Are Consolidation, Competition, and Innovation the Answer? Part 4: A Closer Look at Competition
Is vigorous competition between providers of healthcare likely to be an effective part of our collective efforts to lower the cost of medical care? It would seem likely because there is nothing more fundamental to our American culture than our belief in the benefits...
Are Consolidation, Competition, and Innovation the Answer? Part 3: A Closer Look at Consolidation
Consolidations, affiliations, acquisitions and mergers in healthcare are announced every week. The picture associated with this posting reveals that an affiliation occurred a few years ago between the critical access hospital in my little town and the Dartmouth...
Are Consolidation, Competition, and Innovation the Answer? Part 2: A Closer Look at Innovation
“Consolidation, competition, and innovation are the answer to what?”, you might ask. Keeping it simple, I mean the high cost of care and the Triple Aim. To keep it short I could just say, all three will help, but even maximized to the nth degree they will never in and...
Mr. President, Please Read Chapter 6, “The Affordable Care Act in Hindsight”
In August 2015 I gave a talk on the history of the evolution of health insurance that was part of a seminar entitled “Practicing in the Era of Healthcare Reform.”  I concluded my talk with a slide labeled “Persistent Problems.” I recently reviewed the presentation and...
The Joy of Working in an Integrated System of Care That Is Continuously Improving
I believe that better care that is economically sustainable and available to everyone while producing healthier communities without unacceptable personal sacrifices from individual health professionals is only possible in a professional environment and culture that...Case Study – Elizabeth Mcarthy
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