“When you don’t create things, you beco

“When you don’t create things, you become defined by your tastes rather than ability. your tastes only narrow & exclude people. So create.” – From a ruby dude

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http://ow.ly/i/u4D3 Milliman Health Care

http://ow.ly/i/u4D3 Milliman Health Care Costs Index going through the roof. Last time I saw curve like that it was Facebooks user growth

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The Crossover Blog has Moved

The crossover blog is now integrated with our website www.crossoverhealth.com. Visit our new blog location by clicking here and keep following us for updates.

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Emerging from the Radio Silence

Peeps – sorry for the radio silence. Will make it up to you with this: http://ht.ly/4EMV8


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Hewing Away: Its all in the eye of the sculptor

Hew (hyū) v.


  1. To make or shape with or as if with an ax
  2. To cut down with an ax

“In every block of marble I see a statue as plain as though it stood before me, shaped and perfect in attitude and action. I have only to hew away the rough walls that imprison the lovely apparition to reveal it to the other eyes as mine see it.” – Michaelangelo

An unfinished Michealangelo sculpture.

I just re-read this quote – I think it is a powerful metaphor for any innovator that is out there trying to change the world.They are the ones that can see the fully defined, fully articulated, and fully functional end product within the building blocks that others pass off as mere landscape material. I think this gift of vision – this ability to “see” what others cannot – and the doggedness to stick to the mindless chipping away until others can see it enough to give you the tools you need to finish it off.

We are privileged to be working on a HUGE project right now with a highly innovative company that sees the value of what we are doing and wants to be a part of changing health care. It has been fun to work with them to begin the process of “hewing” away and to literally see the game changing product we have always seen begin to take shape from the dust, the chipped stone, the dirty hands, and the bleeding fingers. The process of discovery and refinement is almost as fun as seeing how the end product will move people.

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NJ ACO: A Sheep in PHYCORE Clothing

I am on an email list of Bill DeMarco’s, a reputable industry insider who has written and consulted extensively in the physician group and medical management space. He recently sent me a note about several physician aggregation events in New Jersey.

For some reason it struck a nerve with me . . . which led me to fire off the response below:


I thought we already saw this movie?

My question for you . . . besides banding together in some megagroup – what are these physicians doing to actual change the delivery of medicine? ACO is just the latest buzzword excuse to aggregate physicians under a new moniker and a supposed new model.

I am highly suspect that these physicians are doing anything to change the relationship with their patients, to use enabling technology to create team based care, or actually be accountable for the outcomes they produce. What systems are they using to tie themselves together? What financial alignment do they have? What measures are they using to demonstrate superior outcomes? What about the patient experience – 7 minute visits that push pills as the “treatment” won’t get it done in the future.

I think your closing statement, “Representatives from Summit and Optimus were unavailable for comment” says it all.

Am I seeing this the wrong way? Is there anything new about this model this time around? Am I getting old enough to see these things cycle through?

PS – and no, I don’t mean a wolf. The sheep get nervous and band together waiting to get pounced on by wolves.


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Unsustainable: Worth a Thousand Words

I don’t even think there is anything to say about this picture:

This is why our health care system as current constructed is a massive #FAIL. Obamacare does NOTHING to change this.



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