by Dr. Gene Lindsey | Sep 12, 2017 | Competition, Costs, Era 3: the moral era, Lean, The Triple Aim
Is vigorous competition between providers of healthcare likely to be an effective part of our collective efforts to lower the cost of medical care? It would seem likely because there is nothing more fundamental to our American culture than our belief in the benefits...
by Dr. Gene Lindsey | Sep 5, 2017 | ACA, Consolidation in healthcare, Costs, Featured Post, Healthcare Quality, Healthcare Transformation, Lean, Mergers and Acquisitions, The Triple Aim
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...
by Dr. Gene Lindsey | Aug 29, 2017 | Burnout, Competition, Costs, Featured Post, Healthcare Transformation, Innovation, Leadership, Lean, The Triple Aim
“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...
by Dr. Gene Lindsey | Aug 22, 2017 | ACA, Bipartisan Healthcare Process, Competition, History of Healthcare Reform, Innovation, System Consolidation, The Senate's turn at healthcare reform, The Triple Aim
Are systems consolidation, competition and innovation the triple play that will deliver quality care for everyone at a sustainable cost? Perhaps before we try to answer that question we should avail ourselves of the lessons learned over the efforts of the last fifty...
by Dr. Gene Lindsey | Aug 15, 2017 | ACO, Bipartisan Healthcare Process, hyperpartisanship, the healthcare debate, The Senate's turn at healthcare reform, The Triple Aim
Last week when I copied and pasted the conclusions in the JAMA article by President Obama I discovered that Google Drive did not know the word “hyperpartisanship.” . Did Google’s ignorance of hyperparisanship suggest that we are experiencing something new?...
by Dr. Gene Lindsey | Aug 8, 2017 | ACA, Bipartisan Healthcare Process, Featured Post, Healthcare Policy, Healthcare Transformation, Presidential Politics, Repeal and Replace, the healthcare debate, The Senate's turn at healthcare reform, The Triple Aim
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...
by Dr. Gene Lindsey | Aug 1, 2017 | Featured Post
Sometime after midnight on July 28, I closed my computer. After finishing my weekly letter, I had been watching C-Span 2 on the computer while watching Stephen Colbert do his nightly dissection of the Trump administration on my television. As I turned out the light, I...
by Dr. Gene Lindsey | Jul 25, 2017 | ACA, Better Care and Reconciliation Act of 2017, Featured Post, Improving the health of the poor, Medicaid Reform, Repeal and Replace, the healthcare debate, The Senate's turn at healthcare reform, The Triple Aim
A major event that changed the way I see the world occurred in 1995 when I read Robert Wright’s The Moral Animal: Why We Are The Way We Are: the New Science of Evolutionary Psychology. The book was so good that I immediately gobbled up Nonzero: The Logic of Human...
by Dr. Gene Lindsey | Jul 18, 2017 | ACA, Better Care and Reconciliation Act of 2017, Featured Post, Lean, Mindset, Politics, The Triple Aim
I read the New York Times, Washington Post, Boston Globe, and the Kaiser Health News Service and follow their various links that take me to a variety of different sources. I tune in to NPR and watch breaking news on CNN. I follow links all over the Internet trying to...
by Dr. Gene Lindsey | Jul 11, 2017 | ACA, Better Care and Reconciliation Act of 2017, Featured Post, Healthcare Policy, Healthcare Quality, Healthcare Transformation, Repeal and Replace, Single payer, the healthcare debate, The Senate's turn at healthcare reform, The Triple Aim
A few years ago Patty Gabow, the retired CEO of Denver Health and a master of using Lean to benefit the underserved, and I were enjoying a dinner together while we were attending a meeting. Our conversation had gotten to the level of sharing and openness where we were...