June 2018

Episode #197: Interview with Jeff Kanter

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Jeff Kanter is the co-founder of HealthExcellencePlus.com, which provides a holistic approach to healthcare and wellness. They help individuals and groups including small entrepreneurs save money on medical expenses, everyday needs and wellness solutions. 

They "MPower" their members to choose their own doctors, healthcare professionals and allow for alternative solutions by educating, communicating and creating community around all aspects of health and wellness so you can make the best decisions for you and choose the healthiest lifestyle that suits your needs.

Ed’s Questions

What is healthexcellenceplus.com and your role in it?

The people most supportive of your initiatives have been doctors, is that right?

The healthcare system was broken long before the Affordable Care Act (Obama Care), is that true?

Where did it start? Was it with wage & price controls in World War II that brought us employer-provided health insurance?

Large companies are reluctant to alter their health insurance because it will cause turnover?

There’s been an increase in on-demand workers (the “gig economy”), and I would think that would create a larger pool of individuals that will need what you’re offering?

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If you want to stump your doctor, don’t ask him a medical question. Ask him the price of something.

The number of people who work in a medical office who don’t provide medical care is amazing, sometimes 2 to 3 to 1.

Most healthcare is not done on the free market, since there is no real price transparency. It’s all tied back to Medicare prices isn’t it?

Now that we’ve depressed our audience, and diagnosed the problem, what’s the prescription to get ourselves out of this mess?

Most of our audience is small business, or sole proprietors in the USA, what are some things they should be looking for?

What do I get when I get to www.healthexcellenceplus.com?

Tell us about how one of your organizations is dabbling with its own cryptocurrency.

Do you think that the more people do this, the more government will have to pivot and open up the healthcare market to more patient choice?

The only way it could be stopped is if we moved to a single-payer system, right?

Ron’s Questions

Employer-provided health insurance locks people into their jobs. We don’t get our auto, home or other insurance from them, why should we get our health insurance from our jobs. We could reform this pretty easy, and make the health insurance companies compete for one customer at a time. Wouldn’t that be a better system?

There would be more variety and choice in policies with more competition.

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How do you deal with the fact that we really don’t have health insurance in the actuarial sense, we have pre-paid health care. We buy insurance we don’t want, but when it comes to health insurance, we want $5 co-pays, free drugs, etc. That’s not insurance is it?

Mandatory benefits also raise the price of the plans, because they are trying to fit everyone into a one-size-fits-all plan.

I asked my dad’s hip replacement surgeon how much it was going to cost my dad. It did, indeed, stump him. He had no idea. Could you imagine if you were in a Lexus dealership and got that answer you’d walk out. Why do we tolerate this lack of price transparency in such an important industry?

I know it’s not a perfect analogy, but if the health care sector ran like the hotel industry, there would be price points attempting to cover every customer need, based on what they can afford. But the objection is that not everyone would get the same quality care. How do you deal with that objection?

It’s a good point that reputation is more important than regulation. Perhaps a better analogy is the airline industry. It’s life and death as well, and they offer many price points.

You mentioned the price of an MRI. But if you have insurance, and get an MRI, you receive the EOB (Explanation of Benefits) statement that shows a $5,000 price, but that’s not what the insurance company actually pays the hospital. They won’t disclose what they actually pay because they consider it a trade secret. It’s lunacy, isn’t it?

Look at outfits like LabCorp, they offer very reasonable prices, since they are competing for the customer one at a time, and offer price transparency.

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You mentioned cryptocurrency, have you selected one yet? (yes: www.organictoken.info)

Along with the cryptocurrency, you also mentioned blockchain. How do you see this technology unfolding in the medical world?

You also mentioned Direct Primary Care physicians. Do you know how many are out there now?

I actually read Milton Friedman’s PhD thesis, a study of five difference occupations. He railed against licensure for them because it kept prices high. Do you think we could do away medical licensure?

When you look at medical services that are provided on the free market, where the patient is spending their own money, such as with plastic surgery, Lazik surgery, and even veterinarian medicine. Those prices have been coming down. Wouldn’t the same thing happen if the consumer was spending their own money?

You’re going to be at Freedom Fest in Las Vegas, July 11-14, 2018?

Episode #196: Top Ten Pricing Lessons

We are sorry folks. John Stossel had to cancel because an injury. We wish him a speedy recovery and look forward to having him on in the future.

We decided to discuss a Ron’s Pricing Masterclass that he presented in Melbourne, Australia on May 30, 2018 at the launch of our VeraSage colleagues’ (Liz Harris, John Chisholm, and David Wells) new consulting firm, Innovim.

Ron presented his Top 10 Pricing Lessons, and John wrote a fantastic recap of this presentation, including additional links, etc.

I asked Ed to list his Top 10 Pricing Lessons over these past years, so we will present both of our lists below, along with specific links to prior shows where we covered these topics.

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Ron’s Top 10 Pricing Lessons

  1. Hourly Billing is a Lousy Customer Experience

  2. The Transition from Hourly Billing to Value Pricing Requires Liminal Thinking, see the book Liminal Thinking, by Dave Gray.

  3. Strategy and Positioning Dictate Your Pricing Strategy

    1. Episode #23, Interview with Tim Williams, author of Positioning for Professionals

    2. Episode #133, Second Interview with Tim Williams

    3. Episode #128, The Three—and only Three—Pricing Strategies

  4. The Value Conversation is the Most Important Skill in Our Business

    1. Episode #30, Crafting the Value Conversation with Dan Morris

    2. Episode #182: How to Have a Value Conversation

    3. Ed’s Blog Post: Without the Conversation, There is no Value Pricing

  5. My Five Favorite Key Predictive Indicators, see Episode #110: How to Use Key Predictive Indicators

  6. Cost Accounting is Opinion; Cash is Fact

    1. Episode #66: The Death of Standard Cost Accounting

    2. Episode #112: Interview with Dr. Reginald Lee

  7. Laughter is Confession, see BBDO Time$hits Video

  8. The Best Learning Tool Ever Invented: After Action Reviews

    1. Episode #15: The Best Learning Method Ever Devised: After Action Reviews

    2. Episode #166: Interview with Chris “Elroy” Stricklin, Colonel (Ret), USAF

  9. We Need to Embrace Risk, Not Run from It, see Episode #87: Risk is NOT a four-letter word

  10. All Transformations are Linguistic, see Episode #6: Interview with Distinguished Professor of Economics, Deirdre McCloskey

Ed’s Top 10 Pricing Lessons

  1. Good Fences Make Good Neighbors (Robert Frost’s poem, “Mending Wall”)

    1. Episode #3: The Second Law of Marketing: All Prices are Contextual

    2. Episode #65: How to be a Price Searcher, not a Price Taker

  2. Don’t Forget van and von (referring to Peter van Westendorp’s Price Sensitivity Meter Questions, and Barron von Joseph Neinbach Model, see Ron’s book for the latter, Implementing Value Pricing: A Radical Business Model for Professional Firms, see Episode #65: How to be a Price Searcher, not a Price Taker [where we discuss Westendorp’s Price Sensitivity Meter Questions]

  3. Bundles, not Line Items, see Episode #3: The Second Law of Marketing: All Prices are Contextual

  4. Offer a Guarantee, see Episode #179: The Value Guarantee

  5. Business is Not a Zero-Sum Game

    1. Episode #13: Top Ten Business Myths, Part I

    2. Episode #14: Top Ten Business Myths, Part II

  6. Without a Value Conversation there is No Value Pricing

    1. Episode #30, Crafting the Value Conversation with Dan Morris

    2. Episode #182: How to Have a Value Conversation

  7. Offer Choices

    1. Episode #3: The Second Law of Marketing: All Prices are Contextual

    2. Episode #65: How to be a Price Searcher, not a Price Taker

  8. Time is Best Thought of as a Constraint, Not a Resource

    1. Episode #60: Interview with George Gilder

    2. Episode #68: Proper Project Management

    3. Episode #109: Trashing the Timesheet

  9. All Value is Subjective and All Prices are Contextual

    1. Episode #2:  The First Law of Marketing: The Value of Value

    2. Episode #3: The Second Law of Marketing: All Prices are Contextual

  10. Prices are not Derived from Cost; Prices Justify the Future Expenditure of Costs, see Episode #66: The Death of Standard Cost Accounting

Episode #195: Interview with Alessandra Lezama, AbacusNext CEO

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Building technology companies is in Alessandra's DNA, as she has led transformational changes as CEO of three previous companies. Since joining Abacus in 2013, she has propelled the business from a $5 million on-prem legal case management software offering to the fully integrated technology suite it is today. Alessandra has driven the company through this transformative shift at an industry­-focused pace, taking advantage of the company's 30-plus years of experience and evolving its products into a mature, robust portfolio. Alessandra is an entrepreneurial CEO, COO, and Executive Vice President with a legacy as a 'Rain-Maker', and has enjoyed a high impact career in Telecom, Datacenter, Managed Services and other technology and non-technology companies, taking dysfunctional companies and turning them into a superbly functioning, highly profitable organizations.

Ed and Ron were honored to interview Alessandra Lezama, CEO of AbacusNext—a sponsor of The Soul of Enterprise. Alessandra possesses strategic hands-on leadership skills, drawing on extensive cross-industry experience, sustainable strategies, thorough growth and market analysis, and a focus on process improvement. She has extensive and significant expertise in start-up and under-performing businesses, revitalizing organizations and scaling business operations cost effectively. She has built high-performance teams, developed executive-level client relations, and drove top and bottom-line growth. She has a consistent record in building, and turning around, private equity backed business, ranging in size up to $33 million. She enjoys being part of, as well as leading, a successful and productive team, and thrives in highly pressurized and challenging working environments. 

Ed’s Questions

San Diego Business Journal honored Alessandra as the most admired CEO of 2018, out of 100 CEOs nominated!

What are some items not in your Bio, were you born in Spain? How many languages do you speak?

The company’s tag line is “Take the bull by the horns,” because Alessandra’s father was a bull fighter.

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What is “Technology as a Service,” and how does it manifest itself at AbacusNext?

You’re almost becoming an App store for professional organizations so they can work more seamlessly than they have in the past?

There seems to have been an overemphasis on strategy in the past decade, and one things that is coming up more and more in talks I give around the world is Peter Drucker’s great quote, “Culture eats strategy for lunch.” Looking at your website, the emphasis on culture comes up over and over. What is the importance of culture, and the role of a leader with respect to making that culture happen, in an organization?

What is it about the hiring process that’s different when hiring for culture? Is it just a gut feel, or are there certain questions you ask to ascertain if they’ll fit from a cultural perspective?

Who is a hero of yours, and why are they are a hero?

Ron’s Questions

AbacusNext origins started in the legal profession, is that right?

What are some of the major challenges and opportunities in the legal sector these days?

  1. Cybersecurity and compliance

  2. Time

  3. Resources

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What are the challenges and opportunities in the accounting sector?

  1. Cybersecurity and compliance

  2. Workflow for ongoing relationships

How do you see the diffusion of being in the cloud among law and accounting firms?

We have an axiom here that growth without profit can be perilous. As CEO, how do you manage the trade-off, in your strategy and even in your mind, between growth and profitability?

How do you see blockchain technology impacting the professions in the future?

What would be your advice to an aspiring entrepreneur?