Healthcare is joining the network economy.
Let’s adapt strategy and business models for
success during the upcoming transformation.
The 1990’s experiment around development of integrated delivery systems (IDSs) mostly did not take root. This experiment was primarily about financial integration — doctors joining with hospitals so that they could together contract with health insurers for capitated reimbursement, hospitals starting their own health plan, or hospitals buying physician practices as a way of guaranteeing [...]
Mathematica Research has just released a report: The Evaluation of the Medicare Coordinated Care Demonstration: Findings for the First Two Years. It’s not pretty. Section F of the Executive Summary is entitled “Synthesizing the Findings: What Works, and What Doesn’t”. That section begins: Given that few of the programs have shown convincing evidence to date [...]
Just in case this particular item hasn’t yet reached the top of your own to read pile, let me bring to your attention recent testimony to the Senate Finance Committee on Medicare Payment of Physician Services. The testimony was presented on March 1 by Byron Thames, MD, an AARP Board member. With over 35 million [...]
“In theory, there is no difference between theory and reality. In reality, there is.” Yogi Bera Out-of-the-box thinking is good; out-of-touch thinking is not. Dr. Porter and Teisberg’s (PT’s) recent article in JAMA “How Physicians Can Change the Future of Health Care” is disappointing, unrealistic and dangerous. Disappointing: Please Answer the Challenges About Why Your [...]
Translation Todays blinding flash of the obvious (BFO): How can you expect pay-for-performance (P4P) programs in Medicare to work with out a designated physician quarterback (QB)? Please allow me to elaborate. P4P programs are based on two assumptions: Patients are assigned to a physician or a practice that will have primary responsibility for their care, [...]
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