The Power of Three
summary
Claims that closing systems protect hospitals but tech already makes openness cheap: laser links to the moon at 624 megabits per second, and financial markets cut settlement cost from $4 to $0.01 per trade. Data show excess care (Dartmouth ~41%) and shrinking utilization yet tertiary centers still charge much more — example mammogram rates cited $1,676 vs $390. Concrete fixes proposed: allow interchange-style payments, change Stark barriers, build cloud marketplaces and shared services that route work to lower-cost, higher-value sites.
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chapters (6)
- 0:00Welcome
- 0:45What is a shinan tree
- 3:13Three areas where healthcare says one thing but does another
- 8:49Open information exchange resistance
- 13:26Reversing healthcare trends
- 15:13Call to action
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