Healthcare Reform: New Resistance, New Traction

Business school courses on managing organizational change often begin with how to deal with resistance to change. They teach business leaders first to distinguish between true resistance – recognition by front-line staff of real obstacles – and pseudo-resistance, the natural human tendency to fear anything unfamiliar. We are seeing the emergence of true resistance this … Continue reading Healthcare Reform: New Resistance, New Traction

Healthcare Reform: Are Insurance Companies and Drug Companies the Culprits?

“We are at the mercy of the private insurance and pharmaceutical companies, whose greed dictates the cost of healthcare,” railed Democrat Presidential candidate Senator Bernie Sanders in a recent campaign blurb. Are insurance and drug companies really the ones to blame for our healthcare problem – unsustainable costs and millions without access?  If so, are … Continue reading Healthcare Reform: Are Insurance Companies and Drug Companies the Culprits?

Walmart’s Care Bundling – Will It Fix U.S. Healthcare?

This month Harvard Business Review (HBR) published the dramatic results of Walmart’s innovative centers-of-excellence (COE) care-bundling initiative. Walmart’s third-party administrator, Health Designs Plus (HDP), claims that this approach saved Walmart $86 million on spine surgery alone over 3 years, and could “address the cost-and-quality dilemma and drive change nationally.” But will it? FixingUSHealthcare blog agrees that … Continue reading Walmart’s Care Bundling – Will It Fix U.S. Healthcare?

Healthcare Reform: What About Free Riders?

One of the most potent objections to government-backed universal healthcare is the problem of free riders. John Smith said in 1608, “he that will not work shall not eat.” Getting something for nothing offends the American sense of fairness. But is this the right way to think about healthcare? Let’s look at free-rider claims and … Continue reading Healthcare Reform: What About Free Riders?