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 […]

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 […]

Can Patients Ban Facebook from the OR?

A couple of years back my wife went in for surgery. Her only request to the surgeon was that healing statements be read. The surgeon generally agreed. Now should either of us need to go in for a serious procedure, I’m going insist on something else: a written pledge against the use of technology for […]

Can Care and Community Continue to Co-Exist?

The news that the Cleveland Clinic is closing Huron Hospital in East Cleveland (NY Times, June 7) is the latest evidence of the dramatic changes transforming the U.S. health care system. Rising costs, an aging population, shortages of nurses and primary care physicians, and the emerging implementation of the Affordable Care Act of 2010 are […]