27 February 2015 Healthcare Musings Newsletter

  27 February 2015   Dear Interested Readers   This Week’s Letter The letter has only one theme despite the appearance of three sections. If I review everything I have written over the previous seven years (this is the first letter of the eighth year) it all comes down to accepting the need for change and then adapting to the realities that change drives. The Triple Aim is the destination. Lean is a philosophy and an...

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The Future of Healthcare Payment
Feb26

The Future of Healthcare Payment

Healthcare payment models are changing. Since the passage four years ago of the Affordable Health Care act, even the total optimists have become somewhat frustrated with the ups and downs of implementation, and many progressives continue to call for even greater change, with new attempts at single-payer mechanisms that are unlikely to happen even if the Democratic Party were to control the Presidency and both houses of Congress....

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20 February 2015 Healthcare Musings Newsletter

20 February 2015 Dear Interested Readers   Inside this Weeks Newsletter The letter gets a new name this week: “Healthcare Musings” and may look a little different but inside things are still produced by the same “standard work”. My thinking about healthcare this week emerged from two sources, a letter that I received a few weeks ago from a patient that I have known for many years and a trip that I took to New York. It is a...

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Healthcare’s Future and Its Past
Feb17

Healthcare’s Future and Its Past

Perhaps healthcare’s future is the place where we fix the past. I got to thinking about the role of the past in understanding the present and the future earlier this last week after listening to a segment of “This American Life.” If you are interested you can read the transcript or listen to the program as it was broadcast at: http://www.thisamericanlife.org/radio-archives/episode/539/transcript The middle segment of the...

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What if Healthcare Could Become Lean?
Feb10

What if Healthcare Could Become Lean?

I spend a lot of time dreaming about what a wonderful thing it would be if more and more healthcare could “become Lean”. The wisdom of Lean as a philosophy, an operating system and a corporate culture or “corporate way of being” appeals to me because of its universal applicability and its unique ability to enable cooperation toward the execution of the mission or purpose of any organization. It matters not if the corporation is...

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Creating the Future of Healthcare
Feb09

Creating the Future of Healthcare

Walter Isaacson’s latest book, The Innovators: How a Group of Hackers, Geniuses, and Geeks Created the Digital Revolution, led me to think about how we are creating the future of healthcare. Although the book is about how the computer revolution and the internet came about, it has a lot to say about how people innovate, create, and then make that innovation a reality. In its essence, the book is about creating and sustaining change....

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ACO Leaders Need Focus, Commitment
Feb03

ACO Leaders Need Focus, Commitment

ACO leaders are going to need to acquire a new set of competencies.  Recently I attended a conference in Boston on access, innovation and Accountable Care Organizations. I was scheduled to be on a panel at the end of the day talking about ACOs with a physician from Steward Health, who was standing in for their CEO and David Cutler, the economist from Harvard who helped construct Chapter 224 and advised the Obama administration on the...

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