What needs to change is the culture of not only insurance companies, but medical service providers (doctors, labs, testing, hospitals, etc.), other various and sundry vendors within the ecosystem, not to mention the government in the form of Medicare and Medicaid.
When you look at the deeply entrenched interests on that list the possibility of anything actually happening in the near-term seems remote, if at all.
Not even the proverbial 500 pound gorilla, think Google or Facebook, has the clout to even dent that crowd.
But what about Aetna Insurance under CEO Mark Bertolini, a 1000 pound gorilla and long-time global player in healthcare that has the clout, since it insures two thirds of the Fortune 100 and a great number of the 500?
Aetna is taking a three prong approach that includes, paying for positive outcomes, as opposed to fees for services; changing corporate health offerings in order to tap into positive consumer behavior and eating its own dog food — as every good startup does.
The big question is whether Aetna will walk its talk.
There is nothing like the various advice columns to keep you abreast of societies attitudes.
One I enjoy is called Social Qs; I like the insight it gives into people’s attitudes and questions of how to respond to everyday happenings.
Now and then the attitude behind a question will leave me speechless.
Like this one.
I took my sweet little dog for a walk. He got agitated by a cat sitting on a porch, pulled free of me and raced toward the house, knocking over (and breaking) a large ceramic urn. I acknowledge that I am partly responsible for the damage. But don’t the homeowners have some responsibility, too, letting their cat sit out in the open? —ANONYMOUS
Not surprising that it’s anonymous; few people would have the courage to admit to that level of self-absorption.
The Social Q response was perfect (as one would expect).
You break it; you bought it. “And your little dog, too,” growled the Wicked Witch of the West. The cat is free to sit on its porch with regal impunity.
No kidding. It wasn’t even roaming around, just sitting quietly, minding it’s business and watching the world go by.
“We’ve gotten a lot of requests from property developers who want to place it in a few filthy rich neighborhoods of course, and I tend to say no to these right now,” he says. “I think that it should be in a public space.”
Marco Arment built an ad-blocking app that blazed to the top of Apple’s App Store, but he pulled it almost immediately.
But he said that building such a successful ad-blocking app “just doesn’t feel good.” “Ad blockers come with an important asterisk: While they do benefit a ton of people in major ways, they also hurt some, including many who don’t deserve the hit,”Arment wrote on his personal blog Friday.
According to Kentaro Toyama, the W.K. Kellogg Associate Professor of Community Information at the University of Michigan School of Information and self-described “recovering technoholic,” technology isn’t the panacea it’s cracked up to be.
“Technology works best in organizations that are run well to begin with. (…) The technology industry itself has perpetuated the idea that technology will solve the world’s problems. (…) Everyone wants to believe the work they do is good for society. But a lot of people in the industry have drunk a little too much of their own marketing Kool-Aid.”
What is often ignored is that people are a necessary ingredient for the Kool-Aid to actually work.
The tech eco-system forgets a lesson driven home by Bill Gates in the 1995 book The Road Ahead.
“The first rule of any technology used in a business is that automation applied to an efficient operation will magnify the efficiency. The second is that automation applied to an inefficient operation will magnify the inefficiency.”
Aetna Insurance found this out when they first equipped their claims processors with their own terminals connected to the mainframe (before the advent of personal computers).
The effort was considered ground-breaking and was touted as a way to streamline the claims process.
It failed miserably, because the process itself wasn’t redesigned.
In short, claims had multiple steps with approval required at each. Because the process stayed the same, i.e., claims stalled in electronic form when someone in the approval process was on jury duty or out sick just as they did in the paper version.
Once people redesigned the process the desired efficiencies were reaped well beyond expectations.
Imagine a tiny microphone embedded in the ID badge dangling from the lanyard around your neck.
The mic is gauging the tone of your voice and how frequently you are contributing in meetings. Hidden accelerometers measure your body language and track how often you push away from your desk.
The app is from Humanyze, the test subjects work for Deloitte, participation was voluntary and the anonymous results positive.
“The minute that you get the report that you’re not speaking enough and that you don’t show leadership, immediately, the next day, you change your behavior,” says Silvia Gonzalez-Zamora, an analytics leader at Deloitte, who steered the Newfoundland pilot.
“It’s powerful to see how people want to display better behaviors or the behaviors that you’re moving them towards.”
The U.K.-based company The Outside View, a predictive analytics company, also recently gave staff wearables and apps to measure their happiness, sleep patterns, nutrition and exercise around the clock in an experimental project.
So your boss knows when you decide to watch your favorite TV show, instead of taking a work-related course, or sing karaoke, instead of going to bed early.
“It’s bad enough that we lose control of our identities with threats of identity theft. I think it’s even worse if we lose the privacy of our actions, our movements, our physiological and emotional states. I think that’s the risk.” –Kenneth Goh, professor of organizational behavior at Western University’s Ivey Business School
They actually think that employees will be motivated by coming to work and having their boss ask why they didn’t work-out, but were up until 2 am.
I don’t think so.
As with so many inventions through the centuries, no matter how pure the motives of creators, anything can be corrupted and its use perverted by other humans.
People usually go into teaching because they had a great teacher who inspired them; they care about kids or believe that it’s a way to make a difference.
No one in their right mind will argue that teachers are underpaid.
Sadly, the politics, internal and external, the system, often working without even minimal resources or adequate textbooks combined with the grind of producing daily lesson plans that engage their students year after year takes a toll on their idealism and enthusiasm.
Teachers differ in their skills, strengths and creativity — as do people in every field.
Further, what if the cost was personally affordable, so that teachers didn’t have to find funds or get approval?
That’s the idea behind TeachersPayTeachers, a virtual marketplace where educators can buy and sell lesson plans just like an app store and similarly priced.
What kind of tunes do you think Iago, the villain in William Shakespeare’s “Othello,” would listen to if he had an iPhone?
That is the kind of question that Laura Randazzo, an exuberant English teacher, often dreams up to challenge her students at Amador Valley High School in Pleasanton, Calif. (…) “For a buck, a teacher has a really good tool that she can use with any work of literature,” Ms. Randazzo said in a phone interview last week. “Kids love it because it’s fun. But it’s also rigorous because they have to support their characterizations with evidence.”
The site’s been around since 2006 and is highly successful.
To date, Teacher Synergy, the company behind the site, has paid about $175 million to its teacher-authors, says Adam Freed, the company’s chief executive. The site takes a 15 percent commission on most sales.
Read the article; then share it with every teacher, or their relatives, you know; tweet it and share it as widely as possible.
Whether they sell or buy they’ll win.
And if your effort saves just one teacher from burnout or makes their life a bit easier then, you’ll deserve a pat on the back — whether you know it or not.
Because I know that, as the saying goes, there’s no such thing as a free lunch.
“Many people already receive our journalism for free online, with digital advertising paying only a portion of the cost. Without income via subscriptions or advertising, we are unable to deliver the journalism that people coming to our site expect from us.”
No one expects to get a free car or for even Amazon to give away books, but when it comes to content on the Internet they cry, “That’s different!”
Copyrights are suddenly meaningless and any effort to generate revenue to pay for the creative talent, technology and other expenses required pollutes the experience.
Even sites that are built on user-generated content have expenses.
You deserve to be paid for your work and your company deserves to generate revenue to pay you — and so do they.
Think about that before you block ads or complain about pay walls.