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David Goldhill is an American business executive and writer on healthcare policy. He is the CEO and co-founder of Sesame, [1] an online marketplace for discounted health services, and chair of the board of directors at the Leapfrog Group, an independent organization for hospital and medical safety.
In September 2009, Goldhill was the author of the cover story in The Atlantic titled How American Health Care Killed My Father. [2] [3] In the article and other stories in Bloomberg, The New York Times , [4] The Washington Post , and The Wall Street Journal, Goldhill has noted that the problems in American health care are the intermediaries that serve as the primary customers – employers, insurance companies and government insurers. As for his writing, health care providers are more responsive to the needs of those intermediaries than to the needs of patients. Though his writings focus on increasing the role of consumers and markets in driving health care innovation, Goldhill also argued that America's highly politicized policy-making had led to extensive industry capture of Medicare, Medicaid, and other government health programs, warping their mission.
Goldhill has published three books on health care:
For Goldhill's article in The Atlantic, David Brooks from The New York Times wrote “If I were magically given an hour to help Barack Obama prepare for his health care speech next week, the first thing I’d do is ask him to read David Goldhill’s essay.” [8] Fareed Zakaria on CNN called it “The best article I have read on American health care” [9] and John Schwenker at The American Conservative referred to it as “maybe the best writing on health care”. [10] Juliet Eilperin of The Washington Post felt that David's book, Catastrophic Care, “provided a persuasive case for applying free-market principles and greater transparency to the health-care industry”. [11]
Goldhill's book Catastrophic Care was criticized by Arnold Relman, from The New York Review of Books , arguing that the system Goldhill advocates for is “unfair to patients with limited means, because it forces them to choose between spending on medical care they might need and saving their funds for other needed or desired purposes.” [12]
From 2007 to 2017 Goldhill was the CEO of GSN, [13] the operator of the cable Game Show Network. [14] As chairman and CEO of INTH (Independent Network Television Holdings), he founded the TV3 Russia national broadcast network [14] which was acquired by Interros Group in 2007 for $550 million. [15] He was also the president and CEO of television for Universal Studios, up to its acquisition by GE in 2004. [16] He was the chief financial officer of Act III Communications, a private production company. [17] Goldhill has served as director for CommerceHub (CHUBA), [18] Expedia (EXPE), [19] and eLong (LONG). [20]
As of 2019, Goldhill is the co-founder and CEO of Sesame, [1] an online marketplace for discounted health services serving uninsured patients and other direct-pay customers; and chair of the board of directors of the Leapfrog Group, an independent national employer-sponsored organization focused on hospital and medical safety. [21]
Goldhill graduated from Harvard University with a Bachelor of Arts degree in history and holds a master's degree in history from New York University.
Mayo Clinic is a private American academic medical center focused on integrated healthcare, education, and research. It maintains three major campuses in Rochester, Minnesota; Jacksonville, Florida; and Phoenix/Scottsdale, Arizona.
UnitedHealth Group Incorporated is an American multinational health insurance and services company based in Minnetonka, Minnesota. Selling insurance products under UnitedHealthcare, and health care services and care delivery aided by technology and data under Optum, it is the world's eleventh-largest company by revenue and the largest health care company by revenue.
Virginia Mason Medical Center is an integrated hospital, training and research facility located in Seattle, Washington, USA. It was the founding location, in 1920, of the private, non-profit Virginia Mason health organization; in January 2021, the Virginia Mason organization merged with CHI Franciscan to form Virginia Mason Franciscan Health, under the parent company CommonSpirit Health. After the merger, the Virginia Mason Medical Center continues under its original name.
UNC Health Wayne is a nonprofit hospital affiliate of UNC Health, a health care system in North Carolina and the largest private employer in Wayne County. Its name changed from Wayne Memorial Hospital when it entered into a management agreement with UNC Health in 2015 and in 2022, the hospital changed its name from Wayne UNC Health Care to UNC Health Wayne.
Hackensack University Medical Center (HUMC) is a 950-bed non-profit, research and teaching hospital providing tertiary and healthcare needs located seven miles (11 km) west of New York City, in Hackensack, Bergen County, New Jersey, United States. As of 2019, it ranks as the second-largest hospital in New Jersey and No. 59 in the US. HUMC is the largest hospital in the Hackensack Meridian Health Health System. It is affiliated with the New Jersey Medical School of Rutgers University and Hackensack Meridian School of Medicine. The medical center was founded in 1888 as Bergen County's first hospital, with 12 beds. The hospital is an ACS verified level 1 trauma center, one of five in the state. In 2021 it was given a grade A by the Leapfrog patient safety organization.
Arnold Seymour Relman — known as Bud Relman to intimates — was an American internist and professor of medicine and social medicine. He was editor of The New England Journal of Medicine (NEJM) from 1977 to 1991, where he instituted two important policies: one asking the popular press not to report on articles before publication and another requiring authors to disclose conflicts of interest. He wrote extensively on medical publishing and reform of the U.S. health care system, advocating non-profit delivery of single-payer health care. Relman ended his career as professor emeritus at Harvard Medical School in Boston, Massachusetts.
CVS Health Corporation is an American healthcare company that owns CVS Pharmacy, a retail pharmacy chain; CVS Caremark, a pharmacy benefits manager; and Aetna, a health insurance provider, among many other brands. The company is the world's second largest healthcare company, behind UnitedHealth Group. In 2023, the company was ranked 64th in the Forbes Global 2000.
In the United States, health insurance helps pay for medical expenses through privately purchased insurance, social insurance, or a social welfare program funded by the government. Synonyms for this usage include "health coverage", "health care coverage", and "health benefits". In a more technical sense, the term "health insurance" is used to describe any form of insurance providing protection against the costs of medical services. This usage includes both private insurance programs and social insurance programs such as Medicare, which pools resources and spreads the financial risk associated with major medical expenses across the entire population to protect everyone, as well as social welfare programs like Medicaid and the Children's Health Insurance Program, which both provide assistance to people who cannot afford health coverage.
Parkview Health, founded in 1878 as Fort Wayne City Hospital, is a network of 14 community hospitals and nearly 300 physician offices in northeast Indiana and northwest Ohio. Parkview Health is a not-for-profit healthcare system and the region's largest employer, with more than 16,000 employees. Parkview Physicians Group is also part of the Parkview Health, and includes nearly 1,200 providers in more than 45 specialties.
NYU Langone Health is an academic medical center located in New York City, New York, United States. The health system consists of the NYU Grossman School of Medicine and NYU Grossman Long Island School of Medicine, both part of New York University (NYU), and more than 300 locations throughout the New York City Region and Florida, including six inpatient facilities: Tisch Hospital; Kimmel Pavilion; NYU Langone Orthopedic Hospital; Hassenfeld Children's Hospital; NYU Langone Hospital – Brooklyn; and NYU Langone Hospital – Long Island. It is also home to Rusk Rehabilitation. NYU Langone Health is one of the largest healthcare systems in the Northeast, with more than 49,000 employees.
Healthcare rationing in the United States exists in various forms. Access to private health insurance is rationed on price and ability to pay. Those unable to afford a health insurance policy are unable to acquire a private plan except by employer-provided and other job-attached coverage, and insurance companies sometimes pre-screen applicants for pre-existing medical conditions. Applicants with such conditions may be declined cover or pay higher premiums and/or have extra conditions imposed such as a waiting period.
Morristown Medical Center (MMC) is a 735 bed non-profit, tertiary, research and academic medical center located in Morristown, New Jersey, serving northern New Jersey and the New York metropolitan area. The hospital is the flagship facility of Atlantic Health System and is the largest medical center in the system, as well as in Morris County and all of northwestern New Jersey. Morristown Medical Center is affiliated with the Sidney Kimmel School of Medicine at Thomas Jefferson University.
Atlantic Health System is one of the largest non-profit health care networks in New Jersey. It employs 18,000 people and more than 4,800 affiliated physicians. The system offers more than 400 sites of care, including six hospitals: Chilton Medical Center, Goryeb Children’s Hospital, Hackettstown Medical Center, Morristown Medical Center, Newton Medical Center and Overlook Medical Center.
Bayada Home Health Care is an international nonprofit home health care provider. Founded in 1975, BAYADA has more than 360 offices in 23 states, with locations in Germany, India, Ireland, New Zealand, and South Korea.
Health policy and management is the field relating to leadership, management, and administration of public health systems, health care systems, hospitals, and hospital networks. Health care administrators are considered health care professionals.
MDsave is a healthcare ecommerce company co-located in Grover, Delaware, and San Francisco, California.
Vassar Brothers Medical Center (VBMC) (formerly Vassar Brothers Hospital) is a 350-bed not-for-profit hospital overlooking the Hudson River in Poughkeepsie, New York. It is part of the Nuvance Health healthcare network and is the major medical center in Dutchess County, New York.
Optum, Inc. is an American healthcare company that provides technology services, pharmacy care services and various direct healthcare services.
Piedmont Macon North Hospital, located in Macon, Georgia, is a General Acute Care Hospital meaning that they are able to treat and cover many different kinds of injuries and illnesses for many people. The hospital was officially recognized on 18 December 1989.
Jersey Shore University Medical Center (JSUMC) is a 691-bed non-profit, tertiary research and academic medical center located in Neptune Township, New Jersey, servicing coastal New Jersey and the Central Jersey area. JSUMC is the region’s only university-level academic medical center. The hospital is part of the Hackensack Meridian Health Health System and is the system's second largest hospital. JSUMC is affiliated with the Hackensack Meridian School of Medicine. JSUMC is also an ACS designated level II trauma center with a rooftop helipad handling medevac patients. Attached to the medical center is the K. Hovnanian Children's Hospital that treats infants, children, adolescents, and young adults up to the age of 21. JSUMC is listed as a major teaching and tertiary care hospital and has a staff of 127 interns and residents. It is a member of the Council of Teaching Hospitals and Health Systems.