Choices: Understanding Risk, Loss, Persuasion and Compulsion in Healthcare
May24

Choices: Understanding Risk, Loss, Persuasion and Compulsion in Healthcare

My wife had a simple mantra that she repeated each time our boys left the house to go out with their friends. She would say, “Make good choices!”. Her inference was that there was loss associated with bad choices. Never before have patients, families, doctors, other healthcare professionals and medical organizations had more important choices to make than now. Like the circumstances that potentially surrounded the choices that our...

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Persuasion or Compulsion as Drivers for Value Over Volume
May17

Persuasion or Compulsion as Drivers for Value Over Volume

Following the recent “Healthcare Musings” weekly letter where I described my experience participating in “healthcare war games” a very faithful “Interested Reader” wrote to me: An uncharacteristically downbeat letter, Gene, but interesting and challenging. I sent you a response a while ago about the usually very powerful forces behind any status quo, and this is an excellent, though not in a good way, example of that point. The 19th C...

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“Games” about Volume to Value
May10

“Games” about Volume to Value

Recently I attended a meeting in suburban Washington that was designed as a “war games” exercise to examine strategic moves in the finance of Medicare. The introductory comments to the exercise excited me when I heard that the objective was to understand what CMS could do to promote the Triple Aim. My excitement was diminished a little when I interpreted comments made by some of the attendees during the opening conversation to...

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Anticipating the Future
May03

Anticipating the Future

I have been thinking a lot about the future lately. Years ago I concocted a quote that works for me by leaving out a few unnecessary words from a passage in The Age of Unreason by the British business guru and futurist, Charles Handy. The future we predict today is not inevitable. We can influence it, if we know what we want it to be…We can and should be in charge of our own destinies in a time of change. Our biggest problem is not...

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