Is it Time to Ditch Medicare?

Having endured the past year of the Presidential campaign — most recently the Obama v. Romney debate — in which Medicare is characterized as the program that will send the United States into bankruptcy, I realize that the question must be asked: why not end it? It is a bold notion — one discussed privately […]

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 […]

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, […]

The 570-Calorie Renegotiation

ABC News recently reported that the average American eats 570 more calories per day than in 1977 according to a study from the University of North Carolina at Chapel Hill. No wonder the CDC says that more than one-quarter of the nation’s population is obese. What struck us about these findings was how absent they […]

Health Care and Congress: It’s Time for a Walk in the Woods

by Leonard J. Marcus, PhD, Barry C. Dorn, MD, and Eric J. McNulty A Democratic Congress passed health care reform. A Republican House of Representatives is bent on repealing it. The latest Republican budget proposal calls for significant structural changes in Medicare and Medicaid. We have already seen that the back-and-forth is going to be […]