Strategy Healthcare

Perhaps an Explosion Would Be the Most Efficient Route to the Triple Aim

by Dr. Gene Lindsey | Apr 25, 2017 | ACA, AHCA, Featured Post, Healthcare Policy, Payment Models, Repeal and Replace, the healthcare debate, The Triple Aim

After the failure of Paul Ryan’s American Health Care Act to get passed over the internal squabbling of House Republicans despite their forty four vote majority, David Brooks wrote an interesting tongue in cheek column entitled “The Coming Incompetence Crisis.” He...

Where We Should Focus

by Dr. Gene Lindsey | Apr 18, 2017 | ACO, AHCA, Era 3: the moral era, Featured Post, Healthcare Policy, Healthcare Transformation, Lean, Quadruple Aim, the healthcare debate

In a recent essay Michael Dowling, the CEO of Northwell, the massive health system with 21 hospitals in metropolitan New York and Long Island, points out that the most frustrating aspect of the current healthcare debate is that “it is ideological and not practical.”...

The Joy of Working in an Integrated System of Care That Is Continuously Improving

by Dr. Gene Lindsey | Apr 11, 2017 | Costs, Delivery, Featured Post, Healthcare Quality, Healthcare Transformation, Lean, The Triple Aim

I believe that better care that is economically sustainable and available to everyone while producing healthier communities without unacceptable personal sacrifices from individual health professionals is only possible in a professional environment and culture that...

The Search For a Better Future State

by Dr. Gene Lindsey | Apr 4, 2017 | ACA, AHCA, Costs, Featured Post, Healthcare Quality, Healthcare Transformation, Quadruple Aim, The Triple Aim

The failure of the president and House Republicans to launch a credible process to “repeal and replace” the ACA creates a moment of opportunity for those who would like to contribute to the search for a better future state for healthcare. The challenge of providing...

The President’s Prediction of the Explosion of the ACA

by Dr. Gene Lindsey | Mar 28, 2017 | ACA, AHCA, Costs, Featured Post, Medicaid Reform, Presidential Politics, Repeal and Replace, the healthcare debate, The Triple Aim

The announcement of the death of the AHAC and the president’s prediction of the “explosion” of the ACA broke in an unusual way. Robert Costa of the Washington Post got the word directly from the president and then tweeted that the AHAC was being...

A Time to Renew and Expand Our Sense of Professionalism

by Dr. Gene Lindsey | Mar 21, 2017 | AHCA, Burnout, Costs, Featured Post, Population Health Management, Repeal and Replace

Retirement is a time of reflection. Most of one’s agency lies in the past. I must organize opportunities to transfer bits of experience, insight and wisdom to those who still do the work if I am to have the joy of continuing to contribute to the dream of a future...

Understanding “Ryancare”, the AHCA

by Dr. Gene Lindsey | Mar 14, 2017 | ACA, AHCA, Costs, Delivery, Featured Post, the healthcare debate

With Paul Ryan’s launch of his “repeal and replace” bill , which he calls the American Health Care Act (AHCA) and I prefer to call “Ryancare,” he initiated a new phase of the healthcare debate. Finally, we are seeing the focused discussion of the complex issues of...

Looking Underneath the President’s Comments About “Repeal and Replace”

by Dr. Gene Lindsey | Mar 7, 2017 | ACA, Featured Post, Healthcare Policy, Medicaid Reform, Presidential Politics, Repeal and Replace

As the “talking heads” who analyzed the President’s speech and Governor Beshear’s Democratic party response were fading into the 11 o’clock news, Verizon offered an advertisement that contained as much or more wisdom than anything that I had heard over the...

“Repeal and Replace”: Finally, Something From the Republican Leadership

by Dr. Gene Lindsey | Feb 28, 2017 | ACA, Featured Post, Healthcare Policy, Medicaid Reform, Presidential Politics, Repeal and Replace, The Triple Aim

This last week Congress has been recessed for the Presidents’ Day holiday week. Paul Ryan accurately anticipated that many of Republican members of Congress would be having town meetings with their constituents and would face angry voters who wanted to talk down the...

Applying Lean Thinking to the Future of the ACA

by Dr. Gene Lindsey | Feb 21, 2017 | ACA, Costs, Featured Post, Healthcare Policy, Politics, Repeal and Replace, the healthcare debate

Tom Price is now in place at his new office at HHS. One of Dr. Price’s first actions was to release a YouTube video that promises us a lot but does not say anything specific about what he plans to do. Seema Verma has been working her way toward Senate confirmation as...