David Gaines

Founder & CEO at Careignition

“When he tore his ACL and needed surgery in 2017, he was asked whether he wanted to have the procedure done on the upcoming Monday or Tuesday. He chose Monday because it was more convenient.​

He was surprised to learn that this choice was a $10,000 decision. It was the same doctor performing the same procedure, but if it was on Monday, the surgery would be at a hospital; if it was on Tuesday, it would be at an ambulatory surgical center. That simple change in location was a five-figure difference.​

In his post-surgical haze, he thought: How is this possible? And why does this happen?​

As he learned more about the healthcare system, he realized that it is not governed by economic rationality, and that lack of governing structure has had dire consequences. Healthcare costs more in the U.S. than any other country, and U.S. commercial healthcare costs have grown over 250% in the last two decades.

He also started to realize that, in virtually every other industry, they use data about the price, quantity, quality, and efficiency of goods and services to solve economic problems and create better outcomes for buyers. In healthcare, they don’t use this data, because they don't even have it. Instead, all they have are fragmented snippets of information and abstract categories that do not fully reflect the healthcare decisions they make and their impacts.

At Careignition, that is what they are working to create: the clear data framework that the industry needs to seriously understand, manage, and improve how they pay for healthcare. Join us in creating the change the healthcare system needs.”​

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