“Games” about Volume to Value
May10

“Games” about Volume to Value

Recently I attended a meeting in suburban Washington that was designed as a “war games” exercise to examine strategic moves in the finance of Medicare. The introductory comments to the exercise excited me when I heard that the objective was to understand what CMS could do to promote the Triple Aim. My excitement was diminished a little when I interpreted comments made by some of the attendees during the opening conversation to...

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Consumerism in Healthcare
Apr02

Consumerism in Healthcare

As I read through the many online journals and newsletters about healthcare, I am struck by the ubiquity of articles showcasing healthcare consumerism. I am increasingly interested in “consumerism” as an expression of patient-centeredness, and I often wonder if “patient centeredness” has become an empty cliché for many of the people that I meet. It is an antiquated phrase that lacks a widely accepted working definition among...

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The Future of Healthcare Payment
Feb26

The Future of Healthcare Payment

Healthcare payment models are changing. Since the passage four years ago of the Affordable Health Care act, even the total optimists have become somewhat frustrated with the ups and downs of implementation, and many progressives continue to call for even greater change, with new attempts at single-payer mechanisms that are unlikely to happen even if the Democratic Party were to control the Presidency and both houses of Congress....

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