Population Health, Sustainability and The Triple Aim
Dec13

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 of the tenets of population health. The reduction of healthcare costs that will lead to sustainability of expanded coverage and the Triple Aim can not be achieved...

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Foundational Principles for the Future of Care Delivery
Jun01

Foundational Principles for the Future of Care Delivery

How will the way we deliver care in ten years be similar to the way deliver care today and how will the future be different? One thing that is already in transition is the expectation of patients. Patients want a more “horizontal” and collaborative connection with their doctors and care team. That many patients receive care from a team of providers is itself a future oriented change. Are we ready for the the real digitalization of...

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Choices: Understanding Risk, Loss, Persuasion and Compulsion in Healthcare
May24

Choices: Understanding Risk, Loss, Persuasion and Compulsion in Healthcare

My wife had a simple mantra that she repeated each time our boys left the house to go out with their friends. She would say, “Make good choices!”. Her inference was that there was loss associated with bad choices. Never before have patients, families, doctors, other healthcare professionals and medical organizations had more important choices to make than now. Like the circumstances that potentially surrounded the choices that our...

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Do You Understand MACRA?
Nov25

Do You Understand MACRA?

Some Articles You Should Read The September 24th issue of the NEJM had two great articles in the “Perspectives” section on the new Medicare payment process, MACRA, the Medicare Access & CHIP Reauthorization Act of 2015. This new law that replaced the SGR, which many doctors never understood, was passed with large bipartisan majorities in both houses of congress. Since MACRA is not part of the much debated ACA, nor the target of...

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