Insights · Looking Back
Customer & Citizen Experience
The Looking Back articles seen through customer & citizen experience, across every sector, in order.
43 articles
March 2020
April 2020
May 2020
August 2020
December 2020
Week of 7 December 2020
Patient access is won or lost at the records counter
HHS’s December 2020 proposal to speed up patient access to records stalled, but it named the three places access actually fails: the response clock, the identity check and the delivery path. All three are operational, and none needed a final rule.
Week of 21 December 2020
How the No Surprises Act turned a medical bill into four data handoffs
The No Surprises Act was written as consumer protection. In practice it made the patient’s financial experience depend on four handoffs between schedulers, billing systems, health plans and an arbitration portal, and on whoever owned each one.
January 2021
July 2021
Week of 5 July 2021
Why community banks’ open banking experience sat with their core vendors
The July 2021 competition order pushed the CFPB toward a data access rule. For community banks and credit unions, the customer’s experience of sharing data was already being decided elsewhere: by core and digital banking vendors, in three moments the institution only partly controlled.
Week of 12 July 2021
A permanent telehealth benefit with an in-person clock attached
Medicare’s July 2021 fee schedule proposal made home telehealth for mental health the first permanent post-pandemic benefit. Its conditions turned continuity of care into a records problem: where the patient is, how the visit happens, and when they were last seen in person.
August 2021
November 2021
December 2021
January 2022
February 2022
April 2022
May 2022
July 2022
August 2022
September 2022
February 2023
April 2023
May 2023
June 2023
July 2023
January 2024
April 2024
June 2024
July 2024
Week of 8 July 2024
A credit union’s promises in an outage are set by its architecture, years before the attack
Patelco’s members met its ransomware attack as four questions: can I use my money, what happened to my data, how do I get back in, who pays. Each answer was largely fixed by design and policy choices made long before June 2024.
Week of 29 July 2024
Systems contained, data exposed: why Columbus’s reassurance outran its evidence
Columbus could prove it had contained the attack on its systems. It could not yet prove what the stolen data held or whom it exposed. Each claim needs its own evidence, and borrowing from the first to answer the second costs trust.
August 2024
October 2024
Week of 7 October 2024
At American Water, containment was the part customers saw
The largest U.S. water utility kept water flowing after a cyberattack, but switching off its billing portal was the incident as the public experienced it. For utilities and agencies, the customer-facing response is four decisions, and most can be made in advance.
Week of 28 October 2024
Telehealth’s three policy clocks all ran down in December, so virtual care needed an annual cycle
After the 2025 fee schedule, a Medicare virtual visit still depended on CMS rulemaking, a congressional extension and a DEA rule. What had looked like a post-emergency transition was a standing condition, with all three clocks converging at year-end, best run as a yearly cycle.
February 2025
April 2025
May 2025
July 2025
November 2025
January 2026
Week of 12 January 2026
Patient-directed AI: where HIPAA ends, a provider’s duties change shape
When consumer AI products invited patients to connect their medical records, HIPAA protection ended at the patient’s request. Providers could not block that flow, but they still owed patients a safe pathway, a clean record and accurate context.
Week of 19 January 2026
The easiest part of a card rate cap is cutting the rate
The proposed 10% cap on credit card interest had no legal mechanism, and January 20 passed without one. For issuers, the episode showed that the customer and compliance risk of any cap lies in the offsetting changes, not in the rate itself.