Thinking About ACOs Again For the First Time
I am proud to be a member of Whittier Street Health Centers Foundation Board and was delighted when our very able CEO, Frederica Williams, recently asked me to talk to the organization about ACOs at their Grand Rounds. Whittier Street is an exceptional example of a...
What To Do When You Don’t Know What To Do
Are you wondering what you and your practice or hospital should be doing while living in the ambiguity of “repeal and replace?” Focus on getting better. That is the short answer. With or without the ACA the challenge to create  Care better than we’ve seen, health...
Must the AMA Always Be On the Wrong Side of History?
I was not at all surprised to read the AMA’s strong statement of support for the appointment of Representative Tom Price to be the Secretary of Health and Human Services. I was also not surprised to read articles of outrage from more progressive physicians about the...
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...
Population Health, Sustainability and The Triple Aim
Since the early nineties nothing has challenged physicians grounded in the traditional culture and practice of medicine more than the introduction of the “radical” concept of population health. One could argue that the Affordable Care Act is the legislative expression...
Is This The Shape of Things To Come?
As the President Elect announced his choice for Secretary of Health and Human Services and for the Administrator of CMS, I could not help but think back to the several times when as CEO of Atrius Health I had gone to the offices of HHS at 200 Independence Avenue SW,...
Why You Should Look to Lean Between Repeal and Replace
President Elect Trump has said what he will do with the ACA. What will you do if he carries through with his intent? I can’t answer that question for you, but I am delighted to give you unsolicited advice. I was recently reminded of how important it is to remind...
Donald Trump’s Promise
Where Does The Real Controversy Lie? The Democratic position on healthcare and the philosophy expressed in Paul Ryan’s “A Better Way” and the brief paper that the Trump campaign had on their website agree on more than you might expect. Both sides focus on the...
I Was Not So Surprised
The election outcome should not have been a surprise. We should have recognized the uncertainty produced by anger and deep divisions on many issues. The “establishment” Republican party seemed to be in shambles. The Democratic party did not recognize that it had lost...Case Study – Elizabeth Mcarthy
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