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Policy
Podcast: Filling In the Patient Portal Blanks 7/17/25
A new report says patient portal use is up. But what can we do to make them more… Read More
By July 17, 2025
Economics
Open Payments? More Like Open Pockets.
I’ve been writing a lot lately about how healthcare is impervious to change. Nothing you throw at this… Read More
By July 16, 2025
Economics
The Big Fix: Clear Thinking for a Healthier Future
America’s healthcare system isn’t broken. It’s doing exactly what it was designed to do: maximize revenue within a… Read More
By July 15, 2025
System Dynamics
Tired of Waiting
A funny thing happens when you get older. You become significantly less willing to wait. For a drink… Read More
By July 9, 2025
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Policy
4sight Friday 7/4/25
4sight Friday | The Budget Bill’s Healthcare Blast Radius | Burying My Healthcare Lede | Throwing Money at… Read More
By July 4, 2025
Policy
Why National Health Expenditures Keep Rising 
When actuaries from the Centers for Medicare and Medicaid Services (CMS) release their annual historic and projected figures… Read More
By July 2, 2025
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Outcomes
4sight Friday 6/27/25
4sight Friday | Providers, Public Health and Pop | A Consumer-Facing Revenue Cycle | The False Hope of… Read More
By June 27, 2025
Innovation
A Lesson in Aligned Incentives
For more than 40 years, I’ve heard about the healthcare industry’s need to “align incentives” among its various… Read More
By June 25, 2025
Consumerism
Consumerism, Revenue Cycle and U.S. Healthcare
A Three-Part Series Commentary 1: “Consumerism Introduces Itself to U.S. Healthcare Commentary 2: Revenue Cycle Dystopia: Olives with No… Read More
By June 24, 2025
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