Wednesday, November 7, 2012

Is there really ROI in wellness programs?

I had the pleasure of joining the CoHealth Checkup Podcast today as a visiting co-host, trying in vain to replace the brilliant, rapier-witted Fran Melmed. And while Fran could never really be replaced, I very much enjoyed chatting with her regular (and equally talented) co-host, Carol Harnett

The biggest treat, though, was being able to put our esteemed guest - Ron Kessler, professor of health care policy at Harvard Medical School - through his paces. For those who aren't familiar with his work, he's one of the worlds foremost experts in population mental health and in workplace health interventions. 

Kessler’s research deals broadly with the social determinants of mental health and illness as studied from an epidemiological perspective. He is the author of over 600 publications and the recipient of many awards for his research, including the Senior Scientist and MERIT awards from the National Institute of Mental Health. He has been rated as the most widely cited researcher in the world in the field of psychiatry for each of the past ten years and is a member of both the Institute of Medicine and the National Academy of Sciences. 
 - Harvard Medical School Department of Health Care Policy 
In addition to that august body of work, Ron is also a very down-to-earth guy ... and a guy who's not afraid to challenge conventional wisdom.  Here are just a few gems from the call.  I'm paraphrasing him here, but this is pretty radical stuff:

  • "Cutting wellness programs is not the answer to profitability - but you can be more targeted."
  • "Focusing on SAFETY issues in the workplace may produce more ROI than wellness programs." 
  • "Flu shots have become the most common form of prevention on the part of employers. But in many cases they don't actually produce ROI."
  • "Should my company be investing in well-being programs for my employees? Not Necessarily."
  • "Employers need to run their own 'clinical trials' to see what benefits are most valuable"
  • "Sleep interventions can have a dramatic impact on workplace accidents & may be the least-leveraged source of ROI in wellness-program dollars"
  • "25M Americans are sleep-deprived at work right now."
The one that knocked my socks off is a direct quote:
There's a likelihood that focusing on employee well-being at companies like the SAS Institute and Google will work, but it will probably fail at other companies.We're simply not good yet at understanding how to foster positive well-being. - Ron Kessler in Creating an Employee Benefits Framework by Carol Harnett (Human Resource Executive Online, January 16, 2012)
There are some great lessons here for people who're playing in the wellness space ... the kind of things that'll make you sound smart the next time you talk to your executive committee about the wellness dollars you want to spend.  That's always relevant, but especially at this time of year.
To get the story straight from the horse's mouth, check out the full half-hour podcast below:

Listen to internet radio with CoHealth Checkup on Blog Talk Radio

Tuesday, October 23, 2012

MDigitalLife: Understanding Physicians Online

As many of you know, I've been fascinated with the way that doctors have been increasingly turning to social media as a primary communication vehicle. For years now, I've been following a growing number of physicians on twitter, and have developed some good friendships as a result.  Earlier this year, I started a regular blog series featuring doctors who were making innovative uses of social media - for all kinds of reasons.  You can meet some of those doctors in the MDigitalLife Interview Bundle.

Recently, though, I've been inspired by the work that my colleagues at WCG have been doing to mine the social web for data and insights ... it's essentially the newest form of research.  Working with colleagues like Matthew Hager, Kayla Rodriguez and Ryan Ebanks, we've done something that I think is really special: We created a database of physicians who use twitter, and linked it to an "official" data source - their NPI number.  What that means is that we have a lot more consistent information about their background - like where they practice, what their specialty is, and their gender.  It can be surprisingly hard to get that kind of data consistently from twitter itself - but it's critically important to be able to generate truly deep insights about what physicians are doing online.

I was incredibly grateful recently to have an opportunity to present the early findings of our research at the Mayo Clinic .... that slide deck is included here.  And to stay up to date with all the latest on the MDigitalLife project, you can bookmark

Enjoy - and let me know what you think ... the comments are yours!

Monday, October 22, 2012

What does the iPhone 5 mean to you?

I am one of those people who always gets a little excited when the next generation Apple product comes out ... and I confess to feeling a little bit of envy whenever I see people carrying the sleek-and-slim new iPhone 5.  But I haven't had my 4S for very long, and don't think that an immediate switch is in the cards for me.

However, I also didn't think through all of the implications for the (sometimes subtle) changes in this hardware.  My colleagues at WCG - Matt Snodgrass, Stephan Merkens and Patrick Donnelly - did an amazing job talking through the implications.  Give this one a listen.

Wednesday, August 15, 2012

What Progressive Got Right

Update 8/17: Did an interview with NBC News on the social media aspects of this case; resulting post is here.

If you've been anywhere near the interwebs today, you've undoubtedly heard that one of the darlings of the business world, Progressive Insurance, has been taking some lumps.  If you're not up to speed, let me sum up:

  • In 2010, Progressive customer is killed in a car accident due to negligence of other driver (who ran a red light).
  • Killer was underinsured, and unable to pay damages.
  • Victim's Progressive policy (allegedly) promises to cover the difference in case the other party has caused an accident through negligence and is unable to pay
  • Progressive refuses to pay, resting on Maryland statute that forces a ruling of negligence to come only from a court of law - not common sense, police reports or eyewitness reports
  • Victim's brother reluctantly goes to court to prove negligence on part of killer in order to be compensated by Progressive
  • Progressive leads killer's legal defense team in order to avoid paying rightful damages (and thought it's not necessarily material to the moral argument, they lost anyway and will have to pay)
All the facts can be found in the Gawker post from the victim's brother (Comedian Calls Out Progressive Insurance for Defending His Sister’s Killer; Progressive Responds in Heartless Robot Fashion) and scads of news stories, including this from CNN (Progressive robo-tweets spark social media crisis).  There are plenty of facts that are missing - and they could conceivably change the moral tenor of this case.  But at this point, I'm having a lot of trouble imagining what facts could tell me that it's morally acceptable for my insurance company to pay for or otherwise provide a legal defense for my  sister's killer in order to avoid paying a rightful settlement to her estate.

I'm not interested in the social media aspects of this ... but I am interested in what it means for Progressive long-term.  You see, Progressive has held a pretty unique position in the insurance world up to this point - because they have done an awful lot of things right.  

Their primary halo comes from the fact that they've taken a basic fact of the auto insurance industry, and turned it into a nearly unassailable competitive advantage.  Every car insurance company has the operational responsibility of maintaining an appropriate balance in its risk pool; meaning that it needs to be able to attract people with certain risk profiles at certain times.  Progressive took this basic fact and spun it into gold.

Most people know that Progressive is the company that will field your insurance application by giving you not only their quote - but by also giving you quotes from their competitors.  What that means for the consumer is that they have an easy way to get the best posible price on their car insurance.  No-brainer, right?  But it also means that Progressive has first crack at an enormous percentage of the population so that they can construct their risk pool exactly the way they want it. If a customer doesn't fit their needs at the moment, they don't refuse coverage; they just raise the cost of that coverage an appropriate amount.  If another insurance company is willing to insure that customer for less because their risk profile is a better fit, then so be it.  Mazel Tov - go with our blessings.

That's simple, and it's brilliant.  And it's been followed by other brilliant decisions.  Allowing people to price their premiums the way they want.  Allowing policy-bundling that consumers actually care about. And creating an advertising program that highlights their strengths perfectly.  THAT is why Progressive has been the darling of the business world (or at least the insurance world) for years.

But this incident has revealed an ugly chink in Progressive's shining armor.  People buy car insurance because they have to.  But they buy from a specific insurer because they trust the fact that their insurer is there to protect them.  And when an insurer not only fails to protect its trusting customer, but actually betrays them by supporting the individual who's killed their customer, they have violated the most basic tenet of the insurer-insured relationship.  There is no amount of business brilliance, smart marketing or shareholder return that can ever make up for that kind of breach.

What it means for Progressive's competitors:
Let's shift gears for a minute to think about what this means for other insurers.  If I were GEICO, State Farm, Allstate or American Farmers, I'd be working 24x7 to do make sure that the following two things were on the lips of every single solitary one of my employees and brokers:
  1. We will never, ever, ever represent an opponent of our customers.  We are here to represent your interests, and yours alone - even if that seems to be in conflict with the interests of our executives or shareholders.  That is our promise to you, our customer.  
  2. If you are a Progressive customer today, and have decided to leave, we'll make you the following offer: Whatever agreement or contract you have with Progressive, bring us a copy.  We'll match it for six months.  After that, you'll go through underwriting just as all of our other customers do. But if you feel the need to make a decision on principle right now, we'll be sure that you can do so without suffering financial hardship or risk as a result.
I'm not suggesting that Progressive's competitors should be advertising those positions, but I am suggesting that they should IMMEDIATELY ensure that point one is driven home to all of their current customers.  Because right now EVERYONE is wondering if their insurer operates by the same practices as Progressive (I know I am). I also think that that they should be more than ready to articulate both positions to anyone who asks - whether they're a current customer or not.

As for Progressive, I'll let one of the PR folks out there advise them.  But in my humble opinion, they'd better take a long hard look at their operating policies and what those policies mean for the customers who've trusted them.  Additionally, it seems pretty likely that an actual apology is in order - and not just to the brother of their most recent victim.

What do you think?  Has Progressive crossed the line?  And are they the only ones?

Wednesday, June 27, 2012

Feeding the Homeless in Two Minutes or Less

Over the past year, I've had a chance to get to know an extraordinary woman in Austin ... known to everyone in her community as "Queen Lola."  Lola runs a highly-rated cajun restaurant on Austin's east side (The Yelp reviews for the Nubian Queen say it all).

The reason I know Lola is that she has devoted her life not only to operating a business in a part of Austin that isn't easy to operate in ... but also to ensuring that, to the best of her ability, nobody in her community is going to go hungry.

Every Sunday, Lola and a small group of volunteers is up before dawn, preparing breakfast that's then delivered around Austin to feed the homeless.  Once breakfast is done, she troops back to the restaurant to get ready for lunch.  But instead of opening the front door and welcoming her regular patrons, she opens the back door and welcomes everyone who's hungry.  Once everyone's had their fill, the leftovers are packed up and delivered to the housing units behind her restaurant; home to many who aren't able to get around well enough to come out and eat.

Hers is an amazing story ... and now we have a chance, in a small way, to make it our story.  Chase and LivingSocial are sponsoring over $3M in grants to small businesses, with each one being eligible for a grant of $250,000.

Here's where you come in - your vote (250 are required for consideration) can help Lola to continue and expand her vital work.  Here's how:

  1. Click this link to the MissionSmallBusiness web site
  2. Log in with your facebook account
  3. Search for Cajun Soul Food.  This is important - the listing is for "Cajun Soul Food Kitchen."
  4. Click "Vote" - and if you like, share that fact with your friends on facebook and followers on Twitter.
That's all there is to it ... helping the homeless in two minutes or less.  Lola's sacrificed a lot to follow her passion to change lives ... let's help her keep that movement going.

Tuesday, June 5, 2012

Can Healthcare's Immune System Fight Off the Social Media Virus?

I was really excited when Frank Reed from Marketing Pilgrim asked if we could do a Q&A about healthcare and social media.  It's a space I've lived in since 2007 - and remarkably, I still enjoy talking about it. ;-)

The post, embedded below (in my first HTML-programmed iFrame, BTW), has gotten a lot of nice attention.  My big question for you - as a reader of this blog - is what did I get wrong?  What are the best success stories I didn't cite?  Who are the leading voices in this movement that we should all know about?  The comments are yours - go to town!! [Note: If you have any trouble with the iFrame, you can link to the original at]

Thursday, May 17, 2012

65 Roses - Saving Someone I Love from Cystic Fibrosis

"65 Roses" is what some children with cystic fibrosis (CF) call their disease because the words are much easier for them to pronounce. Mary G. Weiss became a volunteer for the Cystic Fibrosis Foundation in 1965 after learning that her three little boys had CF. Her duty was to call every civic club, social and service organization seeking financial support for CF research. Mary's 4-year-old son, Richard, listened closely to his mother as she made each call.
After several calls, Richard came into the room and told his Mom, "I know what you are working for." Mary was dumbstruck because Richard did not know what she was doing, nor did he know that he had cystic fibrosis. With some trepidation, Mary asked, "What am I working for, Richard?" He answered, "You are working for 65 Roses." Mary was speechless.
He could not see the tears running down Mary's cheeks as she stammered, "Yes Richard, I'm working for 65 Roses."
- From "65 Roses"

Once a year, I go online to support a cause that is dear to me. Cystic Fibrosis is a disease that affects relatively few people directly - approximately 30,000 children and adults in the United States have cystic fibrosis. But an additional ten million more—or about one in every 31 Americans—are carriers of the defective CF gene, but do not have the disease.

Someone I love has cystic fibrosis. I'm not going to name him here because he's too young to decide whether or not he wants to be a spokesperson. But I've learned enough about CF to know that we can do something meaningful about it. There is no cure - yet - for cystic fibrosis and the disease generally gets worse over time.

The life expectancy for people with cystic fibrosis has been steadily increasing over the past 40 years. The numbers can easily make you sad - but they can also inspire. This timeline shows how incredible the advancements have been in treating CF ... just imagine what could happen in only a few more years if we were able to focus on it!

GREAT STRIDES is the Cystic Fibrosis Foundation's largest and most successful national fundraising event. My parents, brothers, and their families will be participating in the GREAT STRIDES walk at the Batchelor Middle School on May 19, 2012.

Please help us meet our fundraising goal by supporting Team Matthews. Your generous gift will be used efficiently and effectively, as nearly 90 cents of every dollar of revenue raised is available for investment in vital CF programs to support research, care and education.

Making an on-line donation is easy and secure.  Click the "Click to Donate" button on this page to make a donation. Any amount you can donate - even a few dollars - is greatly appreciated!

Research and care supported by the Cystic Fibrosis Foundation is making a huge difference in improving the quality of life for those with CF. Help is needed now more than ever to ensure that a cure is found. To learn more about CF and the CF Foundation, visit

We believe we can make a difference in the lives of those with CF! Thank you for supporting the mission of the CF Foundation and GREAT STRIDES!

Friday, April 27, 2012

My One Day Email Experiment

Email has vexed me for the last several years.  It has transformed from being a useful communication tool to a corporate crutch - it seems that an ever-growing percentage of my emails are of the cover-my-ass variety.  [If that's unclear, what I mean is this: "Just to be sure nobody can say later that I didn't tell them about something, I'm going to tell everybody about it RIGHT NOW."]

So when I read this article in the Harvard Business Review (Coping with Email Overload by Peter Bregman), I decided to give his experiment a try.  The gist of this experiment is this:
  • We allow email to distract us from work we don't want to do (GUILTY)
  • We can be MUCH more efficient if we timebox our email.
SO … I am conducting a one-day experiment with my email [I will extend and tweak it as long as it works].  Here's how I'm doing my email:

I'll check it three times during my work day; morning, noon, and last thing before I leave.  More importantly, I will spend exactly 15 minutes in it each time.  No more, no less.  Peter spends 30 minutes at each interval if memory serves; I am going to start with 15 with a recognition that I may need to go up 5, 10 or 15 more minutes to cover my email volume.

Another interesting note here: I'm putting it on my calendar.  At a certain time.  If I "miss my meeting" with email, I miss it.  That's the way it's going to be during this disciplined experiment.  What this also means is that in order to do my last email-check before I leave, I am scheduling the time I leave the office.  That's something I NEVER do, but hey, for a one-day experiment I figure I can give it a shot.

Who wants to try it with me?

Wednesday, April 18, 2012

Innovating your Business Model - The Business Model Innovation Factory

When I was leaving Humana in 2010, I was lucky enough to have a lot of opportunities to engage the next phase of my career.  And though I didn't really plan it this way, business models wound up playing an important role in my decision.  What's that mean?

I'd spent the last several years working in Humana's innovation center, and focusing all of my efforts on creating new products, services and business models related to health as opposed to health insurance.  I was also seeing, on a daily basis, how social media was beginning to upend traditional business models (music, movies and publishing just to name a few).  And what it clued me into was that we haven't seen the last of business model upheaval.  There are going to be new business models emerging that we'd never imagined (Apple is making phones?) ... and I wanted to work for a company that had the foresight, courage and "organizational agility" to be able to spot and leverage opportunities to innovate their business model.  I definitely wasn't wrong (see WCG's recent announcements for just a tiny taste of what's ahead).

It's not necessarily easy to quantify what qualities, or through what processes, businesses can reinvent themselves.  That's one of the reasons that I think it's really cool that Saul Kaplan of the Business Innovation Factory has published a new book on exactly that.  The Business Model Innovation Factory is a book that helps companies to spot the signs of emerging business threats and opportunities - and more importantly, helps them to think through all of the massive change management that can be required to leverage them.

Saul and his team at the Business Innovation Factory have been thought leaders in this space for years, and have hosted (in my opinion) the best innovation conference in the world (BIF) since 2005.  You can learn more about this year's conference (BIF8) here; and for a little extra "eye candy" you can take a peek at my own BIF presentation from WAY BACK in 2009.

If you're in a business that seems to be surrounded by threats - or opportunities - to upend your business model and start something new, I encourage you to take a look at The Business Model Innovation Factory - I've no doubt that it'll set you on a good path to take advantage of your intuition and insight.

Note: I'm not getting anything in return for writing this piece, nor was I asked to do so ... I just have tremendous respect for Saul and his work - and believe in the value of what he's created here.

Play: For the Health of It. CrumpleItUp Redux

CrumpleItUp Redux is a series of repostings from the lamentably lost ... the insurance industry's first blog, and one of the first blogs anywhere devoted to health innovation.  For more background, check out Remembering

The first post from my friend Paul Puopolo - an unsung revolutionary in the world of Games for Health. Paul is still at it - he's now the VP of Innovation at Highmark Blue Cross and Blue Shield.  This piece was originally published on December 18, 2008.

Play: For the Health of it!

Having just finished watching my daughter’s basketball practice, we got into the car and headed home. Not too long after we departed the parking lot, we started talking about practice (a typical coaching opportunity) but during our discussion my daughter broke out her Nintendo DS and began playing one of the titles in her “library” while simultaneously responding to my tips on how to best take the ball down the court.  I had to laugh a little. Here was my daughter, having just engaged in 60 minutes of physical activity yet enjoying her video game just as much. Two types of  play but in her eyes it was just fun.
Obesity rates in the U.S. are at an all time high, particularly for kids under 18 years old. No need to quote themhere. Not to get into a socio-economic debate but there are a variety of reasons that contribute to these numbers (Changes in our community and work environments and apparently the popularity of game technology are just a few).
An interesting article We’ll Get Fit if It’s Fun, based on a research study in England, states that 9 out of 10 kids want to play video games at the same time they exercise. Why? To reduce the boredom!  Is it odd that kids today find exercise boring? If you ever climbed on a treadmill, rode a stationary bike or slung some dumbbells, this should be no  surprise. When we launched the Horsepower Challenge – a pedometer based online game with 5 schools in Louisville, kids told us a similar story.  You can check it out on
Game technology provides us a unique opportunity to motivate all generations to improve their health. But more importantly, to have fun doing so.
According to a recent Pew Internet Report over 53% of adults play video games. Are these the gamers like myself who grew up on Atari, with geometric shaped Space Invaders and Pac Man and now have kids who are avid gamers? Probably. But they are also moms who have taken on casual PC games and who Nintendo has captured with the Wii. Even seniors are increasingly getting into the “game”.
Video games provide us the ability to approach health differently. There is no reason that health has to be boring and monotonous. Our job is to focus on what's fun and make it healthy - not the reverse.
I don’t think my daughter is going to stop playing video games anytime soon (if her older siblings are any indication). But I don’t think she is going to stop playing hoops either.

Tuesday, April 17, 2012

To EMR I say TTTTHPBT - CrumpleItUp Redux

CrumpleItUp Redux is a series of repostings from the lamentably lost ... the insurance industry's first blog, and one of the first blogs anywhere devoted to health innovation.  For more background, check out Remembering

This little gem was originally posted by my friend Gill Potter on December 16, 2008.  If I'm not mistaken, it was not only his first blog post on CrumpleItUp; it was his first blog post period.


A couple months ago I went to the Health 2.0 conference in San Francisco.  While I generally find these sorts of events to be worth only the new technologies you find, I was particularly disappointed by the presentations and the tone of the event.  Generally web 2.0 is acknowledged to be a collection of technologies that turn consumers into producers and connect people for conversation.  The conference was really just a compilation of electronic medical records companies and web enabled medical tracking in some form.
While I suppose electronic medical records will potentially result in some phantom savings, they are hardly anything that should be considered Web 2.0.  So far, my favorite example of Web 2.0 and health is Crossfit, a community of niche fitness aficionados.  This  is a great example of communicating, sharing and pushing each person to newer and higher goals.  Affiliates and members post videos of exercises, of personal records and different methods for laddering to higher results.
Interestingly they have made community a part of their business model.  Not only are there companion sites, is an example, but to be an affiliated gym you need not only certified trainers, but you also need to have a community website.  So, as Crossfit grows, so does their online community.
Take a look.  This is the sort of stuff that is health 2.0, not an EMR.

Monday, April 16, 2012

On the power of Twitter - an Anecdote. CrumpleItUp Redux

CrumpleItUp Redux is a series of repostings from the lamentably lost ... the insurance industry's first blog, and one of the first blogs anywhere devoted to health innovation.  For more background, check out Remembering

This was originally posted on December 8, 2008 - shortly after I spoke at the World Health Innovation and Technology Congress (along with notables like George Halvorsen and Newt Gingrich, no less!).

On the power of Twitter - A Social Media Anecdote

Newt Gingrich at WHITC08I woke up yesterday to a really pleasant surprise. A healthcare entrepreneur named John Moore had written a blog post about us. And it wasn’t just the blog post that tickled me; it was the way it came about.
 John specializes in Healthcare IT, and was hoping to find some updates about what was happening at the World Health Innovation and Technology Congress (where I spoke earlier this week). It so happens that I had helped the conference organizers to establish a hashtag for the conference (#whitc08), so John was able to tap into the 8 or 9 people who were live-microblogging the conference on Twitter
[Side Note: I was thrilled that so many people were using the hashtag; it got NO publicity except for a paper sign on the registration table . . . yet a whole bunch of people got to follow the conference as a result . . . and I had a way to directly connect with these people who shared a common interest and experience. Very cool.]
Anyway, as John was “watching” the conference unfold through this set of twitter feeds, he got curious about the Innovation Center, and managed to find this web site ( Between the responses to my presentation and the info he found on, he wound up thinking that we were blog-worthy, so he wrote this post [Humana Breaks the Mold] on
As a newbie in the social media space, I am still amazed that things like this happen, but they do – all the time.  So if you haven’t started twittering yet, give it a try . . . and by the way, you can now follow CrumpleItUp on twitter too –follow us at

Wednesday, January 11, 2012

Livestrong CEO Doug Ulman - the LiveFromStubbs Podcast

This article was originally posted as "Social Innovation in Healthcare – LiveFromStubbs with Doug Ulman, CEO of Livestrong" on WCG's Common Sense blog.

The 3rd edition of the  LiveFromStubbs podcast was a special one for me for more than one reason.  First, it was my first on-camera episode – and I’m always happy to share a stage with regular hosts Aaron Strout and  Kyle Flaherty.  But more importantly, the subject of our interview was Doug Ulman, the CEO of the Livestrong Foundation.  This is a big deal for me not only because of who Doug is – the CEO of one of America’s most remarkable and forward-thinking non-profits, and the man Fast Company has called “The Most Savvy Health Care Leader in Social Media” – but also because of how we came to be where he is.
A 3-time cancer survivor, Doug was forced to a difficult realization at a young age:
“[After being diagnosed with  cancer,] All I wanted to do was connect with other individuals who’d been down the same path … I could not find them.  I thought I was the only one.  I felt all alone.  I knew all the statistics but I could not easily access other people.”
Livestrong has dedicated itself to improving the lives of people affected by cancer worldwide.  And a big part of their strategy involves connecting cancer patients and their families with the resources they need … which often means helping to connect them to people like themselves – people who “have been down that road before,” as Doug puts it.  Over the last two years, Facebook and twitter have become the largest source of referrals of survivors to Livestrong.
One of the really unique ways that Livestrong helps people who approach them is to offer the services of a “Navigator” – a person who can help point them directly to the resources they need (and 90% of whom use twitter to interact with participants).  Increasingly, those resources either leverage the principles of social media (the groundswell vs. top-down, corporate hierarchy) or are literally built on social media platforms.  LiveStrong has positioned itself not as a be-all, end-all source for information or a lone behemoth, but as a “catalyst and convener” of all those who share an interest in living with (and ultimately beating) cancer.  Just a few weeks before our interview, Doug and his team hosted an event in Austin called the LiveStrong Young Adult Alliance – more than 200 organizations focused on helping young adults dealing with cancer.  That kind of crowdsourcing is a natural way to ensure that the best ideas bubble to the top, and that the right people are in the right place to make those ideas real.  And it’s use of Facebook has been particularly remarkable – operating separate communities that focus not only on different geographic regions, but also different types of cancer … whatever can deliver the most value to the audience it’s there to serve.
With that kind of thinking, it’s easy to see why Livestrong has made the transition from being a cause into a movement. Enjoy the video,  follow Doug on Twitter, and be sure to check out the great work that Livestrong continues to do.  For more LiveFromStubbs podcasts, click hereand subscribe!