Maintaining complexity, without adding value.

One day, you wake up and look around and see that 90% of everything around you is there to maintain complexity, and not add value. That’s my definition of medicalcare in America. A new study published today in JAMA looks at healthcare spending in America and concludes: Prices of labor and goods, including pharmaceuticals and devices, and administrative costs appeared to be the main drivers … Continue reading Maintaining complexity, without adding value.

Can innovation in healthcare do more harm than good?

Sure, here’s how. Say there’s a new thing called “video visit for 10 minutes with a random doctor.” A 10-minute random doctor conversation (without the ability to follow-up or order tests to confirm suspicions) is, by design, a tool to solve an extremely simple problem, like pink eye. This innovation depends on users understanding how and why they can use the tool. If the user … Continue reading Can innovation in healthcare do more harm than good?

Magic doesn’t make health happen.

Last week, I wrote about the difference between “health” and “medical.” Basically, “health” is a series of everyday choices and “medical” is pills and scalpels. The concepts are wildly different. But I get it, the medical world wants to prolong and/or return you to a state where you can make the same everyday choices. Helping you make different/better everyday choices really isn’t medical’s expertise. Here’s … Continue reading Magic doesn’t make health happen.

What happens when you do the obvious/logical thing in healthcare?

If today’s flavor of telehealth is 10 minute video/phone conversations with pink eye doctors, and those doctors can’t manage your issues for the long term, well, you can’t take advantage of new ways to manage expensive chronic issues like this one. This is wonderful. And obvious. That’s why Sherpaa has been managing high blood pressure completely virtually with our patients for the last 7 years. … Continue reading What happens when you do the obvious/logical thing in healthcare?

“Hi Jay…just checking in. Are you feeling better?”

It’s such a simple statement that conveys real human concern and thoughtfulness. But it’s actually a notification on your phone from your doctor who treated you a few days ago. This message with this statement is protocol for every episode of care a Sherpaa doctor has with her patient. We solicit feedback and confirmation we did our jobs well and the patient is better. If … Continue reading “Hi Jay…just checking in. Are you feeling better?”

What is primary care?

Currently we think it’s a doctor in an office. But that’s not what it’s going to be. The PCP in an exam room is a heavy, expensive, traditional solution. In the not too distant future, it’ll be a service available from anywhere, at any time, and primarily mobile. Google owns the concept of “search.” This service will own the concept of getting health issues solved. … Continue reading What is primary care?

New marketplaces and new healthcare networks.

Let’s think about healthcare networks, specifically the Blue Cross, United, Cigna, and Aetna networks. Let’s say there are a million or so entities in America billing for medical services. These are individual physicians, hospitals, surgical centers, imaging centers, pharmacies labs, etc. This number is getting smaller due to consolidation. Every year, ~$3T flows between the providers and the payors. Essentially, this is a completely opaque … Continue reading New marketplaces and new healthcare networks.