Last week I drew a distinction between health plan members and patients. Members are not always patients. In fact, 9% of our members account for 60% of the plan’s medical spending. I argued that a good health plan has a unique opportunity, whether its members are involved with the health care system or not, to […]

I wrote a post a few weeks ago about Narrow Networks that generated a lot of chatter on the blog - and a lot of commentary off it as well.  What the heck - let’s stick with what works, and put some real life into the debate.  For the past six years, Harvard Pilgrim has offered a […]

The other day I got into a loud discussion (also known as an “argument”) with a friend of mine who’s the CEO of a community hospital.  He’s a good guy - and I hope he feels the same way about me.  We were arguing about Willie Sutton.  You know, the guy who said he robbed […]