A Kiss is Still a Kiss, Even in Pharma

Cyndy Nayer co-authors this post with Leonard Kish of Viva Phi. The kiss in the song from classic movie Casablanca is, at its essence, the seal of approval on a relationship. The kiss symbolizes shared reward (love, potentially) and risk (two souls who share a common set of values but now … More

Viva Phi and Center of Health Engagement Join Forces

Better Health by Enabling Better Decisions and Experiences FOR IMMEDIATE RELEASE VivaPhi and the Center of Health Engagement announce their strategic partnership to define and deliver a networked, learning, and value-based health system.  The partnership will engage in research using health data to develop insights into how health care decisions … More

Getting to Health Value with Social Determinants of Health

by Leonard Kish and Cyndy NayerTuesday, May 27, 2014 Published on ihealthbeat.org We hear a lot about the economic drain of health care, but what we may be seeing is the actual confirmation of the economic power in providing health care. In economic terms, there’s a very high opportunity cost … More

CVS and Expresscripts Drop Coverage of 50 Drugs


GoodRx delivers the message that some pharmacy benefit managers are dropping 40 or more widely-used drugs, and their lists are not the same. What’s great about this post is that it’s wonderful for teaching folks what they don’t know about medical payment and money flows. This is especially important as … More

Update: Doctors’ Employment Contracts Change

KFF logo for health reform

CMS will start paying doctors for care coordination. Several articles published recently remind us that doctors’ employment contracts are changing.  Mostly, it’s to align the financial incentives with the goals we want to see.  In this case, the value-based realignment is for care coordination. Doctors will be compensated for care coordination … More

Family and Business Dysfunction

population health focuses on patterns and outliers for improved outcomes

Forbes offers a picture of the total impact of experiences and influences. Kathy Caprino, on Forbes, writes of the similarities between business and family dysfunction, and particularly of the need to resolve the issues to succeed in personal and business relationships. I highlight it here as a foil for some … More

SRII Hackathon and Global Health Conference Mar 25-27, 2015

SRII Global Conference 2015

We are expanding the conference with workgroups and more! Delighted to be a part of the Leadership Team for the SRII Global Health Conference, which will again this year include a hackathon. And I’m really excited to tell you that I’ve been tasked with creating an innovation workshop that will … More

Distressing: Disease-Related Facebook Pages

How disease-focused Facebook pages are used

Nayer’s view of the impact of Facebook pages created to support chronic care. This article on how disease-related Facebook pages are used just came to my desk.  Normally, I bookmark and save for a later date.  But as a value-based innovator in consumer engagement, I found this picture to be … More

Podcast: Value-Based Contract Model for Sovaldi

Nayer Constructs an Innovative Contract for the New Hepatitis C medication from Gilead.

David Harlow, of The HealthBlawg, one of the 100 most influential blogs in health care reformRecently I was interviewed for my take on the outcomes-based contract for Sovaldi.  My long-time colleague, David Harlow, was intrigued with the idea of a value-based, sequenced innovative contract scheme for Sovaldi, the $84,000 treatment that promises a cure for HepC. In case you don’t know, David’s blog is called The HealthBlawg, and it’s one of the most influential blogs for health care reform.   Listen here for our discussion.



Doctor Service as Priceline? Engagement!

Consumers are taking control of the pricing and access, driving the value-based decisions. The Washington Post is reporting the upswing in a new trend:  patients are posting services needed and doctors are competing for the job, much like Priceline. Now, if we really want to see improved consumerism and patient … More

Gender Split on Economic Issues, Predicts Poorer Health Outcomes

WSJ survey was info for the midterms, but it says so much more about long-term consequences in health. The Wall Street Journal publishes this comparison of gender views of American economic issues, showing women have much less confidence in success. Folks were asked “which view of America is closer to your … More