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
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
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
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