Ironically, patient care coordination itself is often uncoordinated. It's spread across multiple providers and administrators, causing frustration for care teams and patients.

Lumeon founder and CEO Robbie Hughes has developed an approach that makes the care journey more reliable rather than settling for the current craziness, where patients are expected to be satisfied as long as they get some time with a doctor.

One of the really interesting elements of this interview was the discussion of whether we should be willing to trade off some efficacy for reliability. For example, if we had a treatment path that was 80 percent as good but could be followed by 100 percent of the patients, would that be better than striving for the perfect solution that only 1 percent can attain?

From a population health perspective, the 80/100 calculus is probably correct, but most of us want to be in that 1 percent. I've certainly had that experience myself of navigating the system with help from well-placed insiders plus my own knowledge of how things work.

Robbie is an avid reader who recommends The Experience Machine, Chip Wars, and Ultra-Processed People.

Host David E. Williams is president of healthcare strategy consulting firm Health Business Group. Produced by Dafna Williams.