Parijat Dutta

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From Genomics to Global Health (Part 2): The European Roadmap to Precision Medicine

“The shift towards precision medicine is supported by significant advances in biomarker testing, with next generation sequencing allowing the detection of genomic alterations which drive tumour development and providing critical insights into a patient’s likely response to treatment and progression of disease.” – EFPIA Personalized medicine is transforming healthcare, offering solutions tailored to individual needs.…
From Genomics to Global Health (Part 1): The US Frontier for Personalized Care

Precision medicine transforms healthcare by personalizing treatment based on individual genetic, lifestyle, and environmental factors, enhancing outcomes and minimizing side effects. This approach, led by U.S. innovations, focuses on targeted therapies, early disease detection, and improved patient engagement, while addressing challenges in access and equity for a more effective healthcare system.
Stop-Loss Meets AI: The Future of Healthcare Cost Management

In 2022, stop-loss carrier premium volume rose to $31.6 billion, but claims increased faster, leading to deteriorating loss ratios. Predictive analytics and AI are transforming stop-loss insurance, enhancing risk assessment and pricing. Future growth is expected as adoption of self-funding rises, promising efficiency and personalized coverage through technology.
The Future of Agile in Healthcare: Learning from Amazon Care

“Although our enrolled members have loved many aspects of Amazon Care, it is not a complete enough offering for the large enterprise customers we have been targeting, and wasn’t going to work long-term.” – Neil Lindsay, senior vice president of Amazon Health Services. In 2022, the news of Amazon Care’s shutdown reverberated across the healthcare…
Why Are Pharmacies Disappearing?

In 2023, over 300 independent pharmacies closed, reflecting a drastic decline in physical pharmacy locations. The rise of digital healthcare, AI-driven services, and a shift towards personalized care threaten traditional models, prompting predictions of further closures and changes to pharmacies as their roles evolve within the healthcare system over the next 15 years.
Why Spotify Abandoned SAFe: The Future of Agile Framework Flexibility

Spotify’s unique Agile product management approach led to rapid customer growth, challenging traditional frameworks like SAFe. The Spotify Model emphasizes team autonomy, lightweight governance, and a culture of trust, enabling quick adaptation and innovation. Organizations are now customizing Agile approaches to fit their specific needs, signaling a broader shift in Agile practices.
The Hidden Risk of Hyper-Focus on Customer Delight: Combating Groupthink with Agile Principles

Consensus-based problem-solving groups may stifle innovative ideas. While prioritizing customer delight is key in Agile, it may lead to groupthink, stifling dissent and compromising efficiency. Agile principles, like constructive dissent, combat groupthink. Methods like anonymous feedback, structured dissent dialogues, and critical risk reviews disrupt groupthink and improve efficiency. Integrating dissent into retrospectives yields faster sprint…
Estonia’s Digital Health Insurance Model: A Blueprint for Transformation?

In 2021, Estonia’s advanced digital health insurance system, integrated within its e-Governance framework, sets a global benchmark for efficiency, cost reduction, and enhanced customer experience. Despite the US possessing similar capabilities, challenges such as interoperability, data security, and cultural resistance impede widespread adoption. Overcoming these challenges could lead to reduced administrative costs, improved patient experience,…
Is Your Agile Fragile?

In a 2023 survey by State of Agile, 37% indicated that business teams struggle to comprehend Agile, while 27% cited insufficient training. Despite widespread adoption of Agile, improper setup and execution cause 47% of projects to fail. A seasoned coach emphasizes the nuanced shift from traditional methodologies and offers best practices for agile success. Additionally,…
Empowering Health Through Community: The Future of Insurance and Wellness

The traditional fee-for-service model in healthcare leads to fragmented care and high costs. Shifting to a community-based approach can improve patient outcomes by emphasizing value over volume. This involves creating community partnerships, setting health goals, and customizing insurance based on community achievements. Challenges include data privacy and resource allocation. Download the attached thesis for more…

Fresh from Case Studies

Deck the Halls with Agile Goals: A 12-Day Blueprint

The article draws parallels between Agile methodology and holiday planning, using the “12 Days of Christmas” to illustrate essential Agile principles. Each day highlights key concepts such as maintaining a groomed backlog, effective sprint planning, retrospectives, cross-functional teamwork, stakeholder collaboration, and continuous delivery. It emphasizes how these concepts facilitate value delivery year-round.
From Legacy to Leading Edge: An Insurer’s 35% Efficiency Breakthrough

Approximately 63% of insurers still rely on legacy systems over 20 years old, consuming up to 75% of their IT budget. Outdated technology leads to inefficiencies, security breaches, and non-compliance. The proposed solution involves leveraging microservices to modernize and decouple common functionalities, leading to efficiency gains, cost savings, and improved scalability. The solution also addresses…
Reducing Healthcare Payer Costs with ML-Based Claim Adjudication

The burden of Late Payment Interest (LPI) on healthcare payers in the US is substantial, reaching about $1.5 billion annually. Medicare and private insurers faced significant costs due to delayed claims processing. Proposed solution involves developing an ML-based application to automate procedure code identification from X-rays, aiming to reduce delays and achieve cost savings.