Design Matters - Healthcare Systems Edition

Design Matters – Healthcare Edition

In his book The Opioid Crisis Wake-Up Call, Dave Chase quotes Dan Munro by writing, "The [healthcare] system was never broken, it was designed this way."   I'm a fan of Debbie Millman's podcast, Design Matters. When we are making something that other people will use and engage with, it is important to think about … Continue reading Design Matters – Healthcare Edition

Healthcare Profit and Subsidization

Healthcare Profit and Subsidization

Medicaid simply doesn't pay enough for many medical providers to make a profit. The reimbursement rates often cover only fixed costs, and don't really cover the full operating costs of a service. Medicare pays slightly better, usually covering operating costs and sometimes providing just enough for a small profit. Private insurance, however, pays a lot … Continue reading Healthcare Profit and Subsidization

Status Quo in Healthcare

Status Quo in Healthcare

How can we really make change to the United States healthcare system? Dave Chase, in his book The Opioid Crisis Wake-Up Call argues that changes to the system need to come from private businesses, because private businesses are responsible for the health insurance coverage for over 50% of American's. If business don't take action and … Continue reading Status Quo in Healthcare

Health Care Supply

Health Care Supply

Dave Chase makes an argument in his book The Opioid Crisis Wake-Up Call that healthcare has a substantial supply side drive, not just a demand side drive. This argument doesn't align with standard pictures of healthcare, the idea that people seek care when they are sick, and don't use care when they are well. Its … Continue reading Health Care Supply

Fiduciary Healthcare Responsibilities

More on Fiduciary Healthcare Responsibilities

Yesterday I wrote a little bit about the fiduciary healthcare responsibilities that employers hold given that companies invest our healthcare dollars in plans and structures that can be quite costly. In his book The Opioid Crisis Wake-Up Call, Dave Chase writes, "Given the wide cost differentials, CFOs and CEOs are failing in their fiduciary responsibility … Continue reading More on Fiduciary Healthcare Responsibilities

Fiduciary Healthcare Responsibility

Fiduciary Healthcare Responsibility

For many Americans, their job provides them with some type of retirement savings account. Historic legal action, laws, and regulations require that companies who offer retirement savings vehicles responsibly manage the money they invest on behalf of their employees. The investment options that employers chose must perform at a reasonable level. A company can't push … Continue reading Fiduciary Healthcare Responsibility

Self-Insured Health Plans

Self-Insured Health Plans

"A self-insured health plan," writes Dave Chase in The Opioid Crisis Wake-Up Call, "is established when an employer sets aside some of its funds to pay for employees' medical expenses. Employees then contribute to the plan rather than pay traditional premiums."   In the United States, it is not uncommon for large employers to chose … Continue reading Self-Insured Health Plans