Taming the Healthcare Tapeworm

    Fixing U.S. Healthcare blog has argued that unsustainable healthcare spending is the Real Problem with healthcare.  How can we tame this giant healthcare tapeworm machine, as Warren Buffett has dubbed it? This blog has described how medical professionals of the post-war generation built up our current system. Our system now delivers previously unimaginable healthcare miracles. … Continue reading Taming the Healthcare Tapeworm

Elevator Pitch for Oregon-style Healthcare Reform

Jack Welch, the former CEO of General Electric, was famous for cornering his managers to justify their projects with an “elevator pitch” that could be delivered to him during a short ride from one floor to the next. Here’s mine pushing for healthcare reform and an Oregon-style cost-benefit analysis approach: You know, of course, how … Continue reading Elevator Pitch for Oregon-style Healthcare Reform

Value-Based Care Conundrum for Reforming U.S. Healthcare – A Response

Healthcare Attorney Matt Fisher has recently described the “Cost Conundrum of Value-Based Care.” He provides a sober reality check for public and private healthcare sectors as well as healthcare investors. Question: Could cost-benefit analysis better achieve the same goal as value-based payment by attacking the cost problem more directly head on? Value-Based Payment Bandwagon As Attorney … Continue reading Value-Based Care Conundrum for Reforming U.S. Healthcare – A Response

Private Sector, not Public Policy, Holds the Key to Healthcare Reform — Really?…

Christopher Helmrath, MBA “The Private Sector, not Public Policy, Holds the Key to Better Healthcare" featuring Christopher Helmrath MBA turned out to be as much an infomercial for his investment firm as a discussion of healthcare reform in America. I do not dispute Mr. Helmrath’s investment tip that healthcare is a “good bet.” And I … Continue reading Private Sector, not Public Policy, Holds the Key to Healthcare Reform — Really?…

Navigating Payment Reform – NEJM Catalyst

Harvard Business School and New England Journal of Medicine Catalyst group convened a webinar on “Navigating Payment Reform for Providers, Payers & Pharma” on November 2. Presenters admirably fulfilled Dr. Dafny’s challenge as convener to be transparent about goals, attuned to new ideas, open to trade-offs, and unafraid of failure. From the perspective of General Systems … Continue reading Navigating Payment Reform – NEJM Catalyst