Forward Health and why space age primary care always fails
So Forward Health is shutting down, quite abruptly. I hate to see any company have to let people go. A company is just a group of people all chasing a similar mission. Every single one of them has rent to pay, a family to feed, etc.. And all companies are insanely hard to build. Every company you see that exists in the world is because … Continue reading Forward Health and why space age primary care always fails
The first Lucky Sage event was all magic
Denver’s 11th biggest snowstorm on record started Wednesday night. So did the first Lucky Sage event. It was hosted at my house (and a few other houses) a few miles west of Boulder up in the mountains. The road to my house is a half mile of switchbacks up the side of a mountain. Fortunately, we got everyone up to the house before the big … Continue reading The first Lucky Sage event was all magic
Presence & authenticity
I’m unfortunately not great (and probably actually terrible) at maintaining connections in the in-between spaces of IRL relationships. There are many reasons for this, but I think the one that resonates most with me is because I value in-person presence so much, I almost view that as the only kind of presence that matters to authentically close relationships. Of course there’s the in-between moments of … Continue reading Presence & authenticity
My friend Donnie
My parents live in Fort Myers, FL and, when I visit, I escape to the local coffee shop every morning to work and chat it up with the townsfolk. It didn’t take long to meet Donnie, the owner. He’s a lovely guy and always down for a chat. He’s had a fascinating, but very hard life. He dropped out of school in 9th grade, joined … Continue reading My friend Donnie
Meet Lucky Sage
For the last 17 years I’ve been doing everything I can to fix primary care for as many people as possible. It’s time for me to launch a new company and a new chapter, Lucky Sage. Think a 5 day IRL Masterclass with a hero who’s great at exactly what you want to be great at. You get to live with and learn from a person … Continue reading Meet Lucky Sage
Big life update: I’ve joined Sana as their Chief Medical Officer
Back in October, I started The Future Well to help companies build modern care models. Since then, I’ve been serving as Chief Medical Officer with Nabla, to help build technology to support modern care models. And I’ve also been working with Sana, a health plan built for small businesses. I’ve done my best to help them understand the kind of care model they can build for … Continue reading Big life update: I’ve joined Sana as their Chief Medical Officer
Big life update: I’ve joined Nabla as their CMO
The last few months have been insanely fun. As part of The Future Well, I’ve been working with three clients helping them build their care models. Working with them (and others in the future) will continue indefinitely. But, for now, why did I join Nabla as their fractional CMO? Well, CMOs should bridge the gap between clinical and product. Since I’ve been doing that since 2007, … Continue reading Big life update: I’ve joined Nabla as their CMO
Focusing on heavy users of healthcare is the wrong way to control costs.
We always hear that 5% of people consume 50% of a population’s health spending. I call this group “The Five Percenters.” This is the reason why there are initiatives worth hundreds of billions of dollars— things like Medicare Advantage— and the subsequent rush of billions of VC money into that crowded space. The thinking is the 5% cohort are heavy users and designing for this … Continue reading Focusing on heavy users of healthcare is the wrong way to control costs.
Mexico City Self-portrait
On being a gunner (and taking a break)
When I was in med school, there was a term we used to describe the folks at the top of the class— a “gunner.” I wasn’t one as I had very little interest in studying 100 hours a week just to be in the top 3. I always needed balance in my life. I was too curious about photography or exploring nature around me or … Continue reading On being a gunner (and taking a break)
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