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?

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

FAQ: How Many Healthcare Dollars Are Wasted?

 Between $700 billion and $1.1 trillion every year. This amounts to between 21% and 34% of the $3.3 trillion total healthcare spending for 2016. These figures are the estimates published in 25 authoritative studies done between 2003 and 2012. Donald Berwick MD, former head of Medicare, assembled these 25 studies for the RAND Corporation. Fixing … Continue reading FAQ: How Many Healthcare Dollars Are Wasted?

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