Specialists vs. generalists, managing the polarity

There is no one solution to specialized vs. general care As I read an article by Richard Gunderman about the proliferation of hospitalist care and what it means for the continuity of care needed in a value- based world, it made me think about the bigger question of which is better: general or specialty care? We see this… Read More »

Giving back is personally rewarding

I had the honor and blessing to attend an event that celebrated 25 years of a health center that is almost completely funded by donations. Most of the patients that receive care, around 90%, are refugees from other countries who are not just looking for a better life, but had to leave their homes and cultures just to… Read More »

Treating medical issues in non-traditional ways: Mindful meditation

Care for those in need and improving their health status requires us to think differently if we truly want to see meaningful changes. As MissionPoint Health Partners seeks to ensure all aspects of our member’s lives work together toward better health, lower costs, and greater satisfaction, we continuously look for models of care that will result in positive… Read More »

Please don’t call me a diabetic

Naming conventions highlight underlying disease-centered philosophical approach to healthcare I remember a character created by comedian Bill Saluga back in the late 70s named Raymond J. Johnson Jr. When the character would be addressed as “Mr. Johnson,” he would go into a loud shrieking voice saying, “My name is Raymond J. Johnson Jr. Now you can call me… Read More »

The value of ambulatory palliative care

Inpatient palliative care is costly and removes patients from their home A simple, straight-forward definition of palliative care is a multidisciplinary approach working with those that have serious illnesses. It focuses on improving the quality of life of people by not only focusing on symptom relief, but also the psychosocial issues that are present in those with such… Read More »

Today’s network sizes determined by value

Unfortunately, many of us remember the late 1990s and early 2000s when we used the term “narrow” networks, which were designed to be very narrow to decrease cost by decreasing utilization and trading volume for pricing. They worked. We saw a reduction in spend, but many argued this model withheld needed services. Those of us in these narrow… Read More »

The Fourth Aim

Value-based care must meet both consumer and provider needs As we move to value-based care, we need to think differently around our “workforce.”  Consumers do not look at their need for care as a weekday, 9 to 5 service. They view their needs as 24/7, and thus want access in that same fashion. Illness does not take a… Read More »

Healthcare payment wargames

Drastically changing healthcare landscape turns payment wargames into reality As a kid, I remember watching a movie about how a computer that was simulating a war game went hay wire and almost started World War III. When I attended business school, part of our initial class was a healthcare simulation game where we all represented a different part… Read More »