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When we look at health systems, we have to distinguish between costs and outcomes. The two are different, but when we have discussions (or arguments), we don’t consider how one affects the other. This is simply because spends more on health care than other developed nations, and there is the problem that more impoverished people in cannot receive certain types of care. This allows people to receive MRIs more quickly, leading to earlier diagnosis and treatment and better outcomes. This can be a direct result of people spending or investing more money in health care. Since my work is focused on individual experience, participation, and outcomes, my five impacts might be different than the general public gym or an academic. Read more on

Take Affordable Healthcare Costs


One of the biggest reasons healthcare costs have risen in America is a mix of government regulations and numerous medical and insurance companies that drive these principles. Take the Affordable Care Act, for example, that law is compliant with the health insurance companies, promising them a profit while making it very illegal for taxpayers who are not customers of the same companies. When there’s this amount of corruption where health care providers makeup or significantly influence the laws that govern them, it’s no wonder the cost to the consumer goes up without a legitimate benefit.

Reimbursement and payment are handled in the US, health centers, and practices focus on time-based productivity metrics. This is fair because doctors are paid for their time with patients rather than being paid for the treatment itself. I’ve written a bit on this topic here. This helps patients become a treatment rather than a job and encourages coaches to slow down to deliver quality. By focusing on measuring the value, outcomes, or effectiveness of the therapy and applying this when determining payment, healthcare organizations will provide the most appropriate and effective treatment in the best method.

Use Technology to Improve Connection for Efficiency

two way radio

When I was running a rehabilitation clinic in a VA hospital, management decided to implement a kiosk system in all the hospitals. To the outside world, this seemed like a beautiful idea. They could have made the program much more effective by providing the kiosks and enhancing the customer experience. A veteran could have walked into the clinic. A friendly staff member or receptionist could have helped the veteran check-in for the appointment and even been there to assist with work or navigating the kiosk menus. Instead, veterans found themselves without personal contact and with a machine they didn’t know how to check-in for their appointment. When using technology in healthcare, we should always keep in mind that the individual experience will be on the other side of this technology.

Provide Habit of Maintaining Patients and Providers Connection

Again, healthcare is about people: patients and providers. It is about one person mastering the treatment, recovery, and functioning of another person on an extraordinary journey to recovery. How is this taken into account when designing the care process? By focusing on the person and the individual experience/outcomes rather than numbers and financial metrics. This can be as simple as giving doctors more administrative time to cover chart review, or perhaps something more straightforward (and less expensive) like training receptionists and office staff on how to get the most out of a patient’s call. Do we use the phone call only to gather the information needed to tick boxes for a type of test, or do we use the phone as an opportunity?.

Robert Johnson

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