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



Telligen, Oklahoma Set New Records for Savings, ROI and Making up Numbers

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.

By selecting 5000 enrollees carefully enough to ensure regression to the mean and self-selection bias, Telligen was able to convince Oklahoma’s elected officials that they saved $93,000,000, or $18,000 per person, a record for the public sector. It’s possible Telligen themselves believe they actually achieved this figure too, in which case they didn’t lie, but I refuse to believe they are that stupid..

How did they massively succeed in this endeavor when virtually everyone else has failed to save a nickel? Here, in their own words from their own website, is their special sauce, in all its originality and syntactical glory:

"We are unique to the market in that we combine IT with clinical expertise in our solutions. Our population health management solution is a comprehensive approach of provider engagement, patient engagement and health IT."


Disease Management Purchasing Consortium International, Inc. .

890 Winter Street, Suite 208
Waltham, MA 02451
Phone: 781 856 3962
Fax: 781 884 4150
Email: alewis@dismgmt.com