News and Insights

Strategic Planning and New Business Models

Big Pharma Needs a Better Business Model, Not More Legislation


When the Trump administration dropped the drug rebate rule it introduced back in January – a rule that intended to prohibit pharmacy benefit managers (PBMs) from pocketing some of the rebates they should be passing along to patients – the decision sent shockwaves through the healthcare industry, particularly the pharma…

Healthcare “Excellence” Will Only Come from a Better Business Model


Consumers’ dissatisfaction with our current healthcare system has existed for years, yet we still hope and pray it gets better. Instead of waiting for the industry to fix itself, some employers—whose health plans allow most Americans to afford healthcare services—have taken matters into their own hands. They’ve chosen to dedicate…

Coming to Terms With Care Migration


The migration of care from inpatient (IP) to outpatient (OP) and ambulatory surgery center (ASC) settings is revolutionizing healthcare delivery. Beginning with cataract and cosmetic surgery more than a decade ago, the list of ASC procedures has grown to include endoscopy, colonoscopy, anterior cruciate ligament and shoulder repairs, sinus and…

Built to Flail: Why the Culture of Healthcare Needs to Be Addressed, Stat!


The chief innovation officer of a highly regarded integrated delivery network recently lamented: “Getting people to change is the hard part.” This is a common refrain in administrative suites and medical executive committee meetings as healthcare systems struggle to respond to a marketplace where new competitors and delivery models are…