Do You Understand MACRA?
Nov25

Do You Understand MACRA?

Some Articles You Should Read The September 24th issue of the NEJM had two great articles in the “Perspectives” section on the new Medicare payment process, MACRA, the Medicare Access & CHIP Reauthorization Act of 2015. This new law that replaced the SGR, which many doctors never understood, was passed with large bipartisan majorities in both houses of congress. Since MACRA is not part of the much debated ACA, nor the target of...

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Dear Interested Readers Volume II
Nov20

Dear Interested Readers Volume II

22 November 2013 Dear “interested readers” Volume II I was amazed and quite shocked when at the recent Harvard Vanguard awards dinner I was presented a bound copy of my letters to “Atrius Health and other interested readers”. The tome looks something like the old library sized dictionary that sat on its own reading table in my father’s study. It dwarfs the reliable Physicians Desk Reference that once had a place in every...

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Looking At the Future Together One More Time
Nov20

Looking At the Future Together One More Time

October 25, 2013 Dear Atrius Health colleagues and other interested readers, Looking At the Future Together One More Time When I began to write these weekly letters in February 2008, I was trying to respond to a frequent request that leaders focus more on communicating. Corporate announcements are often just declarations of what has or will happen. The best communications go farther and attempt to connect “what” with “why”. Often,...

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Looking to Vermont’s Future
Nov16

Looking to Vermont’s Future

Last week I attended a unique healthcare meeting in Stowe, Vermont. I was there to get a better feel for the mind of clinical leadership at a moment of great transition in the state. The subject that was at the core of the conference was the future of care in Vermont. I think that someone had a stroke of genius when they decided to weave a program from threads of traditional clinical discussions with a chance to talk about concerns...

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