Jacob’s Blog

Funding Disruptive Innovation

“Innovation” is a provocative word. For some, it invokes an eye-roll of disdain: “why can’t we just get our work done?” They rhetorically ask.  Sometimes, the way we are doing things is just fine.  Why distract ourselves with new variants of people, processes, or products just for the sake of doing something new? These folks have a […]

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Apple, Cerner, Microsoft, and Salesforce

… all rumored to be in the mix to acquire athenahealth. Nope. Why not? a) Apple doesn’t do “verticals.”  It’s that easy.  Apple sells products that anyone could buy.  A teacher, a doctor, my mom.  Sure – they have sold high-end workstations that video editors can use, but so could a hobbyist filmmaker. Likelihood of Apple buying […]

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Parsing Volume to Value, Proxy Measures, and the Streetlight Effect

Despite some concern that the migration from fee-for-service to value based payment (VBP) is being reversed, there remains strong momentum for VBP – both nationally – in the form of the bipartisan 21st Century Cures Act that was passed and signed into law last December, and many state and commercial initiatives, including the one I’m personally involved with, New York Delivery System […]

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