by Dr. Gene Lindsey | Mar 14, 2025 | administrative harm, Arlie Russell Hochschild, Burnout, Charles Handy, ChatGPT, Diversity Equity Inclusion, DOGE, Elon Musk, Featured Post, Federalism, Future of Heathcare, Harvard Community Health Plan, Harvard Vanguard Medical Associates, MAGA, Quadruple Aim, Social Determinants of Health, Subsidiarity
March 14, 2025 Dear Interested Readers, Radical Versus Rational Change Donald Trump roared into office claiming that he had a mandate for radical changes in government structure and policy that his supporters believed would “make America great again.” He...
by Dr. Gene Lindsey | Feb 14, 2025 | A personal history, AI in healthcare, Atrius Health, ChatGPT, chronic disease management, Computers In Healthcare, Diversity Equity Inclusion, employed physicians, Featured Post, Future of Heathcare, Harvard Community Health Plan, Harvard Vanguard Medical Associates, infrastructure inadequacies, MAGA, Moral Injury, Primary Care Challenges, Social Determinants of Health, The future of healthcare under Trump, The Triple Aim, Workforce Shortages in Healthcare
February 14, 2025 Dear Interested Readers, Primary Care Has Changed Since 1975 For several weeks, I have felt a need to write about primary care. When I try to write to express my concerns about primary care, I am derailed by yet another outrageous event...
by Dr. Gene Lindsey | Apr 26, 2024 | 2024 elections, A personal history, Atrius Health, Consolidation in healthcare, Costs, Crossing the Quality Chasm, Culture, Dr. Walter Murphy, Earth Day, Featured Post, Global Warming, Harvard Community Health Plan, Harvard Pilgrim Health Care, Healthcare in Rural America, Healthcare Mergers, Inequality in Healthcare, Moral Injury, Pilgrim Health Care, The moral sensibilities of medical practice, The Triple Aim, UnitedHealtcare
April 26, 2024 Dear Interested Readers, Consolidations, Affiliations, Mergers and Culture I have taken several weeks off from recounting the story of my journey toward what I have been calling my “medical moral sensibilities.” As you may remember, the...
by Dr. Gene Lindsey | Mar 15, 2024 | A personal history, Alternative Quality Contract, Atrius Health, Blue Cross Blue Shield of Massachusetts, Chapter 224, Charles Kenney, Crossing the Quality Chasm, Featured Post, Harvard Community Health Plan, Harvard Pilgrim Health Care, LEAD, Mike Dukakis, Moral Injury, Opioid Epidemic, Pioneer ACO, Six Domains of Quality, The Best Practice: How The New Quality Movement Is Transforming Medicine, The Triple Aim, Value Based Reimbursement, Waste in healthcare
March 15, 2024 Dear Interested Readers, Income From Quality In the early years of this century after the near failure of Harvard Pilgrim Healthcare, there were very active conversations in Massachusetts about the cost, quality, and access to healthcare...
by Dr. Gene Lindsey | Mar 1, 2024 | A personal history, ACOs, Atrius Health, Beth Israel Deconess Medcal Center, Brigham and Women's, CMMI, Co-opetition, Competition, Continuous Improvement, Dartmouth Health, Dr. Anita Ung, Dr. Joe Kimura, Dr. Kate Koplan, Dr. Rick Lopez, Dr. Robert Ebert, Featured Post, Fee for service payment, Harvard Community Health Plan, Harvard Vanguard Medical Associates, Innovation in Healthcare, Medical-Moral Sensibilities, Pioneer ACO, Quality, The Care Experience, The Triple Aim, Value Based Reimbursement, Waste in healthcare
March 1, 2024 Dear Interested Readers, Quality Defined Us I have gained a new perspective on how to structure what remains of the story of the development of my medical-moral sensibilities. The story up till now has been mostly delivered in chronological...
by Dr. Gene Lindsey | Dec 15, 2023 | A personal history, ACA, Atrius Health, Carol Emmott, Charlie Baker, Clay Christensen, Continuous Improvement, Creative Destruction, Crossing the Quality Chasm, Disruptive Innovation, Dr. Robert Ebert, Featured Post, Fee for service payment, Harvard Community Health Plan, Harvard Pilgrim Health Care, Harvard Vanguard Medical Associates, Joseph Schumpeter, Ken Paulus, Moral Injury, Social Determinants of Health, the difficulties of change, The Triple Aim, utopias
December 15, 2023Â Dear Interested Readers, Utopian Ideas Versus The Status Quo In Healthcare Less than twenty miles north up Interstate 89 from my home is the Enfield Shaker Museum. I have visited the enclave by Lake Mascoma with its magnificent main...
