Beyond Silver Bullets: Embracing Era 3 of Healthcare

Zeev Neuwirth, Senior Medical Director of Population Health at Carolinas Healthcare System Medical Group, and an old friend and former colleague, launched a weekly podcast last August entitled, Creating a New Healthcare. I love the recurrent introduction that  Zeev...
It’s Getting Harder Faster Than You Realize

It’s Getting Harder Faster Than You Realize

In last week’s post, I tried to reconstruct the thinking of the Atrius Health management team in early 2008.  At that time we were writing a new strategic plan to respond to the uncertain future of healthcare. Over the previous decade publications like To Err is Human...
How Proposed Tax Reforms Could Affect Healthcare

How Proposed Tax Reforms Could Affect Healthcare

I know very little about taxes. I pay them. I have always assumed that everyone can build a case for why they should pay less. I also figure that some people cheat and don’t pay theirs, and that others use their influence within the political process to have the laws...
Are Consolidation, Competition, and Innovation the Answer? Part 3: A Closer Look at Consolidation

Are Consolidation, Competition, and Innovation the Answer? Part 3: A Closer Look at Consolidation

Consolidations, affiliations, acquisitions and mergers in healthcare are announced every week. The picture associated with this posting reveals that an affiliation occurred a few years ago between the critical access hospital in my little town and the Dartmouth...
Are Consolidation, Competition, and Innovation the Answer? Part 2: A Closer Look at Innovation

Are Consolidation, Competition, and Innovation the Answer? Part 2: A Closer Look at Innovation

“Consolidation, competition, and innovation are the answer to what?”, you might ask. Keeping it simple, I mean the high cost of care and the Triple Aim. To keep it short I could just say, all three will help, but even maximized to the nth degree they will never in and...
What’s Next in the Healthcare Debate?

What’s Next in the Healthcare Debate?

I was delightfully dazed and confused the morning after Susan Collins, Lisa Murkowski and John McCain launched us into the next phase of the healthcare debate by giving the ACA a last minute reprieve. In a mix of ecstasy and disbelief I watched the video of John...