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Accountable Care Organizations

Improving the 'Patient Experience' By Eliminating the Big Insurance Company

Wendell Potter | Posted 09.29.2014 | Business
Wendell Potter

Employers are starting to realize that insurers might not be, as they have claimed, "part of the solution" to achieving a more patient-centered health care system. In fact, in some ways they have been part of the problem.

Hospital Executives Beware: Impatient Patients Are Taking Charge

Tasha Eurich, Ph.D. | Posted 09.17.2014 | Business
Tasha Eurich, Ph.D.

Without a change in course, hospital executives are danger of going the way of the railroads -- this industry held an unquestioned monopoly... until it didn't. If executives don't adapt to the new realities of health care, they too could wake up one day to find that they've become obsolete.

With Budget Agreement, Medicaid Reform Should Be Next Compromise in North Carolina

Paul Shorkey | Posted 08.26.2014 | Politics
Paul Shorkey

Finding a place of compromise is commendable. But the budget accord earlier this month was silent on a critical issue that can wait no longer: reforming the state's Medicaid program.

Maybe Technology Adoption in Health Care Isn't as Hard as It Seems

Mark Wagar | Posted 07.23.2014 | Healthy Living
Mark Wagar

With all the talk in the past about how difficult it is to incorporate technology into our health care system, I believe there are too many excuses. M...

Living Up to the Promise of Modern Medicine: Collaborating Across Boundaries

Sachin H. Jain, M.D. | Posted 03.10.2014 | Healthy Living
Sachin H. Jain, M.D.

My father was diagnosed with diabetes when I was 6 years old, and it wasn't until years later that I formally learned about the disease in medical sch...

Four Key Obamacare Questions (and the Event Where They Might Get Answered)

Brian Reid | Posted 03.01.2014 | Business
Brian Reid

What was once, three decades ago, a small gathering of brave souls trying to lift the biotechnology industry off the ground has become a four-day celebration of the intersection of money and health care.

Are We Underestimating Primary Care Capacity?

James R. Knickman | Posted 02.08.2014 | New York
James R. Knickman

Rather than relying on the traditional approach of almost begging young medical students to consider primary care, we should change regulations and energize the market so that care managers can deliver more aspects of primary care.

For Medicaid Reform in North Carolina, Try Accountable Care Organizations

Paul Shorkey | Posted 12.18.2013 | Politics
Paul Shorkey

North Carolina would be wise to consider the ACO as one -- if not the primary -- component of its Medicaid reform package. By creating the right incentives for providers, the state could realize the cost savings that the Republican governor and legislature are intent on achieving.

Steal This Idea: How to Solve our Wicked Health Care Challenge

Daniel Dworkin | Posted 12.14.2013 | Business
Daniel Dworkin

Imagine a scenario in which teams from different hospitals within a single region competed to achieve the best health outcomes at the lowest cost, shared their experiences in virtual roundtables, and earned rewards for applying peer tested best practices.

Prevention First: Invest in Public Health to Make the ACA Successful

Deborah Klein Walker | Posted 01.23.2014 | Impact
Deborah Klein Walker

If we are really serious about improving the health of Americans and communities across this nation, providing health insurance under Obamacare -- while an important first step -- will not be enough.

5 Reasons Republicans Should Embrace Obamacare... and Take Credit for It

Paul Abrams | Posted 11.14.2013 | Politics
Paul Abrams

Republicans would be far better served embracing Obamacare, labeling it correctly, taking credit for it, and using it to "prove" the virtues of free market competition.

What Laura Ingalls Wilder Could Teach Obamacare

Leah Binder | Posted 09.18.2013 | Business
Leah Binder

Thirty-two health systems in the United States are designated by the federal government as "Pioneer ACOs." Yesterday CMS, the agency that runs Medicare and Medicaid, announced that several of them are quitting as pioneers.

A Long Overdue Wave Of Health Innovation -- And The Smart Policies Behind It

Sec. Kathleen Sebelius | Posted 08.03.2013 | Technology
Sec. Kathleen Sebelius

Smart policy can be instrumental in removing obstacles to innovation. And we're now seeing the same pattern play out across the health care system.

Reforming Flawed Incentive Models in Healthcare Systems

Amy Guan | Posted 07.17.2013 | Impact
Amy Guan

Medicare's governing body, the Center for Medicare and Medicaid Service (CMS), has made strides to cut healthcare spending by establishing accountable care organizations (ACOs). ACOs are groups of medical practitioners who coordinate treatment options for their patients.

Fate of Obamacare After Obama's Reelection

Manoj Jain, MD MPH | Posted 01.12.2013 | Politics
Manoj Jain, MD MPH

Our health system is like a car with three flat tires: Millions lack health coverage, quality is inconsistent and costs are unsustainable.

Innovative Strategies Needed to Implement Affordable Care Act

Barbara Ballard | Posted 11.26.2012 | Black Voices
Barbara Ballard

We have the mechanisms and innovations in place to address the medical needs of our chronically underserved and to eliminate health disparities in this country. Now is the time for us to roll up our sleeves and get to work

Donkeys, Elephants, Politics and Politicians: Is Logic and Self-Interest Lost Among the Foes of Health Care Law?

Glenn D. Braunstein, M.D. | Posted 10.20.2012 | Los Angeles
Glenn D. Braunstein, M.D.

It seems that the people and places that most need better health care access and healthier outcomes are the very ones fighting tooth and nail to stop reform.

Marcus Welby, MD: Are We Witnessing His Extinction or His Evolution as Part of a New, Different Health Care Model?

Glenn D. Braunstein, M.D. | Posted 08.11.2012 | Los Angeles
Glenn D. Braunstein, M.D.

With so many changes occurring in our society because of technology, the economy, and population growth, the practice of medicine in the future will change.

Healthcare Infected With Tapeworms: ACA, ACO, EHB and IPAB

Deane Waldman | Posted 05.21.2012 | Politics
Deane Waldman

Washington's recent effort at reform of healthcare has produced the mother tapeworm, the Affordable Care Act (ACA). The ACA protects the bureaucracy, not the patients.

Deciphering the Alphabet Soup of Health Reform

James R. Knickman | Posted 05.20.2012 | New York
James R. Knickman

The whole alphabet soup of health care payment and delivery models is dizzying, but what do those models look like, and how will they affect the way patients experience care?

2012: Go Big (Data) or Go Home

Janet Dillione | Posted 04.01.2012 | Technology
Janet Dillione

The adoption of healthcare IT as a means to improve clinical workflow processes and ultimately to improve the delivery of patient care has accelerated...

Berwick's Exit from Medicare a Loss of a Brother-in-the-Trenches for Integrative Medicine

John Weeks | Posted 02.08.2012 | Politics
John Weeks

The forced exit of Don Berwick, MD as administrator of the Center for Medicare and Medicaid Services was a double whammy for the emerging field of integrative medicine.

Wal-Mart Has an "Oops" Moment

Al Norman | Posted 01.14.2012 | Business
Al Norman

Before Wal-Mart offers the world an opportunity for a healthier life, the company needs to heed the Biblical dictum "physician heal thyself." Before selling American families a health plan, the Wal-Mart family should focus on improving the health coverage of its own workforce.

A Doctor's Advice: Take Three Questions and Call Me in the Morning

Maggie Kozel, M.D. | Posted 11.12.2011 | Politics
Maggie Kozel, M.D.

Even health care professionals and policy wonks find it hard to stay ahead of all the ideas and arguments floating around healthcare these days; all the more reason to focus on the fundamentals.

The Impossible Dream: Health Insurers Will Improve the Health Care System

Stephen M. Davidson | Posted 07.19.2011 | Politics
Stephen M. Davidson

Society's interest is clear and so is the path to get there. How bad do the problems need to get before we finally face the reality that investor-owned insurers do not want to be part of the solution?