Mr. President, Please Read Chapter 6, “The Affordable Care Act in Hindsight”

Mr. President, Please Read Chapter 6, “The Affordable Care Act in Hindsight”

by | May 23, 2017 | ACA, AHCA, Costs, Delivery, Featured Post, Presidential Politics, Repeal and Replace

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...
Puerile High Fives in the Rose Garden After the House Votes to Repeal and Replace the ACA

Puerile High Fives in the Rose Garden After the House Votes to Repeal and Replace the ACA

by | May 9, 2017 | ACA, AHCA, Featured Post, Presidential Politics, Repeal and Replace, the healthcare debate, the power of stories, The Triple Aim

I have watched my favorite teams lose championship games. I remember the sinking feeling that I experienced when Richard Nixon was elected for the second time, even after it was really pretty clear that he was a crook. I suffered when Jimmy Carter, one of the most...
“Repeal and Replace”: Finally, Something From the Republican Leadership

“Repeal and Replace”: Finally, Something From the Republican Leadership

by | Feb 28, 2017 | ACA, Featured Post, Healthcare Policy, Medicaid Reform, Presidential Politics, Repeal and Replace, The Triple Aim

This last week Congress has been recessed for the Presidents’ Day holiday week. Paul Ryan accurately anticipated that many of Republican members of Congress would be having town meetings with their constituents and would face angry voters who wanted to talk down the...
Good Strategy in a Fog of Uncertainty

Good Strategy in a Fog of Uncertainty

by | Feb 7, 2017 | ACA, ACO, Burnout, Costs, Featured Post, Healthcare Transformation, Medicaid Reform, Medicare Reform, Presidential Politics, Repeal and Replace, Resources, Strategy, The Triple Aim

There is no challenge like the challenge of creating a strategic plan in uncertain times. What do you do when you do not know what to do? That is a question that frequently challenges leaders. Over eight years ago, after Lehman Brothers had failed and the value of the...