Health Business Blog

Health care business consultant and policy expert David E. Williams share his views

#CareTalk March 2019: Gottlieb’s out. What’s next for FDA?

The latest edition of #CareTalk is out. CareCentrix CEO, John Driscoll and I explore the departure of FDA Director Scott Gottlieb and other pressing topics.

Here’s what we covered:

(0:28) Scott Gottlieb is out at FDA. Are you sad to see him go?

(2:00) Home health spending is projected to grow faster than any other category of healthcare over the coming years. Is that good or bad?

(4:00) Insulin prices are spiking and both Democrats and Republicans are up in arms. What’s happening?

(5:53) Lyft is talking about the social determinants of health. What?!

(8:47) What do you think about FDA approving ketamine nasal spray as a treatment for depression?

(9:10) What did we learn about healthcare from Michael Cohen’s Congressional testimony?

(9:33) Medicare has a new app. Have you tried it?

(9:59) Did you hear about the $48,500 bill for a cat bite?

Subscribe to the #CareTalk Podcast
iTunes: https://apple.co/2DIDTcr
Google Play: https://bit.ly/2RobqMB

Interoperability in healthcare 2019: Podcast interview with Rhapsody

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Interoperability has a been a buzzword in healthcare for about a decade, but sometimes it doesn’t seem like we’ve gotten that far. In this podcast, Rhapsody’s EVP of Product & Strategy, Drew Ivan and I discuss interoperability: its past, present and future.

Here’s what we covered:

  • 0:20 What is interoperability anyway?
  • 2:50 Why do we hear about interoperability so much in healthcare? Is it an issues in other industries?
  • 5:11 How does interoperability in the US compare to the situation elsewhere?
  • 6:51 Does interoperability matter to patients?
  • 9:20 Has interoperability failed in the past? What new models are being tried?
  • 11:54 What’s the business model for interoperability?
  • 13:42 Are there any downsides? Does interoperability create any new problems?
  • 14:54 How will interoperability evolve in the coming year?

By healthcare business consultant David E. Williams, president of Health Business Group.

Happy 14th birthday to the Health Business Blog

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Happy 14th!

My main job is president of Health Business Group, a boutique healthcare strategy consulting firm I founded in 2003. As a sideline, I write the Health Business Blog, where I provide a behind the scenes look at the business of healthcare, featuring my spin on healthcare topics in the news, interviews with entrepreneurs, and policy prescriptions.

The blog is turning 14 years old this month!  Continuing a tradition I established with birthdays one,  two,  three,  four,  five,  six,  seven,  eight,  nine,  ten,  eleventwelve, and thirteen I have picked out a favorite post from each month. Thanks for continuing to read the blog!

March 2018: Tufts Health Plan CEO Tom Croswell on value baed care (podcast)

Tufts Health Plan CEO Tom Croswell is a veteran of the health plan world. I sat down with him to discuss value based care, collaboration, diversity and how Tufts tries to set itself apart in a crowded market. Tufts is best known for serving Massachusetts but is also expanding into neighboring states. It has a joint venture in New Hampshire and had just announced its entry into Connecticut in partnership with Hartford HealthCare.

April 2018: Ten pharma policy topics in just one article!

Kaiser Health News is a non-profit news service that does a great job of exploring healthcare policy topics. Still I was impressed that one article (How a drugmaker turned the abortion pill into a rare-disease profit machinemanaged to directly and indirectly raise at least 10 important policy topics.

May 2018: Partners and Harvard Pilgrim aren’t really going to merge, are they?

The news was full of stories about merger discussions between Partners HealthCare and Harvard Pilgrim Health Care. No one denied the reports, so we can assume there was some truth to the rumors. But why would these organizations contemplate a merger and how likely would it be to happen? I compared it to a scene from a Cheech & Chong movie.

June 2018: Boston Globe and Boston Herald quote David Williams on Harvard Pilgrim CEO departure

A month after Harvard was talking about merging with Partners, the company’s CEO was out. It had something to do with his behavior… Both the Globe and Herald wanted to hear what I had to say about departed CEO, Eric Schultz.

July 2018: Nurse triage lines 3.0. Podcast with AxisPoint Health

Nurse triage lines have gone through three phases of evolution. In phase 1 they were implemented to ‘check the box’  for member education, phase 2 brought “demand management” to keep patients out of the emergency room, and now in phase 3 health plans are creating a gateway to innovative programs and services.

I discussed these topics with a leading company in the field.

August 2018: John McCain. A healthcare legacy

We don’t normally think of Senator John McCain as a healthcare leader, and yet he played a significant role over the years in various policy matters. CareCentrix CEO, John Driscoll and I paid tribute in a short edition of #CareTalk.

#CareTalk February 2019: Medicare for All?

The latest edition of #CareTalk is out. CareCentrix CEO, John Driscoll and I explore Medicare for All and other big topics.

Here’s what we covered:

(0:35) Is “Medicare for All” quickly becoming a litmus test for Democratic presidential candidates?

(2:45) What should be made of the recent moves of home health agencies around primary care?

(5:00) Are pharma rebates to blame for increased drug pricing?

(8:00) President Trump promised a whopping $50 million a year for childhood cancer. What would you do with all that money?

(8:32) Will adding the full list price of drugs in ads make a difference?

(9:03) Will Donald Trump actually end HIV transmission by 2030?

(9:32) We predicted that the Patriots would win the championship this year. What about the other Boston sports teams?

Subscribe to the #CareTalk Podcast
iTunes: https://apple.co/2DIDTcr
Google Play: https://bit.ly/2RobqMB

Partners names interim CEO. I’m quoted in the Boston Globe

Partners HealthCare moved quickly to appoint Dr. Anne Klibanski as interim CEO after the resignation of Dr. David Torchiana. I was quoted in the Boston Globe story about it:

The Boston health care consultant David Williams said naming an interim CEO gives the board some time to conduct a thorough search for a permanent replacement.

“They have a history of taking a senior physician and making them CEO of Partners,’’ said Williams, the president of Health Business Group. “Now I think they’re not sure if they want to do that again or if they want to look more broadly for, say, a business person.”

Partners would be wise to thing long and hard about what kind of a person should lead the organization. It may also be time to confront some of the internal contradictions and misalignments within the system and to consider restructuring. That may await the next CEO.

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By healthcare business consultant David E. Williams, president of Health Business Group.