
Popular ,
Technology
IF YOU WANT TO SCREW UP YOUR DEAL, THEN:
1. Build the plane while you’re flying. If a deal is important enough to do, then it’s important enough to do the preparatory work before you launch the negotiations.
- Doing...more
At HLTH 2023, we saw a focus on certain themes, including the shift in investments and M&A activity, hospital and health system innovation and transformation, the implementation of AI, and healthcare management. Below are our...more
10/19/2023
/ Acquisitions ,
Artificial Intelligence ,
Healthcare ,
Healthcare Reform ,
Innovative Technology ,
Investment ,
Investors ,
Life Sciences ,
Medicare ,
Mergers ,
Technology
The digital health market, as represented by the HLTH showroom floor, is packed with companies focused on care coordination and care management for various health and wellness specialties, diseases, and chronic conditions, as...more
At the heart of our healthcare system lies two core, yet competing, philosophies: (1) clinical decisions must not be driven by profit, and (2) dollars drive behavior and, by harnessing this revenue, clinical outcomes can be...more
One of the topics I followed with keen interest this week at the J.P. Morgan Healthcare Conference is how our healthcare industry today is addressing the mental health needs of Americans. Like much of the rest of healthcare,...more
Here’s a new word I heard today that I will awkwardly insert into my next conversation – “transrupt.” It is what happens when you have simultaneous disruption and transformation that both damages the existing system and...more
What do Centene, CVS Health-Aetna and Humana all have in common? (Trying really hard not to start off with a “three health plans walk into a bar” joke…). Well, if you were at the 41st annual J.P. Morgan Healthcare Conference,...more
I was struck on the first day of the 41st Annual J.P. Morgan Healthcare Conference by Sanjay Doddamani (CEO of UpStream Healthcare) saying that “Health is a state of independence.” A simple statement, but a very profound and...more
1/10/2023
/ ACOs ,
EBITDA ,
Health Care Providers ,
Hospitals ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Patients ,
Pharmaceutical Industry ,
Popular ,
Value-Based Care
Thursday, January 13 was the last day of the virtual J.P. Morgan Annual Healthcare Conference for 2022. And since the conference was virtual, what better topic to start us off today than a consideration of the new...more
Have you been working out recently? We hope so, for today, Day Three of the 40th Annual J.P. Morgan Healthcare Conference, was definitely a day for heavy lifting. Got a challenge that seems overwhelming? A problem that’s big...more
The phrase “whole person health” kept echoing through the virtual hallways during the second day of the 40th Annual J.P. Morgan Healthcare Conference. Looking at the whole person – not just separate organs or body systems –...more
For those of you who know me, I like to have fun with my Zoom backgrounds – choosing photos of interesting scenery or changing them mid-call to reflect my mood or negotiating strategy. Sitting in front of my computer this...more
1/12/2022
/ Centers for Medicare & Medicaid Services (CMS) ,
Civil Investigation Demand ,
Coronavirus/COVID-19 ,
Department of Justice (DOJ) ,
EBITDA ,
False Claims Act (FCA) ,
Healthcare ,
Humana ,
Medicaid ,
Medical Loss Ratio ,
Medicare Advantage ,
Moderna Inc. ,
Pfizer ,
Vaccinations ,
Value-Based Care
We’ve been talking about telehealth and mental health this week. Here’s both combined in one interesting and highly valued announcement today, followed by several tests – well, 3 million COVID tests a week to be exact, and,...more
1/14/2021
/ Algorithms ,
Artificial Intelligence ,
Cancer ,
Clinical Laboratory Testing ,
Coronavirus/COVID-19 ,
Healthcare ,
JPMorgan Chase ,
Medical Research ,
Mental Health ,
Special Purpose Acquisition Companies (SPACs) ,
Telehealth ,
Virus Testing
It’s Day 2 of the J.P. Morgan Annual Healthcare Conference at its finest – looking closely at healthcare inequities, strategic business shifts and killer robots, all in the same day! (Yes, we did say killer robots and it’s...more
1/13/2021
/ Anti-Discrimination Policies ,
Coronavirus/COVID-19 ,
Diversity ,
Equity ,
Financial Institutions ,
Financial Stimulus ,
Healthcare ,
JPMorgan Chase ,
Medicare ,
Medicare Advantage ,
Social Justice Issues ,
Telehealth
Sitting in the dark before 6 am in my Los Angeles house with my face lit up by yet another Zoom screen, wearing a stylish combination of sweatpants, dress shirt and last year’s JPM conference badge dangling around my neck for...more
1/12/2021
/ Affordable Care Act ,
CMMI ,
Coronavirus/COVID-19 ,
Electronic Protected Health Information (ePHI) ,
Healthcare ,
Home Health Care ,
Humana ,
Insurance Industry ,
JPMorgan Chase ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Mental Health ,
Moderna Inc. ,
Over The Counter Drugs (OTC) ,
Pfizer ,
Professional Conferences ,
Public Health Emergency ,
Teleconferences ,
Vaccinations ,
Value-Based Care ,
Walgreens
CMI, CMMI, and Changing the Consumer Experience in the U.S. and China -
Case Mix Index: Sitting in multiple hospital, payor and physician organization presentations at the J.P. Morgan healthcare conference this year, it is...more
1/17/2020
/ Centers for Medicare & Medicaid Services (CMS) ,
China ,
CMMI ,
Health Care Providers ,
Health Insurance ,
Healthcare Facilities ,
Hospitals ,
Life Sciences ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Outpatient Services ,
Universities ,
Value-Based Care
The Big Cost; Cancer is the Answer; and SDOH Evolves -
The Big Cost: You’re okay today, and then tomorrow you’re not. Life has changed and there’s a new reality. Whether it’s an acute event – an accident, a heart attack, a...more
1/16/2020
/ Affordable Care Act ,
Affordable Housing ,
Cancer ,
Genetic Markers ,
Health Care Providers ,
Health Insurance ,
Hospitals ,
Innovation ,
Medicare ,
Outpatient Services ,
Pharmaceutical Industry ,
Physicians ,
Prescription Drugs ,
Professional Conferences ,
Technology ,
Value-Based Care
If I printed a tee shirt for the 2020 J.P. Morgan Healthcare Conference, what would it say? In past years, it would have been “Big Data,” Analytics, Artificial Intelligence, ACA, Risk, Medicare Advantage or Quality. This...more
1/15/2020
/ Data Management ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Costs ,
Hospitals ,
JPMorgan Chase ,
Medicaid ,
Medicare ,
Patients ,
Pharmaceutical Industry ,
Pharmacies ,
Physicians ,
Professional Conferences ,
Value-Based Care
Laguna Niguel, California. Another wild year in healthcare is upon us and another insightful and inspiring week of discussions at the 2019 Health Evolution Summit (HES) has just wrapped up in California. HES, which many refer...more
After a protracted comment period, the California Department of Managed Health Care (the “Department”) formally adopted its much anticipated “global risk” regulation (the “Regulation”), which will go into effect on July 1,...more