4sight Health


Of Benefits and Behaviors

By David Burda – One of our mantras at 4sight Health is that we won’t change the way we deliver care until we change the way we pay for care. Providers will do what you pay them to do, and if you want providers to do something else, pay them to do something else.


Primary Care Predeterminism

By David Burda – Healthcare’s “it girl” right now is primary care. Everyone wants to provide it. Everyone wants to provide it in new models. Everyone wants to provide it as part of their omnichannel care delivery platforms. We can’t get enough of primary care.


Dave’s Dispatch: Do You Hear the People Now?

By David W. Johnson – This month’s song is a parody of the stirring “Do You Hear the People Sing” at the end of the first act of the Broadway musical “Les Misérables.” In the song, revolutionaries at the barricades call for the public to join their struggle against oppression.


Dave’s Dispatch: Healthcare Hypocrisy

By David W. Johnson – This month’s song is our riff on Joe South’s 1969 megahit “Games People Play.” It’s a song about posturing, bravado and hypocrisy. It describes people who are “Never saying what they mean now. Or meaning what they say.” Our version emphasizes the need for healthcare companies to stop playing games and offer American fair, transparent and high-value healthcare services.


Dave’s Dispatch: Value-Based Payment Reform

By David W. Johnson – The Biden Administration’s “Hesitation” on Value-Based Payment Reform – I listened to Jessie Colin Young’s “Miss Hesitation” nonstop during my first year in college. The song narrates the smooth-talking singer’s failed attempts at romance.


Nursing Home Star Ratings

By David W. Johnson – The Sorry State of Nursing Home Star Ratings – Patient Safety Awareness Week was March 14th-20th. On cue, the New York Times released a major investigative report on nursing home corruption, dysfunction, neglect and death.


Friday at Five: Dave’s Dispatch

By David W. Johnson – Healthcare’s Administrative “Sludge” Is Worse than You Think – Given its scale, it’s not surprising that healthcare is rife with positive and negative externalities. Covid vaccinations, for example, reduce infection risk for those who have not received shots.