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...
Pursuing the Triple Aim With An “I-Thou” Mindset
You might think that I am at a disadvantage posting this article on election day. The analysts and most of the polls suggest that Clinton will probably be the winner, but all of them are hedging their calls. I place the most confidence in Nate Silver at 538. I am...
Healthcare Costs Too Much
Recently when I was writing about IBM’s Watson as an innovation that could help reduce waste and lower the cost of care I made the statement, “…the greatest threat to the future health of the nation… [is] our continuing inability to reduce the cost of...
IBM’s Watson and the Triple AIM
I recently attended Simpler Consulting’s 11th Annual North America CEO Symposium. Like much of healthcare, Simpler has been a player in a serial process of mergers and acquisitions. Two years ago, Simpler and JWA, another Lean consultancy were acquired by Truven...
Healthcare, Finally!
It is important for you to realize that this posting is not an effort to convince you to cast your vote for any candidate, up or down the ticket. It is probably clear where I stand before the election. If you have not decided for whom you will vote, you may...
Understanding the Politics Behind the “Craziness” of the ACA
Since the political conventions ended in early August I have been obsessed with the election. Things have changed so fast this week that I have had to revise this post since writing most of it last Friday. Friday was the day that the Washington Post released the...
Looking Into The Mirror of The Election
There was some concern that the option of watching the New Orleans Saints lose to the Atlanta Falcons on Monday Night Football might reduce the audience for the first Presidential Date of 2016. Despite the football option, more people watched the debate than ever...Case Study – Elizabeth Mcarthy
A .pdf reader is required to read this document. You can obtain the latest version of Adobe Reader at: Get Adobe Reader