Over 25 years experience with hospital benchmarking and operations improvement, with emphasis on hospital pricing. Co-founded Market Insights in 1993 -- a healthcare informatics firm, including software development and database management. Market Insights transitioned into Health Data Insights, a Medicare Recovery Audit Contractor (“RAC”) contractor for Region D (17 States & 3 Territories), which was sold to HMS in 2011 for $400MM. Prior to Market Insights, worked as a Management Consultant at Deloitte Consulting and American Practice Management (APM). Awarded lifetime MENSA membership. Graduate of Harvard University, with degree in Economics.
For a service that has many components, such as a surgery, hospitals are reporting all of the individual prices and then leaving it up to the consumers to piece them together to get to a full price. It's like a hamburger restaurant giving you the individual price for lettuce, pickles, tomatoes, meat, buns ... instead of just telling you they charge $3 for a cheeseburger.20 June 2021
Hospital machine-readable pricing files are a black box. Only with advanced artificial intelligence and machine learning were we able to crack open the black boxes and compare data across hospitals.20 June 2021