A historic chart of health care spending exposes the culprit in rising costs: code-based fee-for-service medicine. To Be Notified When the Book Is Available for Purchase Go Here Cost is the big factor. Cost is why we can’t have nice things. The overwhelmingly vast...
Dateline: Lahinch, County Clare, Ireland I’m sitting over the seawall and embankments of this seaside town in the west of Ireland, watching the Atlantic waves crash and dribble onto the shingle in what must be their most peaceful mood on a surprisingly warm April...
I talk to people all the time in health care at big civic gatherings; board retreats; conventions of nurses, physicians, managers of medical groups and accountable care organizations and health plans and device manufacturers. I give a talk, sit on a panel, run a...
There are no winners in the fee-for-service game. It’s time to toss the whole business-as-usual model — for your own good and the good of your customers. The emerging Default Model of health care — the “consumer-directed” insured fee-for-service model in which health...
So you spent millions to billions of dollars on information systems over the past few years, right? How’s that working out for you? For a large percentage of you, whether or not you admit it, not so well. What you bought needs some serious tweaks, re-engineering,...
(Originally published in Hospitals & Health Networks Daily 3/25/14) The conversation has changed. The old conversation: “You cost too much.” “But we have these sunk costs, patients who can’t pay…” “Okay, how about a little less, then?” The new conversation: “You...
