Keckley Report March 17, 2025
Paul Keckley

Years ago, I taught an introductory class at Vanderbilt’s Owen Graduate School of Management to medical students also pursuing an MBA degree. Its intent was to equip future caregivers with the aptitude to lead healthcare organizations in the development of strategies for growth and innovation.

As a lifelong health policy analyst and researcher, I thought designing the course content would be easy: after all, healthcare is about providers (hospitals, doctors and long-term care), payers (government, private), suppliers (pills, devices, et al) and regulators (state and federal). I was wrong.

The U.S. health “system” is big, complicated and fragmented and it’s not a system at all. Rather it’s a collection of co-dependents, disconnected public and private organizations that provide/sell health-related products...

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