Have you ever wondered about how a health group impacts your healthcare? On today’s episode, Dr. Burns and Dr. Dranove join Shireen to discuss just that! They also share their insights on megaproviders, insurance, and primary care. Their joint book Big Med: Megaproviders and the High Cost of Healthcare in America is available for purchase at University of Chicago Press and  US Healthcare Ecosystem by Dr. Burns can be found at McGraw-Hill.


As an expert in healthcare management for forty years, Dr. Burns has MBA in Health Administration and has a Ph.D. in Sociology. He is the James Joo-Jin Kim Professor, a Professor of Health Care Management, a Professor of Management in the Wharton School at the University of Pennsylvania, and the former Chair of the Health Care Management Department. Currently, he serves as Co-Director of the Roy & Diana Vagelos Program in Life Sciences and Management, and as Director of the Wharton Center for Health Management & Economics.


Dr. Dranove is the Walter McNerney Distinguished Professor of Health Industry Management at Northwestern University's Kellogg School of Management, where he is also Professor of Strategy.  He was previously Director of the Health Enterprise Management program. He has a Ph.D. in Economics from Stanford University. He has published nearly one hundred research articles and book chapters and written five books. Consulting regularly, with leading healthcare organizations in the public and private sector and serving on the Executive Committee and Board of Directors of the Health Care Cost Institute, Dr. Dranove has also served as the lead economics expert in several high profile healthcare antitrust cases, including FTC v. St. Luke's Healthcare System and U.S. v. Anthem and Cigna.




“There's no excuse to be an uneducated healthcare consumer. It's not just thousands of dollars out of your pocket every year. It's your life.” - Dr. Dranove


“I don't think most people realize that the primary care physician today is not necessarily looking out just for their own interests. They have competing masters. The patient used to be the boss of proprietary care position. Now that position [has] two bosses….” - Dr. Burns




In this episode, you will learn:


What Megaproviders Are


The Values and Negative Aspects of Megaproviders


Megaproviders’ Effects on Chronic Health Care and Diabetes Treatment


Reform of Megaproviders


The Cost and Quality of Care of Megaproviders




Key notes:


[0:00] Welcome with Shireen


[3:35] What are megaproviders?


[4:22] How Do Megaproviders Impact Healthcare Costs and Performance?


[5:14] Dr. Burns’ Values of Megaproviders


[6:07] Dr. Dranove’s Values of Megaproviders


[6:55] Negatives of Megaproviders


[7:36] Effects of Megaproviders on Chronic Healthcare


[9:38] Megaproviders Effects on Diabetes Treatment


[12: 07] What Does the Future of Megaproviders Look Like?


[14:47] Bundle Care and the Current Megaprovider Model


[18:23] Reform of the Negative Impacts of Megaproviders


[20:33] Cost and Quality of Care of Megaproviders


[23:59] Where to Find Their Books


[24:49] Signing Off with Shireen




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