-
Reform with Revenue: Unfunded Promises go Unfinished
Accountable Care Organizations, Value Based Purchasing, and Healthcare Exchanges – we are adrift in healthcare reform plans and strategies concurrent with a looming debt ceiling debacle. Amid the rhetoric, pundits, and industry leaders engaged in reform discourse, the cost of healthcare continues to spiral. Projects for 2011 cite the US government’s expenditure for healthcare will…
-
John, Walt, Gene — Where are you today?
Space is the final frontier and when you wish upon a star; all your dreams really do come true.
-
Workplace Rape
Does the following scenario resonate with you? Your telephone rings and the CFO are on the line. He is reviewing a demand analysis that you have been working on for a new technology acquisition. The first statement after you say hello is, “What the #$*!@ are these numbers? They make no sense. You idiot.” You…
-
Medicaid: Deal with it!
The winds of change began blowing early in the year as several governorships changed, state budgets were pushed to unprecedented limits, and the pace of recession recovery – specifically employment and corresponding health benefits. Six months later, there is ample evidence of significant cuts in state Medicaid funding resulting in emergency department challenges, primary care…
-
Physician Integration – The Meaning Behind the Words
Sound bite and slogan, strapline and headline, at every turn, we meet hyperbole. The soaring inflation of the English language is more urgently in need of control than the economic variety.” (Trevor Nunn, b. 1940, in Evening Standard, 3 June 1999. The senior partner of a clinical group I was associated with over a decade…
-
Three Characteristics of Great Leaders…Plus One
The other day I was asked to speak about leadership. The idea of approaching a topic as broad as leadership. The idea of saying anything of value in a ten-minute window was daunting to say the least. I started to think about different leader role models that I have worked with or connected to. A…
-
Healthcare From the Inside Out: It’s my turn
The last few months have provided a new perspective of healthcare for me. Against a backdrop of healthcare reform, passage of the Affordable Care Act, release of proposed Accountable Care Organization regulations, and a proposal from Congressman Paul Ryan on behalf of the Republican majority to transform Medicare, I have had a full knee replacement…
-
Thank you Mr. C for the happy days…a letter to my children
A letter to my children… Good night Mr. C. Thanks for the happy days. Earlier today Tom Bosley died. Bosley played Howard Cunningham on Happy Days. His acting credits were decades long; for my generation he was, and will always be Mr. C. From 1974 to 1984, Happy Days followed a typical television family from…