by Dr. Gene Lindsey | Aug 21, 2026 | 2026 midterm elections, 2028 elections, ACA, costs versus charges, Don Berwick, Dr. Paul Manganiello, Featured Post, Fee for service payment, Medicare "buy in", Medicare For All, Paul Krugman, The Public Option, Time-Determined Activity-Based Costing, Value Based Reimbursement
August 21, 2026 Dear Interested Readers, The Cost of Healthcare as a Political Issue Healthcare has been a political issue for over a century. In some elections, such as the 2008 election, it was a prominent issue. In 2024, healthcare was not a top...
by Dr. Gene Lindsey | May 2, 2025 | ChatGPT, Dartmouth Health, Featured Post, Fee for service payment, Healthcare in Rural America, MAGA, medical care in small-town America, New London Hospital, Obstetrical Care in New Hampshire, Politics and Healthcare, Social Determinants of Health, The future of healthcare under Trump, the plight of "red state" rural Americans, Trump's first 100 days in office, Trump's inept administration, Value Based Reimbursement
May 2, 2025 Dear Interested Readers, The First 100 Days of a Bad Dream I apologize for the excessive attention I have given to the blatant dangers ahead inherent in our reckless president’s personality disorder and destructive ambitions. His...
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 | Jan 27, 2023 | 2022 midterm elections, 2024 elections, ACA, Consolidation in healthcare, COVID, Dartmouth Health, Dr. Robert Ebert, Featured Post, Fee for service payment, Healthcare in Rural America, Kearsarge Neighborhood Partners, patient centered care, Social Determinants of Health, Staffing issues in rural healthcare, Value Based Reimbursement
January 27, 2023 Dear Interested Readers, Financial Troubles, Workforce Concerns, Access Issues, and Concerns For Quality of Care One of my biggest post-pandemic surprises is that healthcare has moved down, not up, on the cascade of concerns that worry...
by Dr. Gene Lindsey | Sep 16, 2022 | 2022 midterm elections, ACOs, Burnout, Dartmouth Health, Dean Robert Ebert, Equity, Featured Post, Fee for service payment, Future of Heathcare, Global Warming, Harvard Community Health Plan, Healthcare equity, improving the delivery of care, Innovation in Healthcare, Medicare For All, Primary Care Challenges, Primary Day in New Hampshire, rural healthcare, The Triple Aim, Value Based Reimbursement, Workforce Shortages in Healthcare
September 16, 2022 Dear Interested Readers, Rethinking How We Deliver Care In last week’s letter, I tried to describe the disappointments and controversies currently associated with ACOs. Like a serialized Netflix presentation I want to begin by...
