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

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

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.