The concept of population health management is necessary, important and good, but the healthcare industry's current assumptions about the benefits of assuming global risk is déjà vu all over again.
As the industry sprints to take global risk, I hearken back to 1993 when much of the industry was convinced that health systems should employ physicians to strategically position the system to profit under very competitive capitated rates.
Twenty years later, the projected growth in capitation did not materialize. In the end, many of the health systems that adopted these strategies hemorrhaged tens of millions of dollars. Some were permanently crippled by the losses.