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  • 2016 and Beyond

    We have no special powers. We are not clairvoyant. Rather, we have lived within the healthcare management world for nearly 100 years, combined. We all recall the days docs made house calls. Being entrenched in the ever changing health care scene, the three of us made many predictions. Some of which, people may have thought were ludicrous. But, today, they are all a part of health care reality. ...
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  • Healthcare 4.0

    In 2010, Michael Lewis enriched our lives through the book, The Big Short, by explaining how a small group of individuals became extremely wealthy by short selling the US housing market. To make everyones’ Christmas more special, Hollywood decided to further the enrichment process by having holiday movie goers relive the financial crisis by releasing the The Big Short in movie form. Being a ...
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  • Let's Get Started

    We can delay no longer. For many of the past several decades we have pursued only half measures and lip service toward needed response to a tidal wave of demographic (particularly aging and extended life expectancy) and financial change…but, more importantly, spending on individuals. Federal projections, done by the Congressional Budget Office, for Medicare and Medicaid have identified that ...
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  • Part Two - Are the Causes for Negative In-Patient Growth Really Positive?

    In Part I of the blog series we wrote regarding the first four causes of the negative growth in hospital admissions being experienced in most parts of the US. Most would agree that these causes, although affecting the growth of hospitals admissions negatively, are really leading to better clinical outcomes, which in many cases are more affordable and accessible. The additional eight causes that ...
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  • Are the Causes for Negative In-Patient Growth Really Positive?

    In most parts of the United States the number of hospital admissions have been decreasing between 3% and 8% in the last several years. The mean length of stay, although more variable from institution to institution, has stabilized or decreased. Gross revenue increases are being consistently reported due to more uninsured becoming insured, better contracts from some payers, clinical outcomes, and, ...
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