Best of kin: How we relate determines how well we can run Most integrated health systems are still plagued by the reality of business lines working "alone, together" in one of two configurations.
Change of address Shifting accountability for growth outcomes, and where the total cost of care performance lives
It's time to blink slower Design strategy has evolved from useful and usable to the maximization of time through the reduction of friction. As AI accelerates, we must rethink the design of our frictionless approach to organizational change. Leaders must design space for curiosity and acceptance as a prerequisite for change.
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.
Faster, smarter, simpler Too often, we optimize what isn’t actually broken or spend years fixing symptoms instead of reframing the real problem. The hardest problems in healthcare often persist not because they’re unsolvable but because we’re looking at them the wrong way.
Leader's toolkit: Challenging the anchor Health system leaders need to see that there is no longer safety in the middle. Strategy must evolve from incremental optimization to intentional provocation. Six steps for learning from the fringe and five tools for leaders.