Good Strategy in a Fog of Uncertainty
Feb07

Good Strategy in a Fog of Uncertainty

There is no challenge like the challenge of creating a strategic plan in uncertain times. What do you do when you do not know what to do? That is a question that frequently challenges leaders. Over eight years ago, after Lehman Brothers had failed and the value of the stock market had fallen by almost fifty percent and we did not know if we were facing a deep recession or the second coming of the Great Depression, I was asking myself...

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Repeal and Replace and the Angst of “The Loyal Opposition”
Jan17

Repeal and Replace and the Angst of “The Loyal Opposition”

Readers of these postings are familiar with my use of the term VUCA, an acronym that is derived from the realization that we live in a world that is volatile, uncertain, complex and ambiguous. I have asserted before that our state of uncertainty about the future of healthcare in the era of repeal and replace complies with the spirit of VUCA. VUCA is a strategic concept. Since the term was introduced to strategic thinkers in the mid...

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Where Do We Go From Here?
Dec20

Where Do We Go From Here?

Dan Burns, is a former colleague who served on the Harvard Vanguard and Atrius boards with me, my dermatologist, and the person who became CEO of Harvard Vanguard after I retired three years ago. I most recently saw Dan, and we had a brief conversation during a visit I made to the Wellesley practice of Atrius Health. I was there for advice from orthopedics regarding a recent shoulder injury. (I injured my shoulder in a fall while...

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Is It Time For ACA 2.0?
Sep20

Is It Time For ACA 2.0?

Back in April when we were not absolutely sure who the nominees for president would be. Michael Cohen wrote “Obamacare: an unheralded success” in the Boston Globe. He  commented then that healthcare was not getting much discussion by Republicans beyond a flat out assurance that the ACA would be abandoned on the first day of a Republican presidency. Over in the Democratic Primary Bernie and Hillary were in a confusing debate about the...

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It Seems So Logical!
Aug08

It Seems So Logical!

I was recently invited by Dr. Marc-David Munk, the Vice President, Accountable Care and Senior Medical Director for Medicare Practices at Iora Health to visit the “nest”, the home office of Iora Health. [Iora is a species of beautiful little birds found in India and Southeast Asia, as shown in the picture.] Iora’s home is in the heart of Boston on the “Freedom Trail”.The plan was that he would show me around their office and then we...

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Finding Strategy After Tragedy
Jun22

Finding Strategy After Tragedy

Before Orlando I had not thought about gun violence in the same way I think of other public health hazards. My response to such an outrageous and seemingly avoidable disaster was to advocate that the only appropriate response would be to remove guns from our society to prevent more events like the mass killings in Columbine, Aurora, Virginia Tech, Newtown or San Bernardino. That strategy and more moderate versions have been repeatedly...

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