Rush 2.0
Ideas, experiences and insights for advancing the business of healthcare.

Digital Transformation

The Canadian healthcare system is undergoing a similar digital transformation as the US. Even though the healthcare systems are different in how they are financed, the triple aim of the transformation is for the most part the same. The triple aim: 1/ Enhance the patient experience 2/ Reduce the cost of care 3/ Increase population

Political Risk

Lower cost is one element of the triple aim. How does your company’s values address the cost of healthcare? Cost is a big issue for the 2020 election. Some of the government findings about healthcare pricing and billing practices are clearly an issue that could blow back on companies that aren’t proactively addressing cost. What

AI in healthcare

One of our clients would always say “think about sitting in your big easy chair.” I definitely thought about it but never experienced it. Why? For reasons similar to the premise behind AI. I streamlined and automated a lot of workflows for the organization so that the staff focused on the more complex issues and

Now – Near – Far

Now – Near – Far is a strategic framework that some executives of legacy healthcare systems are using now. The framework was developed by James Hackett, CEO of Ford to assemble and align the resources needed to deal with disruptive market forces. 1. Now – Assembling and aligning resources for the Far. 2. Near –

Medicare for All?

Medicare for All vs. Single Payer System 62% of Americans support the idea of “Medicare for All” even though it’s not clear what it would cover, who it would cover or how it would be administered. So what are people finding so appealing about it? The number of people supporting a single payer system is

Health + Healthcare

Is health a personal choice or is there a role for physicians? A friend recently said to me that the best thing a General Practitioner [GP] could do is write a referral to a specialist. He’s not in healthcare so I had to ask whether he thought GPs should help keep people healthy. He said

Limited vs. Premium

Forget “Medicare for All”. The easiest way to think about fixing the healthcare system is to use the framework for reconstructive vs. cosmetic coverage. Three words are used to evaluate whether something is covered or not: Bad – Good – Better. Here’s how it works: 1/ Reconstructive Services: [Bad to Good] Reconstructive services focuses on

Doubling Down

Why are Americans doubling down on a broken healthcare system? The current healthcare system is commonly referred to as broken, it’s rife with fraud and abuse, it has little transparency – yet we expect people to act as consumers. Here’s just a few clips from Axios that has to make you wonder. 1/ Both Democrats


Millennials may be rejecting the ACO model. As prices for comprehensive health insurance increase, millennials seem to prefer on demand service purchased at time of service [aka: fee for service]. Primary care physicians work as the coordinator and gatekeeper in the ACO model. They care for, triage and refer patients to specialists as needed. However,