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 […]

Patients…and the Renegotiation of Health Care

Negotiations between Blue Cross/Blue Shield of Massachusetts and Tufts Medical Center made news this week: Tufts wants what it considers to be a modest increase in payment rates over the next three-to-five years. Blue Cross says that Tufts is already making too much. Tufts says that it gets paid at lower rates than other, larger […]

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 […]

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 […]

Renegotiating Health Care Excerpt Now Available

The second edition of Renegotiating Health Care has hit the shelves. If you’d like a free preview, please download the preface and first chapter with our compliments: RHC 2nd Ed Excerpt We particularly enjoyed the opportunity to interview health care leaders from front line docs and nurses to hospital CEOs to policy makers and administrators. […]