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Population & Community Health

It’s more expensive to treat a sick person than to keep them from getting sick. The economics of medicine requires society to pivot from critical care to wellness support. We are finding that some common assumptions about the underlying causes of healthcare disparity are misunderstood and will require real ingenuity to solve.


Eliminating the Middleman

To avoid insurance and regulatory obstacles, Eli Lilly has set up a pharmacy to manage direct-to-consumer distribution of Ozempic.—LillyDirect is similar to several pharmacies that cut out insurers and PBMs and allows patients to purchase drugs at discounted cash prices. If this strategy does give Lilly greater leverage to negotiate with PBMs, it seems inevitable that other drug companies will follow suit.

Move over genome, proteome and microbiome.

The lipidome is the new indicator for population health indicators.