Thoughts from the Road

Posts from "Uncategorized" category

COVID-19 and 9/11: Opportunities to Excel and Transform Crisis into Growth

Sitting at home now for the third week, it seems accurate to call this unprecedented. Also, a bit trite. It’s just a genuinely lousy time between the personal concern for loved ones and self, the societal impact of seeing the daily infected and death tolls rise, and the longer-term concern for our economy and its


Iowa, Healthcare Software, Lessons to Learn

Disclaimer: This is not a political blog or platform for political conversation. However, it’s hard to ignore the mess that the Iowa caucus has become. So, bringing it back to what we care about for these thoughts, I see a useful, albeit somewhat obvious to the experienced, cautionary tale of the dangers involved when launching


A Mid-Sized Dilemma

Mid-sized, regional health plans are stuck in the middle. Every health plan faces the same issues: consolidating providers and medical trends that premiums can’t cover. But mid-sized payers have a specific challenge of being neither fish nor fowl. On one hand, national plans and dominant local plans have scale and contracting advantages that are difficult to match. On the other hand, there is an increasing number of “piranha” plans that bite off small, niche chunks of sub-sub segments. So, what is a mid-sized plan to do? How can they create market distinction?