Goodbye Fee-for-Service. Hello Cardiac Bundles.

08/12/16
Spurred on by the overwhelming participation rates in the Bundled Payments for Care Improvement Initiative (BPCI) as well as their uncontested ability to impose a mandate on hospitals in selected areas through the Comprehensive Care for Joint Replacement program (CJR), CMS last week announced plans for a more extensive foray into the bundled payments arena.  More

If Sherlock Holmes Investigated Health Care Spending

08/02/16
In The Hound of the Baskervilles, Sir Arthur Conan Doyle’s intrepid sleuth observes that “the world is full of obvious things which nobody by chance ever observes.” Many of us who have spent our professional lives in health care have an intuitive belief that genuine multispecialty medical groups deliver care more efficiently than when physician services are fragmented among multiple, largely independent medical groups. More

Chronic Care Strategy: A Cure for What Ails Us?

07/14/16
Rather than any early knockout in one of his epic matches, eulogies last month for boxing legend Muhammad Ali memorialized his three-decade, very public fight against Parkinson’s disease. The once fleet-footed heavyweight champion’s chronic condition, in the words of former president Bill Clinton, “made his life bigger, not smaller” as he championed greater awareness and resources for the condition. More

Health Care Strategy and the Second Law of Thermodynamics

06/22/16
Rather than any early knockout in one of his epic matches, eulogies last month for boxing legend Muhammad Ali memorialized his three-decade, very public fight against Parkinson’s disease. The once fleet-footed heavyweight champion’s chronic condition, in the words of former president Bill Clinton, “made his life bigger, not smaller” as he championed greater awareness and resources for the condition. More

Winston Churchill and the 80/20 Rule

06/07/16
Rather than any early knockout in one of his epic matches, eulogies last month for boxing legend Muhammad Ali memorialized his three-decade, very public fight against Parkinson’s disease. The once fleet-footed heavyweight champion’s chronic condition, in the words of former president Bill Clinton, “made his life bigger, not smaller” as he championed greater awareness and resources for the condition. More

Proposed Inpatient Reimbursement Rates Continue Pressure on Hospitals

06/03/16
While attending the National Nuclear Security Administration 2016 Mo-99 conference in St. Louis last week, I learned of a report from the National Academies of Sciences, Engineering, and Medicine (NAS) citing the 50% likelihood of a shortage of molybdenum-99 (Mo-99). Mo-99 is used to produce technetium-99m (Tc-99m), which is used in millions of diagnostic procedures annually. More

If Exam Rooms Had Wings: Lessons from the Airlines

05/25/16
Rather than any early knockout in one of his epic matches, eulogies last month for boxing legend Muhammad Ali memorialized his three-decade, very public fight against Parkinson’s disease. The once fleet-footed heavyweight champion’s chronic condition, in the words of former president Bill Clinton, “made his life bigger, not smaller” as he championed greater awareness and resources for the condition. More

Use Mock Accreditation Surveys to Address Common Problem Areas

04/29/16
One of the areas of greatest concern for pharmacy practice, in terms of both cost and impact on patient care, is the increasing development of pharmaceuticals that could be classified as “specialty.” While there is no universally accepted definition of a specialty drug, most characterizations include attributes such as: • High cost • Limited extent of use • Technical complexity of delivery and/or administration • Treatment of complex and/or... More