by Dr. Gene Lindsey | Oct 27, 2015 | Featured Post, Leadership, Reform, The Triple Aim
Last week in these notes I commended Maura Healey, the Massachusetts Attorney General. I had contrasted her presentation at the annual Cost Trends Hearings with the presentation of the “conservative” Governor Charlie Baker. In my view the Governor is “conservative” in...
by Dr. Gene Lindsey | Oct 15, 2015 | Accountability, Costs, Featured Post, Payment Models, Population Health Management, Reform, The Triple Aim
As a member of the Advisory Council to the Health Policy Commission in Massachusetts, I was very interested in following the internet broadcast of the annual HPC Cost Trends Hearings early in October. At the core of the presentations was a debate about healthcare...
by Dr. Gene Lindsey | Sep 28, 2015 | Delivery, Featured Post, Leadership, Payment Models, Population Health Management, Reform, The Triple Aim
Several years ago I was fascinated by Dr. Atul Gawande’s discussion of ignorance and  incompetence. He argued that we in healthcare are no longer ignorant. We know quite a bit about pathology, pharmacology, diagnostics, and various therapeutic techniques. On my visit...
by Dr. Gene Lindsey | Sep 9, 2015 | Accountability, Featured Post, Lean, Payment Models, Process Improvement, Reform, The Triple Aim
Last month CMS announced the results of the efforts of the Pioneer and MSSP (Medicare Shared Savings Program) ACOs for 2014. The headline made for compelling reading: Medicare ACOs Provide Improved Care While Slowing Cost Growth in 2014. This suggests that sustainable...
by Dr. Gene Lindsey | Aug 26, 2015 | Burnout, Featured Post, Leadership, Lean, Reform
What does David Foster Wallace have to tell us about burnout? More than most healthcare professionals might think. The publicity for The End of the Tour, a new film starring Jason Segel as Wallace, has reminded me of the message I took away from the first Wallace book...
by Dr. Gene Lindsey | Aug 14, 2015 | Accountability, Delivery, Featured Post, Long Term Service and Support, Population Health Management, The Triple Aim
Recently the New England Journal of Medicine published a great article in the “Perspective” section, “The Older Americans Act at 50”.  Unfortunately the article is available online only to those who are subscribers, so I will try to give a very brief overview of its...