Atul Gawande’s most recent New Yorker article “Testing, Testing” addresses the critics who lament that there is no master plan to curb delivery system costs in pending health reform legislation.
Gawande retorts: “Is that a bad thing?”
…and he answers his own question by describing the value of pilot programs contained in both the Senate and House [...]
e-CareManagement blog
Chronic Disease Management • Technology • Strategy • Issues and Trends
Earlier this week CMS issued a typically cryptic Announcement indicating that they were shelving the Medicare Medical Home Demonstration (MMHD) and instead would focus on the recently announced Multi-Payer Advanced Primary Care Initiative (MAPCI). My blog post from Tuesday provides details and asks the question “What does all this mean?”
Today’s blog post will tackle:
Medicare’s biggest change [...]
Here’s the big idea: accountable care organizations (ACOs) are about creating accountability.
ACOs of various types are being proposed in national health reform legislation. For all you ever wanted to know about ACOs, read How to Create Accountable Care Organizations from the Center for Healthcare Quality and Payment Reform. I spent an hour and a half poring over the details of this [...]
David Williams writes the latest Health Wonk Review…read about Health Reform, Get Fatty, Brain Spasm, and Questionable Practices.
Tags: health reform
by Scott Shreeve, MD
We are entering an unprecedented season of change for the United States health care system. Americans are united by their desire to fundamentally reform our current system into one that delivers on the promise of freedom, equity, and best outcomes for best value. In this season of reform, we will see all [...]
On March 24, Stand for Quality — a new group representing 165 diverse health care organizations — called for a new era of quality in health care. Their white paper is titled Building a Foundation for High Quality, Affordable Health Care: Linking Performance Measurement to Health Reform .
The perspectives [...]
Will the recently passed HITECH legislation — the federal stimulus funding for health IT — encourage innovation? or will it lock in outdated electronic health record (EHR) technology?
It’s a mixed bag — HITECH legislation is both dog-like (innovative) and catlike (protecting incumbents). I’ll refresh your memory below on more specific definitions of cats and dogs.
Among many other reasons, HITECH [...]
by Vince Kuraitis and David C. Kibbe MD, MBA
Being big fans of Clay Christensen and his theory of disruptive innovation (DI), we have been awaiting his just-released book The Innovator’s Prescription: A Disruptive Solution for Healthcare . The book is co-authored by Dr. Jerome Grossman and Dr. Jason Hwang.
We have mixed reactions.
The book is [...]
The story you are about to read is true. The names have been changed to protect the innocent.
This is the city: Los Angeles, California. I work here. I carry a badge blog. My name’s Friday.
Click here (short) or here (long) for Dragnet theme music.
A crime of disorderly conduct has been committed. The U.S. health care system is [...]


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