I’ve been working on this blog for almost two months. If you think that means I’m a comparatively slow writer, you wouldn’t be far off the mark. But I’m not that slow. The other possibility is that we’re dealing with a highly complex topic requiring more than the usual amount of reflection or research. [...]Read More
Our conversations about healthcare spending need to shift from who’s paying the bill to where we’re investing our money.Read More
As we work with practices in how to effectively adopt a team care approach to primary care medicine, one of the essential building blocks for patient-centered care, we sometimes see administrators, practice managers, physicians and other staff who believe in the value of the medical home model and even imagine themselves to already be there or at least on the outskirts. In reality, they remain tied to the physician-centric approach of a traditional practice.Read More
If improved coordination and value-based reimbursement are going to be among the pillars of healthcare reform, then Accountable Care Organizations will be one of the most reliable means of getting there. Once we arrive we’re going to find a landscape filled with cost and quality benchmarks, closely measured accountability, risk stratification, population health management, re-aligned incentives and alternative compensation models.
In the midst of these challenges and new approaches the one question all of us are asking is, “Can ACOs make money?” The simple answer seems to be … “It depends.”Read More
A meteorological event known as the Halloween Nor’easter of 1991 or far more commonly as the Perfect Storm was popularized by a best-selling book and subsequent film. It’s now part of our language, used to describe situations characterized by powerful converging forces. The storm developed when the remnants of Hurricane Grace collided with a low-pressure [...]Read More
According to Charles Dickens, writing in 1859 of the decade leading up to the French Revolution, “It was the best of times, it was the worst of times …” and as the novel proceeds, both extremes seem to hold true. I’m not sure I fully understood that particular paradox when I first read those words [...]Read More