Is it Fair?
HIEs: Right Answer, Wrong Question
While I am a free market enthusiast, especially for healthcare, this is completely wrong headed because it is about insurance, not healthcare. That is like making a free market for parenting services. You would never entrust the raising of your children to a big company or a government, so why would you do this for your health? Time and again, insurance companies have shown that they don’t really care about keeping us healthy, they just want to minimize cost and maximize premiums. Similarly, while I trust the government’s intentions, it is too big of a job for any government to tackle. Healthcare oversight, payment, and management is a responsibility we should not delegate to anyone, just like the rearing of our children.
Keynsian economics (free markets) on a treatment, visit, diagnosis, or procedure level does make sense though because it keeps the patient involved and engaged in their own choices and keeps the feedback loop between care and cost short and uncomplicated. Insurance companies are like the Dickensian orphanages of healthcare, doing a poor job in bulk and with different priorities than real parents would have for the children.
Fear and Contracting on the Way to Medical Price Transparency
Things are getting interesting around here. As we start hitting the mainstream we also are attracting the attention of traditional insurance carriers. Some have sought to emulate our model like Aetna’s “Smarter” health plan and others have taken a more direct approach. You see, our efficient marketplace for healthcare enables Physicians to offer their care [...]
Why The Best Doctors Are Going Direct
I remember my grandfather once telling me with heavy eyebrows and great gravity, “Alex – never hire a cheap accountant, never go to a cheap doctor, and by all means, pay your divorce attorneys well.” I guess this might have made more sense to me if I weren’t only 11 at the time, but it was still [...]

