By OWEN TRIPP
For decades, quality in healthcare has been defined on industry terms — not people’s terms. New technology and innovative health plan designs are finally changing that.
People know quality when they see it, and they are definitely not seeing it in healthcare. Fifty-six percent of Americans rate the quality of care as “poor” or “fair,” and 90% believe we’re overpaying for it. Likewise...
This article presents a compelling critique of healthcare quality metrics, arguing that industry-defined standards have failed patients and employers alike. The strongest version of this narrative highlights legitimate gaps in current systems—fragmented metrics, misaligned incentives, and a lack of personalized guidance—while crediting AI and innovative plan designs as potential solutions. However, the analysis leans heavily on Included Health’s proprietary model, which may introduce bias. The c...