Looking At the Future Together One More Time
October 25, 2013 Dear Atrius Health colleagues and other interested readers, Looking At the Future Together One More Time When I began to write these weekly letters in February 2008, I was trying to respond to a frequent request that leaders focus more on...
20 November 2015 Healthcare Musings Newsletter
20 November 2015 Dear Interested Readers, Inside This Week’s Letter Welcome to the first letter of the third year of Volume II of these weekly letters. The first section of this letter is a brief trip down memory lane that reveals that the scenery has not changed much...
Looking to Vermont’s Future
Last week I attended a unique healthcare meeting in Stowe, Vermont. I was there to get a better feel for the mind of clinical leadership at a moment of great transition in the state. The subject that was at the core of the conference was the future of care in Vermont....
30 October 2015 Healthcare Musings Newsletter
30 October 2015 Dear Interested Readers, What’s Inside This Week’s Letter? The honest answer to that question is some stream of consciousness thinking and a rambling discussion of some pretty wonky stuff. I have tried to introduce some interesting angles to provide...
Dr. Gene Lindsey: The Oration, Mass. Medical Society, November 28, 2012
By Dr. Gene Lindsey Members of the Massachusetts Society and Guests, Throughout a career of more than forty years I have had the mindset of a guild craftsman as I have worked in the office, in the emergency room, and at the bedside in the hospital. That is the case...
Conservatives, Too, Lead Healthcare
Last week in these notes I commended Maura Healey, the Massachusetts Attorney General. I had contrasted her presentation at the annual Cost Trends Hearings with the presentation of the “conservative” Governor Charlie Baker. In my view the Governor is “conservative” in...
Attorney General Maura Healey Leads Healthcare Reform
As a member of the Advisory Council to the Health Policy Commission in Massachusetts, I was very interested in following the internet broadcast of the annual HPC Cost Trends Hearings early in October. At the core of the presentations was a debate about healthcare...
Learning from South Africa
Several years ago I was fascinated by Dr. Atul Gawande’s discussion of ignorance and incompetence. He argued that we in healthcare are no longer ignorant. We know quite a bit about pathology, pharmacology, diagnostics, and various therapeutic techniques. On my visit...
Sustainable Universal Coverage
Last month CMS announced the results of the efforts of the Pioneer and MSSP (Medicare Shared Savings Program) ACOs for 2014. The headline made for compelling reading: Medicare ACOs Provide Improved Care While Slowing Cost Growth in 2014. This suggests that sustainable...Case Study – Elizabeth Mcarthy
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