Must the AMA Always Be On the Wrong Side of History?
Dec27

Must the AMA Always Be On the Wrong Side of History?

I was not at all surprised to read the AMA’s strong statement of support for the appointment of Representative Tom Price to be the Secretary of Health and Human Services. I was also not surprised to read articles of outrage from more progressive physicians about the AMA’s endorsement of Representative Price. I have found that uniformly the AMA’s natural position on most political issues is usually the inverse of mine. President Obama...

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Where Do We Go From Here?
Dec20

Where Do We Go From Here?

Dan Burns, is a former colleague who served on the Harvard Vanguard and Atrius boards with me, my dermatologist, and the person who became CEO of Harvard Vanguard after I retired three years ago. I most recently saw Dan, and we had a brief conversation during a visit I made to the Wellesley practice of Atrius Health. I was there for advice from orthopedics regarding a recent shoulder injury. (I injured my shoulder in a fall while...

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Population Health, Sustainability and The Triple Aim
Dec13

Population Health, Sustainability and The Triple Aim

Since the early nineties nothing has challenged physicians grounded in the traditional culture and practice of medicine more than the introduction of the “radical” concept of population health. One could argue that the Affordable Care Act is the legislative expression of the tenets of population health. The reduction of healthcare costs that will lead to sustainability of expanded coverage and the Triple Aim can not be achieved...

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Is This The Shape of Things To Come?
Dec06

Is This The Shape of Things To Come?

As the President Elect announced his choice for Secretary of Health and Human Services and for the Administrator of CMS, I could not help but think back to the several times when as CEO of Atrius Health I had gone to the offices of HHS at 200 Independence Avenue SW, just a few blocks down from the Capitol dome. As I was reflecting on those heady past moments of promise for the ACA and the Triple Aim and what the new appointments might...

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