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  • National Regionalized Service-Line Centers--Better care?

    A recent article published in Health Affairs, authored by Sanir Soneji, a PhD working in the Dartmouth Institute of Health Policy and Clinical Practice, questions the value of U.S. cancer care. He states that: “screening, prevention, and treatment have extended life for oncology patients, but at a higher cost in the U.S. than in Europe, without a corresponding decrease in cancer deaths. For ...
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  • Three By Three: The Three Critical Success Factors in Healthcare

    In a recent meeting, several people in the audience asked me what are the basis things that they should know and remember that will assist them in being successful in their leadership roles in the ever increasing complex healthcare industry? Knowing that one should keep the solutions, even to complex problems, as simple as possible if they are to be successful and sustainable, I answered by saying ...
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  • What Is Going To Be Left?

    As technologies and innovations continue to create more and more non-invasive procedures, the movement of “once required” inpatient care is moving rapidly to safer ambulatory settings where often better and less costly medical outcomes are achieved. This transformation is also being fueled by marked increases in the types of anesthesia that has become available over the last decade ...
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  • Evolution of Managed Care

    Although the term “managed care” has been utilized since the first generation HMOs were put into place over 40 years ago, over time the meaning of these two words has evolved since they were first coined. In today's world these words may have returned to what the originators of the term had in mind. A health maintenance organization as it was originally conceived was an organized ...
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  • Value Based Payments. What Does It Mean?

    The latest hot topic in healthcare seems to be “value-based” payments. What this mean? Does it mean the current/historical payment methodology isn’t value based? If that’s really the case, I’m not the one to dissect all the issues that might entail. I’ve read some accounts that allude to the fact that healthcare is shifting from being volume driven to value ...
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