by Dr. Gene Lindsey | Dec 13, 2016 | ACA, Costs, Delivery, Featured Post, Population Health Management, Sustainability, 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...
by Dr. Gene Lindsey | Dec 6, 2016 | ACA, Featured Post, Medicaid Reform, Medicare Reform, Presidential Politics, Repeal and Replace, the healthcare debate, The Triple Aim
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,...
by Dr. Gene Lindsey | Nov 22, 2016 | ACA, Era 3: the moral era, Featured Post, Presidential Politics, Repeal and Replace
Where Does The Real Controversy Lie? The Democratic position on healthcare and the philosophy expressed in Paul Ryan’s “A Better Way” and the brief paper that the Trump campaign had on their website agree on more than you might expect. Both sides focus on the...
by Dr. Gene Lindsey | Nov 15, 2016 | ACA, Costs, Featured Post, Mindset, Politics, Presidential Politics, Repeal and Replace, the healthcare debate, The Triple Aim
The election outcome should not have been a surprise. We should have recognized the uncertainty produced by anger and deep divisions on many issues. The “establishment” Republican party seemed to be in shambles. The Democratic party did not recognize that it had lost...
by Dr. Gene Lindsey | Oct 12, 2016 | ACA, Costs, Delivery, Featured Post, Presidential Politics
Since the political conventions ended in early August I have been obsessed with the election. Things have changed so fast this week that I have had to revise this post since writing most of it last Friday. Friday was the day that the Washington Post released the...
by Dr. Gene Lindsey | Sep 27, 2016 | ACA, Accountability, ACO, Era 3: the moral era, Featured Post, Healthcare Quality, Healthcare Transformation
Elliott Fisher first described the concept of the ACO in an article in Health Affairs in December 2006. As of January 2016 there were over 800 ACOs, but there is huge variation in form and execution of an idea that looked simple at the start. Since 2011 the number of...