Insights

Thinking out loud while we build.

Essays and notes on healthcare economics, ownership structures, and what we are learning in Colorado. Full articles are being written now.

Economics

Why fragmented demand keeps healthcare expensive

Consolidated sellers meeting scattered buyers produces exactly the prices you would expect.

Coming soon

Model

What member ownership actually has to mean

Ownership is a governance question before it is a financial one. Here is the test we apply.

Coming soon

Employers

Why we are starting with self-funded employers

The buyers who bear the cost directly have both the incentive and the leverage to move first.

Coming soon

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