Andy

Author Archives: Andy

My Journey To Building Healthcare Pizza

Happy Tuesday friends. We’re back at it again, this time to kill two birds with one stone. Over the past few months I’ve heard from friends (new and old) and far-distant online stalkers asking about why I started a blog and what I’m up to? Instead of having the same conversation over-and-over, I decided to just write out the answer. I even include a bonus section in the beginning about how I initially started a career in healthcare. Hope you enjoy.

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Is Coronavirus Good or Bad for Telemedicine?

Hello again friends. The entire world is obsessed with talking about coronavirus or COVID-19, so why not me? One thing I’ve noticed is a lot of people speculating how the coronavirus could affect the American healthcare system. Honestly, it remains up in the air at this point, but it’s interesting to talk about. For example, health insurance stocks were hit hard, with the S&P 500 Managed Health Care sector falling more than 15% last week. I suppose this makes rationale sense to some degree. A health plan cannot easily increase their premium revenue for 2020, given that it is a capitated per member per month (PMPM) fee, so their  medical loss ratio (MLR) might be higher than expected due to hospitalizations and emergency visits. Later on I’ll discuss whether it’s not just health insurance companies that should be worried…

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Can Startups Save Primary Care?

Today, primary care is considered the bees’ knees of value-based care delivery. Instead of being viewed as the punter of the football team, the primary care physician (PCP) has become the quarterback of the patient’s care team, calling plays for both clinical and social services. The entire concept of the accountable care organization (ACO) or patient-centered medical home (PCMH) crumbles without financially- and clinically-aligned PCPs. This sea change has resulted in rapid employment or alignment to health systems, as well as a surge in venture capital being invested into the primary care space.

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Recap from the 17th Annual HBS Health Care Conference

So… I just returned from the 17th Annual Harvard Business School (HBS) Health Care Conference. The running theme of the conference was moving from healthcare to whole person care. Despite the frigid temperatures, the event warmed my heart with attendees full of promise for the healthcare industry. I will admit, it was a bit of a lovefest for Harvard alumni and students, but who can really blame them? They all got into the Michigan of the East… joking. Shout out to the conference organizers, Olivia vonNieda, Bhumika Agarwalla, Jay Thaker, Soltan Bryce, and many others for planning the event! But since many of you could not attend, here’s my breakdown of the conference takeaways.

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What Healthcare Tech Startups Should Know About ACOs

Every week I speak to a healthcare entrepreneur who is building a technology company that will “enhance value-based care” and “improve care coordination”. Shortly after this initial description, the founder typically mentions Accountable Care Organizations (ACOs) as a primary target for their sales strategy. Having worked around ACOs for the past 6 years I’ve always found this particular stakeholder to be an interesting first choice for startups looking for product-market fit. However, these startups are not alone. When I type the phrase, “Care Management” into the business information site Crunchbase, I see 711 results of companies who use that exact terminology in their summary description. “Population Health” has 449 companies and “ACO” has 87 companies. So… instead of having many more calls with founders looking for general advice on how to penetrate the ACO market, I figured I’d just write out some of my thoughts here.

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