Progress over process
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Winning at the wrong game: a call to change for health system leaders
As an industry, hospitals and doctors are winning at the wrong game.
The system largely performs as it is incentivized to perform. It pays far more reliably for downstream intervention than upstream prevention and produces world-class medical care after people are sick.
What it does not reliably produce is health.
You can’t price a new network with an old operating model
Why aggressive premium reduction requires redesigning how care actually flows
Primary care without permission
Who owns the relationship as the gatekeeper role fades?
For decades, primary care has been the gatekeeper of American medicine. PCPs were the trusted first contact, the coordinator of referrals, and, frequently, the arbiter of necessity.
But that construct is eroding in the face of new consumer behavior, technology, and