Healthcare costs too much, and we don’t get enough of the healthcare that we need. This is our core problem in one word: “productivity.” The obvious difficulties of healthcare in the U.S., where we can’t seem to take care of everyone, millions are saddled with...
How will healthcare be distributed in the future? In ways that bear only some resemblance to the way it is distributed today. The changes will be driven by the new economics of healthcare embedded in the “volume to value” movement, based as it is on...
The double doors to the ambulance bay slide open, and one more patient on a gurney is hauled across the threshold of your Emergency Department. This one’s in diabetic shock. Stop the picture right there and ask yourself: Is this a medical success, because you can do...
A primer for tactical decision-making in times of deep change. The problem at the core of the “volume to value” movement, the shoals it is running aground on, is this: How do you make it work economically? How does your organization make a living at it? To put a finer...
When the pace of change is accelerating, you need a flexible process and a paradoxical mind. How do you plan? Obviously, you have to. Obviously, you can’t. For your organization, and for you as a health care leader, the rapid and at times chaotic changes in the...
Obamacare is built on the assumption that healthcare can be more productive, that we can squeeze more health per dollar out to the system that is built to give it to us. Practically everything I write is based on the same idea — big time. I believe we could do...
