Why is Health Care and Health Insurance so Messy?

Ultimately, the issue also is that health insurance is a different animal than other forms of insurance. Could you imagine if your home insurance was run like health insurance? Then, instead of just covering fires, etc, every time you needed the heating fixed, or plumbing done, you would have to see if the company was covered under your insurance. The plumber would have to have staff just to handle different insurances. Insurance companies would employ plumbers who would have to read through the issue submitted by your plumber, and pre-approve the work. The costs would be contractually negotiated between the plumber and insurance company.

© 2025 Praveen Puri

Strategic Simplicity® #32

Most transformations fail because no one wants to kill a bad idea early.

© 2025 Praveen Puri

Strategy, Vision, and Planning

I think strategy is different from planning. In my view, you come up with a vision of what you want your future state to be. Your strategy is then that you want to move from your current state to that future state. You keep this strategy in mind as you develop your plan, which is to create a roadmap of intermediate states leading between where you are and your end state.

So, for example, You're in NY. You visualize you want to be in CA. Your strategy is to move from NY to CA. Your plan could include hitchhiking to OH, flying to TX, driving to NV, etc.

© 2025 Praveen Puri

Strategic Simplicity® #31

Complexity is a leadership failure disguised as a technology problem

© 2025 Praveen Puri

Strategic Simplicity® #30

Most executives overestimate technology and underestimate the cost of their own indecision.

© 2025 Praveen Puri

Strategic Simplicity® #29

If your org chart determines your strategy, you might as well let HR run the company.

© 2025 Praveen Puri

Strategic Simplicity® #28

Your biggest competitive advantage is clarity. Everything else can be copied.

© 2025 Praveen Puri