“Repeal and Replace”: Finally, Something From the Republican Leadership
Feb28

“Repeal and Replace”: Finally, Something From the Republican Leadership

This last week Congress has been recessed for the Presidents’ Day holiday week. Paul Ryan accurately anticipated that many of Republican members of Congress would be having town meetings with their constituents and would face angry voters who wanted to talk down the plans to “repeal and replace” the ACA. Ryan met with his troops on the Thursday before they left Washington for their week of hometown meetings. Like a good general,...

Pull
Applying Lean Thinking to the Future of the ACA
Feb21

Applying Lean Thinking to the Future of the ACA

Tom Price is now in place at his new office at HHS. One of Dr. Price’s first actions was to release a YouTube video that promises us a lot but does not say anything specific about what he plans to do. Seema Verma has been working her way toward Senate confirmation as the Administrator of CMS. Paul Ryan is throwing himself into the work of getting all his ducks in line for the repeal of the ACA. Across the country real people are...

Pull
It’s Still The Truth, Ten Years Later
Feb14

It’s Still The Truth, Ten Years Later

In the January 29th New England Journal of Medicine Foller, et. al. published an interesting article, “Population Health–A Bipartisan Agenda for the Incoming Administration from State Leaders.” The first paragraph said a lot.   The common goal of health policy leaders at the level of state government in the United States is promoting the health and well-being of all populations to the greatest extent possible within fixed...

Pull
Good Strategy in a Fog of Uncertainty
Feb07

Good Strategy in a Fog of Uncertainty

There is no challenge like the challenge of creating a strategic plan in uncertain times. What do you do when you do not know what to do? That is a question that frequently challenges leaders. Over eight years ago, after Lehman Brothers had failed and the value of the stock market had fallen by almost fifty percent and we did not know if we were facing a deep recession or the second coming of the Great Depression, I was asking myself...

Pull