Healthcare’s Negative-Sum Game Impacts Every Stakeholder in the Health Economy
For decades, the U.S. health economy has operated as if the fundamental rules of economics – demand, supply and yield – do not apply.
The U.S. healthcare system is what game theorists call a “negative-sum game,” and the rules of that game are immutable.

Demand
The commercially insured population is shrinking, as ~10,000 Americans become Medicare-eligible each day, while almost half of the ~10,000 daily births are covered by Medicaid.

Supply
Patients have an increasing number of providers from which to choose, with new entrants offering services to compete with traditional providers at lower prices.

Yield
As the number of Americans with government-sponsored health insurance increases, the impact of inadequate reimbursement from Medicare and Medicaid is amplified.
Network Performance Determines the Winners and Losers in Healthcare's Negative-Sum Game
The measure of network performance is different for different stakeholders in the health economy, but the variables
are the same for every stakeholder: the series, and sequence, of provider and patient decisions.

Are you in the right markets?
Market quality is the most important variable in the performance of a network, and understanding market quality is essential to selecting the markets in which to compete.
How does your network perform in the markets you serve?
Every market has a total addressable market (TAM) of goods and services. Network performance measures how well an organization maximizes its performance within the TAM as compared to other competitors. Do you know the TAM and “share of care” in every market you serve?


How do provider decisions impact your network performance?
Everything in healthcare begins with a provider decision.
The only way to improve network performance for providers, payers, employers or life science companies is to have a detailed understanding of the locations of, practice patterns of and value (cost + quality) provided by the more than 2.7M providers in the United States.
How do consumer decisions impact your network performance?
Patients are people, and whether a patient adheres to a particular network depends on many factors, including access, affordability, consumer psychology and benefit design.
Healthcare Analytics for Every Stakeholder
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