by Dr. Gene Lindsey | Oct 10, 2025 | A story from my life, ACA, Atrius Health, Featured Post, Future of Heathcare, Government Shutdown, Harvard Community Health Plan, Harvard Pilgrim Health Care, Harvard Vanguard Medical Associates, Kearsarge Neighborhood Partners, MAGA, One Big Beautiful Bill-OBBB, political determinants of health, Politics and Healthcare, Social Determinants of Health, Structural Determinants of Health, The future of healthcare under Trump, The Triple Aim, Threatened support to the ACA marketplace, Trump's plan for Gaza, Where Do We Go From Here?
10 October 2025 Dear Interested Readers, The Shutdown Is An Exercise in the Political Determinants of Health In this week’s issue of the New England Journal of Medicine, a poignant essay can be found at the end of the “Perspectives” section. It was...
by Dr. Gene Lindsey | Mar 14, 2025 | administrative harm, Arlie Russell Hochschild, Burnout, Charles Handy, ChatGPT, Diversity Equity Inclusion, DOGE, Elon Musk, Featured Post, Federalism, Future of Heathcare, Harvard Community Health Plan, Harvard Vanguard Medical Associates, MAGA, Quadruple Aim, Social Determinants of Health, Subsidiarity
March 14, 2025 Dear Interested Readers, Radical Versus Rational Change Donald Trump roared into office claiming that he had a mandate for radical changes in government structure and policy that his supporters believed would “make America great again.” He...
by Dr. Gene Lindsey | Feb 14, 2025 | A personal history, AI in healthcare, Atrius Health, ChatGPT, chronic disease management, Computers In Healthcare, Diversity Equity Inclusion, employed physicians, Featured Post, Future of Heathcare, Harvard Community Health Plan, Harvard Vanguard Medical Associates, infrastructure inadequacies, MAGA, Moral Injury, Primary Care Challenges, Social Determinants of Health, The future of healthcare under Trump, The Triple Aim, Workforce Shortages in Healthcare
February 14, 2025 Dear Interested Readers, Primary Care Has Changed Since 1975 For several weeks, I have felt a need to write about primary care. When I try to write to express my concerns about primary care, I am derailed by yet another outrageous event...
by Dr. Gene Lindsey | Jun 14, 2024 | A personal history, AI in healthcare, Atrius Health, Computers In Healthcare, Consolidation in healthcare, Dartmouth Health, Epic, Featured Post, Global Warming, Harvard Vanguard Medical Associates, Judy Faulkner, Lean, Mergers and Acquisitions, Optum Health, patient centered care, Practice Improvement, The Triple Aim, UnitedHealtcare
June 14, 2024 Dear Interested Readers, Reflections On This Moment In Healthcare When I began to write these Friday letters sixteen years ago in mid-February 2008, it was much easier than my task now. All I needed to do then to discover plenty to write...
by Dr. Gene Lindsey | Mar 1, 2024 | A personal history, ACOs, Atrius Health, Beth Israel Deconess Medcal Center, Brigham and Women's, CMMI, Co-opetition, Competition, Continuous Improvement, Dartmouth Health, Dr. Anita Ung, Dr. Joe Kimura, Dr. Kate Koplan, Dr. Rick Lopez, Dr. Robert Ebert, Featured Post, Fee for service payment, Harvard Community Health Plan, Harvard Vanguard Medical Associates, Innovation in Healthcare, Medical-Moral Sensibilities, Pioneer ACO, Quality, The Care Experience, The Triple Aim, Value Based Reimbursement, Waste in healthcare
March 1, 2024 Dear Interested Readers, Quality Defined Us I have gained a new perspective on how to structure what remains of the story of the development of my medical-moral sensibilities. The story up till now has been mostly delivered in chronological...
by Dr. Gene Lindsey | Feb 23, 2024 | A personal history, ACA, ACOs, Atrius Health, capitation, CMMI, Dartmouth Health, Don Berwick, Dr. Glenn Steele, Dr. Rick Gilfillan, Emily Brower, Featured Post, Harvard Vanguard Medical Associates, Health Care Transformation Task Force, Innovation in Healthcare, Kearsarge Neighborhood Partners, Medical-Moral Sensibilities, Pioneer ACO, Social Determinants of Health, Steve Allenby, Trinity Health
February 23, 2024 Dear Interested Readers, Old Connections For Current Progress When I look back on the almost six years that I was leading Harvard Vanguard and Atrius Health it is probably impossible for me to give each activity and each contributor...
