The reviews are coming in
and the verdict is clear:

Cracking Health Costs and
Why Nobody Believes the Numbers
are the best books ever written.*

* By me



Aetna and Active Health Join the 100 Club: Their Wellness Program Saves More in Healthcare than A Company Spends on Healthcare

Intelligent Design Awards are lovingly bestowed upon those contributions to the population health field that most set back the evolution of outcomes measurement, thanks to a unique and usually hilarious combination of dishonesty and cluelessness. But there is a serious lesson here: Engineers say that more is learned from a single bridge which collapses than from 100 which stay up. The good news is, that means there is not just a lesson here but an entire curriculum, because as it turns out, every bridge in wellness falls down. Yes, every single wellness outcome which has been made public is made up.

You’d think with all the actuaries, medical informaticists, and overpaid executives that Aetna employs, there would be one person who realizes that you can’t reduce a number by more than 100%. But apparently not. Here is how much Aetna says you can save through their Active Health wellness program, assuming you spend the typical $5000/year on a person’s healthcare expense:


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