Category: Healthcare Investment & Finance

  • State Primary Care Strategy: Nine Key Levers

    A Framework for Implementing States’ Primary Care Investment Strategies “High-quality primary care is the foundation of the health care system. Without access to high-quality primary care, minor health problems can spiral into serious illness, chronic diseases go unmanaged, and the opportunity to prevent illness is lost.”[1] While high-quality primary care is the foundation of an…

  • Rural Health Transformation: A Proving Ground for State Primary Care Investment

    The $50 billion federal Rural Health Transformation (RHT) Program is an unprecedented injection of capital averaging $200M per state annually through 2030. While legally earmarked for rural areas, smart state leaders know this isn’t just rural relief; it’s the launchpad for broader statewide primary care transformation. When you pair $1B per state in federal investment…

  • State Primary Care Funding Strategy: An Infrastructure Investment Fund

    Written by a former healthcare investment banker, who raised over $2 billion for voluntary hospitals, HMOs and related organizations, and the author of Rethinking Primary Care Investment Strategy and Nine Key Levers: A Framework for Implementing States’ Primary Care Investment Strategies. Any state that wants to invest in primary care should consider establishing a Primary…

  • Rethinking Primary Care Investment Strategy

    As a former healthcare investment banker, I observe what others have pointed out: that the U.S. will not fix its primary care crisis with higher annual expenditures alone. I argue for treating primary care as essential infrastructure by expanding the workforce through state-backed financing and loan relief, building modern information infrastructure with interoperable data platforms…

  • A Brief History of Managed Healthcare: 1970 to present

    The January 1970 issue of Fortune magazine, which focused entirely on healthcare issues and solutions, coincided with a time when healthcare spending was 7% of GDP. As an associate at McKinsey & Company during that period, I was inspired by this issue and by a subsequent meeting with Dr. Paul Ellwood to dedicate my professional…