Tapping Into the Wisdom and Spirit of Elizabeth Warren

Tapping Into the Wisdom and Spirit of Elizabeth Warren

  Before I retired, especially after Atrius became involved with CMMI’s Pioneer ACO project, I made frequent trips to Washington. The Washington shuttle from Boston was always packed with people who looked like they were involved with very important business. It...
A Strategy That Always Works

A Strategy That Always Works

  Last Friday’s letter was an attempt to begin to explore the relationships between what we chose to do and how we are compensated. I spent a long time backing into this difficult subject by going all the way back to 1965 and trying to draw some wisdom from my...
There Is Always A Better Way!

There Is Always A Better Way!

  I am no medical historian, but I dare say that the history of medicine could be described as a “search for a better way.” Sometimes the search is cheered by the people and supported by entrepreneurs and governments desperate for solutions to threatening...
We Need to Treat the Transformation of Primary Care Organization and Finance As An Urgent Need

We Need to Treat the Transformation of Primary Care Organization and Finance As An Urgent Need

  The latest edition of the New England Journal of Medicine was waiting for me in my mailbox yesterday when I dropped by the post office. I was delighted to see that it was the March 4th edition and I was happy to get it on time. The mail comes very irregularly...
How Do We Strengthen The Nation’s Primary Health Care System?

How Do We Strengthen The Nation’s Primary Health Care System?

If you have avoided these notes for the past few weeks, you may not know that I have been systematically reviewing the recommendations of the Commonwealth Fund’s Task Force On Payment and Delivery System Reform. There are six sections to the report. So far we have...
Healthcare Musings For February 5, 2021

Healthcare Musings For February 5, 2021

  February 5, 2021 Dear Interested Readers,   It’s Time To Start Again    I am sure that I am not alone in my current strange mix of hope and residual fear. I am feeling much better now that Joe Biden is in the Oval office, but prior traumas are hard to...