The healthcare workforce of the future

As we shift our thinking to value-based, person-centered care, we must also think about the workforce needed to deliver on our new promises, how to train such individuals, and where this new workforce will come from. Historically, we have trained our healthcare workforce to help with the process of diagnosing and treating without much regard for the human… Read More »

Value-based care sustainability requires cooperation and consumer focus

As we shift more to value-based care, we must create models that not only deliver on the value proposition of increased quality and service at a lower cost, but also are models that are sustainable. We need to think about models within a larger health ecosystem. This ecosystem has many components, and collaboration will be needed as there… Read More »

Work affects health, and health affects work

As we focus on improving the health of those we serve, we must remember the interaction between one’s health and one’s work. When we think about work-related events, we tend to think about injuries and taking time off when we are sick. The interactions between the two are much greater. There has always been a focus on employee… Read More »

Behavioral Health vs. Mental Health, the wording is important

Recently, I have been hearing a conundrum concerning how should we be referring to the body of work around behavioral health. There is a growing number of people that think we should be referring to this area as mental health as to denote that there is a true clinical condition. This view is absolutely correct, except for it… Read More »

Fall in love with the problem

Medicine has been plagued with the issue of logic. If A = B, and B = C, then does A = C? The answer unfortunately is not always yes. As we look at the science behind a lot of what we do, we first have observational studies that tell us something. For example, in the field of high… Read More »

Drug pricing is a larger issue than sticker price

When we think about drug costs, many people immediately go to the idea that drug companies are just trying to maximize the return on their investment like any other company. But drug companies have high research and development costs, and are a constant risk of “losing” customers because medication adherence is low. High upfront costs and customer instability… Read More »

High-deductible health plans put financial health at risk

In the move to consumerism, where the consumer has financial “skin in the game,” there are two prevailing thoughts: One, that a consumer will be more discrete in their purchasing if there is money coming out of their pocket, and two, that same consumer has the ability to live without the good purchased. Unfortunately one’s need for healthcare… Read More »

How much information do I share with patients as a physician?

Medicine is an imperfect science, coupled with the art of human experiences. The experience of the physician and the patient both come into play. But unfortunately, we often ignore how these points of view come together, creating a struggle between the needs of the physician and the patient. As we continuously strive to treat and diagnose those that… Read More »

Dental health is as important as medical health despite divide

In the United States we have traditionally distinguished dental health from medical health. This divide dates back to the creation of two, distinct educational models and tracks. It continues as dental care and medical care are paid under different insurance mechanisms. Dental care seems to be financially treated and viewed as a luxury versus a medical necessity. This… Read More »

Shared decision making increases patient engagement

Moving to value-based models of care will require us to include our patients in decision making in ways we have not done before. Historically healthcare has focused on first doing no harm, which has led us to err on the side of being conservative and has thus led to increased utilization of services. As we move to models… Read More »