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Harvard Business Review on the disbanding of Haven, the venture to disrupt U.S. health care formed by Amazon, Berkshire Hathaway, and JPMorgan Chase:[1] >Perve

Harvard Business Review on the disbanding of Haven, the venture to disrupt U.S. health care formed by Amazon, Berkshire Hathaway, and JPMorgan Chase:[1] >Perverse incentives. We still live in a world where the larger portion of hospitals’ beds that are utilized, the more they get paid. Consequently, the U.S. health system is focused on treating sickness rather than preventing illness in the first place. It seems like your root cause analysis is broadly known. Do you expect the market to shift quickly once your approach gains traction? [1] https://hbr.org/2021/01/why-haven-healthcare-failed https://hbr.org/2021/01/why-haven-healthcare-failed

lotsofpulp 5y ago
I do not understand how that analysis fails to mention the root problem of extremely high demand relative to supply of high quality healthcare. And of course, tort reform because there needs to be a ton of cover your ass work in the US.
aquaphile 5y ago
Chris (CEO) here. Thanks for the HBR citation regarding incentives. I can hope the market will someday shift quickly, because that would benefit more people more quickly. Realistically, though, I think it will take at least 10-20 years for a broad shift in the market. Large organizations (such as legacy insurers) are very slow to change – even when it is in their long-term interests.
mjamilkowski 5y ago
I have a different take. Haven was an attempt to get 3 large, very different, groups to reach consensus on some very contentious issues. It was akin to asking everyone at the Thanksgiving dinner table to agree on a political issue. Were they able to come to consensus on anything? There was going to be winners and losers if they changed benefit plans to be on a common platform across all 3 organizations. Maybe one organization had more losers than winners. Then Haven made the Great Vaporware Mistake with a huge public relations and marketing campaign before they actually did the hard work. Then reality set in.

lotsofpulp 5y ago

I do not understand how that analysis fails to mention the root problem of extremely high demand relative to supply of high quality healthcare. And of course, tort reform because there needs to be a ton of cover your ass work in the US.

aquaphile 5y ago

Chris (CEO) here. Thanks for the HBR citation regarding incentives. I can hope the market will someday shift quickly, because that would benefit more people more quickly. Realistically, though, I think it will take at least 10-20 years for a broad shift in the market. Large organizations (such as legacy insurers) are very slow to change – even when it is in their long-term interests.

mjamilkowski 5y ago

I have a different take. Haven was an attempt to get 3 large, very different, groups to reach consensus on some very contentious issues. It was akin to asking everyone at the Thanksgiving dinner table to agree on a political issue. Were they able to come to consensus on anything? There was going to be winners and losers if they changed benefit plans to be on a common platform across all 3 organizations. Maybe one organization had more losers than winners. Then Haven made the Great Vaporware Mistake with a huge public relations and marketing campaign before they actually did the hard work. Then reality set in.