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?

Reframing Healthcare Reform: Cost-benefit, Systems Engineering, Both?

Fixing U.S. Healthcare blog has championed the success of the Oregon Health Plan of 1994 (OHP), and has attributed its success to cost-benefit analysis.  But was cost-benefit analysis really the key factor in its success? Or did the OHP succeed for other more fundamental reasons? And what are the implications for healthcare reform now? My answers … Continue reading Reframing Healthcare Reform: Cost-benefit, Systems Engineering, Both?

Needed:  A New Idealism to Guide Healthcare Reform

Fixing U.S. Healthcare blogsite has laid out the mounting need for healthcare reform and a compelling case for Oregon-style cost-benefit approach as the foundation for it. But this blogsite’s reasoned arguments from history, politics, finance, and ethics are not enough. Americans need a rekindled core idealism to impel them toward reform. Here are three key ideals … Continue reading Needed:  A New Idealism to Guide Healthcare Reform

Doctors Critique Oregon-Style Cost-Benefit Approach to Healthcare Reform . . . But Not So Fast!

Noted surgeon and social-medical commentator Atul Gawande MD hosted a video roundtable in 2014 entitled “Avoiding Low-Value Care.” His panel seemingly challenged the idea that low-value care can be avoided, which is the crux of the cost-benefit approach to healthcare reform. But on closer look Dr. Gawande and panel may actually, in fact, be validating … Continue reading Doctors Critique Oregon-Style Cost-Benefit Approach to Healthcare Reform . . . But Not So Fast!

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