[podcast] Going from well to sick can be a confusing time. Dr. Marc Lato, a former VP of Medical Management, discusses some of the confusing issues facing patients and their families after hospitalization.
Affordable Care Act
Will Hospitals Transition to Value? Yes For Some, But Not For All.
[podcast] The transition from the current pay as you go, fee for service model to value based care delivery will not be without casualties. Many hospitals may not survive. Dr. Keith Marton, former Chief Medical and Quality Officer for Providence Health offers some thoughts on the coming changes in healthcare.
Adapting to Change: Do You Prefer Cliffs or Slopes?
Lost in the cry for repeal of the Affordable Care Act (aka Obamacare) was last year’s passage with strong bipartisan support of the Medicare, Access CHIP Reauthorization Act (MACRA). This legislation, in excess of 900 pages, redefines how doctors and other providers will be paid for their services, and by extension, how care will be […]
50 years After Medicare: Healthcare Built in the Land of Capitalism
President Johnson created a system to care for the underserved. In doing so, he inadvertently contributed to a 3000% rise in hospital administrators. Last month marked the 50th anniversary of President Johnson’s signing the Social Security legislation that established Medicare and Medicaid. A recent NPR segment recounted how this divided the country. On the right, sponsored by the […]
A Blue Ocean Strategy for the Medical Mall
Blue Ocean Strategy by W. Chan Kim and Renée Mauborgne, is one of my favorite books, and one that has become a global phenomenon. Given that the strategy it introduces is so powerful, I have wondered why healthcare has been so slow to adopt it. To recall the ocean metaphor at the heart of […]
A Mint for Healthcare
Don’t you want more than a “porthole” view of your healthcare? At times over the years I’ve been surprised to see patients arrive for their appointments carrying a shoebox. Inside the box are piles of paper, old doctors’ notes and CDs for images. Typically these folks have been so frustrated by the system that they’ve […]