Renegotiating Health Care Waste

The New York Times today cites an Institute of Medicine study with more bad news about waste in the health care system: an estimated 30% of spending was wasted in some way in 2009. That’s about $750 billion. In another study cited, three-quarters of hospitalized patients were unsure who was actually “in charge of their […]

Renegotiating Healthcare Relationships

This is from an article that appeared today on Becker’s Hospital Review: How should bundled payments work? Who should be reporting to whom? Is evidence-based medicine the best way to reduce variation? Will EHRs limit physician decision-making? On occasion, this could lead to tension-producing arguments and unwanted conflicts. However, there is one “given” within this […]

Health Care Reform: Where Do We Go From Here?

From a post we authored for KevinMD.com, a widely read health care blog: The Supreme Court has spoken. The Affordable Care Act is upheld.  So what does this mean for those of us actually involved in health care? First, there is a lot of work to do. The Court has reached its decision with regard […]

The Affordable Care Act: Leadership Challenges after Affirmation

We have two areas of research and teaching: conflict resolution and negotiation in healthcare and crisis leadership. With today’s Supreme Court decision, these two come together in dramatic fashion. One of the lessons that we teach crisis leaders is that each event is actually many events. On its face, the Supreme Court’s decision is a […]

Negotiation and the New Graduates

It is commencement season once again. Here at Harvard the gowns will be donned on May 24. It is always a celebratory event as hopeful graduates take their first steps into the next chapter of their lives. For those of us who teach it is also a time for introspection: have we prepared them for […]

Five ACO Pain Points…and How to Remedy Them

Barry C. Dorn, MD, Leonard J. Marcus, PhD, and Eric J. McNulty contributed to this post. Accountable Care Organizations (ACOs), the latest attempt to control health care costs while ensuring quality, are set to become reality in just a few weeks. Supporters believe that they have at last found the formula that that can deliver […]

It’s Time for a Public Health President

The discussion of health in the current U.S. presidential race has largely been limited to loud calls for the repeal of the Affordable Care and Patient Protection Act by Republicans. Each has competed to be the loudest and most strident to denounce “Obamacare.” Many on the left are afraid that Obama may have squandered his […]

Research and Markets adds Renegotiating Health Care

Research and Markets, “the world’s largest market research resource,” has added the second edition of  Renegotiating Health Care to its offering. Thanks for helping bring our work to a larger audience!

Renegotiation Brings Better Health Outcomes, Lower Costs

The November 2011 issue of The Atlantic features an article on CareMore, a health care provider serving only Medicare Advantage plan patients. Through innovative renegotiation of everything from the care model to the business model, CareMore has delivered high rates of patient satisfaction, improved health outcomes, and lower overall costs. CareMore was recently acquired by […]

Can Cost Accounting Save Health Care? Not Without Renegotiating the System

Dr. Barry Dorn contributed to this post. In the September 2011 of Harvard Business Review, Harvard Business School professors Robert Kaplan and Michael Porter argue that a better understanding of the actual cost of care patient-by-patient can have a dramatic impact in the effort to control costs. They maintain that actual costs are poorly understood, […]