

Why Healthcare Will Never Be a Retail Checkout And Why That’s a Good Thing
Coming out of the conference olympics seasons, I overheard yet another conversation about how healthcare “just needs to be more like retail.” Someone compared claims to Target checkout. Someone else wondered why we still can’t “scan a CPT code like a barcode.” Over a decade ago, I remember a national plan hiring the Chief Marketing Officer from Starbucks so they could help them sell “health plans like coffee.” What Patients Are Actually Asking For When They Ask For “Retail-L


How U.S. Health Plans Outsourced Their Core and What It Means for the Future of Payers
I was walking the exhibit floor at Becker’s, weaving through the noise of bright booths and polished sales pitches, when something unusual stopped me. A vendor was promoting a platform designed to help health plans manage product and benefit data. Automation, compliance support, efficiency gains. Nothing surprising on the surface. Then the realization landed with a kind of somber force. If a payer cannot manage its own product and benefit data (i.e. the foundational function







