Thinking About ACOs Again For the First Time
Jan10

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 practice that will be sorely tested by the chaos that Jonathan Oberlander describes in his “Perspective” article, “The End of Obamacare”, in the January 5, 2017 issue of...

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The Triple Aim Before its Time
Jul14

The Triple Aim Before its Time

Lately I have been thinking again about the prescience of one of my most important mentors, Dr. Robert Ebert, who was Dean of Harvard Medical School when I was a student there. In my last blog post I cited a talk Dr. Ebert gave in 1967 at Simmons College, and I mentioned that it was a Triple Aim speech delivered 40 years before we had the Triple Aim. In today’s post I want to comment in more detail on that talk, and on the impact Dr....

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Health Disparities and the Triple Aim
Jul03

Health Disparities and the Triple Aim

Last Saturday morning I was thinking about health disparities as I prepared to give a keynote speech at the Whittier Street Clinic’s Men’s Health Summit and Grand Opening Ceremony.  I have recently joined their Health and Wellness Foundation Board and the CEO, Frederica Williams, has wasted no time putting me to work. For those of you who do not know the Whittier Street Clinic, it is a historic neighborhood practice in the...

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Joys and Sorrows of Healthcare Professionals
Jun12

Joys and Sorrows of Healthcare Professionals

Healthcare professionals find both joy and sorrow in their work. Many of us carry scars. I think it helps to tell the stories we carry with us from our experiences in the present system, even when they are not feel-good stories. It gives us ways to think about transforming healthcare delivery for the future. Recently I had the pleasure of some long conversations reflecting on the healthcare system with my former colleague and friend...

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Healthcare Is a Civil Right
Apr14

Healthcare Is a Civil Right

I see the current efforts to extend healthcare to all Americans to be an extension of the issues of equality of opportunity that were expressed by President Obama in his speech marking the 50th anniversary of the Civil Rights movement. Ironically, it is hard to imagine a great country with more than an eighth of its population denied access to one of the fundamentals necessary to be a productive member of society. Statistics often...

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ACO Leaders Need Focus, Commitment
Feb03

ACO Leaders Need Focus, Commitment

ACO leaders are going to need to acquire a new set of competencies.  Recently I attended a conference in Boston on access, innovation and Accountable Care Organizations. I was scheduled to be on a panel at the end of the day talking about ACOs with a physician from Steward Health, who was standing in for their CEO and David Cutler, the economist from Harvard who helped construct Chapter 224 and advised the Obama administration on the...

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