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

Healthcare Finance 2.0

Can healthcare companies do well and do good? We’ve reached a crisis point in healthcare and we can’t financially engineer our way out of it by simply shifting risk and costs. It’s time for healthcare finance 2.0. We need to start looking at the big components that make up the financial framework. Historically it’s been

Execution Vs. Kickbacks

Why good execution trumps kickbacks The Trump Administration is considering relaxing the federal fraud and abuse regulations for kickbacks and bribes. Even though I still believe people are generally good, the thought of it is cause for concern.  Simply speaking – when there is a big pot of money and no clear rules on how

Default to truth

Why do we default to truth when someone is lying? Most people default to truth until their doubt and the facts tell them otherwise.  My default belief has been set using the 80/20 rule. 80% of people tell the truth and do the right thing. Based on Talking with Strangers by Malcolm Gladwell, it’s a reasonable starting point. However,

Change is in the air

How will Amazon and Walmart change healthcare? With Amazon and Walmart entering the healthcare provider business, it is safe to assume the industry is in for some big changes. For now Amazon Care will be beta tested with 50,000+ employees living in the Seattle area but you can only imagine that it will be soon

Engineering vs. Design

What’s the difference?  Both engineering and design start with a problem but the approach to solving the problem is different.  Engineering is about distilling data and allowing the data to dictate the solution. The problem with an engineering only approach is that there is usually more than one way to solve the problem. Hence the

Leading with Purpose

Some of the richest people in the world made their fortunes by making products and services cheaper. Jeff Bezos, Founder of Amazon, is the richest man in American. As you likely know, a lot of products on Amazon cost less than the same or similar products at local retailers. Plus you can acquire everything almost

Fraud + Abuse

There have been some eye popping headlines lately about the use of kickbacks to induce physicians and others to refer patients. Apparently, the FBI has just scratched the surface. Kickbacks are career ending for healthcare professionals and cause significant issues for the company and investors involved. As someone who has experienced the organizational fallout, it’s

Evolution vs. Revolution

We’re getting more insight into as to where political and business leaders are looking for ideas to help lower the cost of healthcare in the US.  LA Care came up this week because it’s a public option currently available on the California exchange that competes for members with insurers offering plans in the same service

People or Idea?

What’s more important – people or the idea? When posed to a group, the response is usually 50/50.  According to Ed Catmull, co-founder of Pixar and author of Creativity Inc., the result means that people genuinely don’t know. The answer is people because ideas come from people.  Ideas are just a thought or a suggestion