The hidden cost of depression

People with depression cost 3 times more to treat We all know that mental and behavioral health play a critical role in not only the cost of healthcare, but also in how well a person can function both at work and at home. We looked at the higher costs of care associated with depression, despite a person’s underlying… Read More »

Choosing to cover health costs is not the same as choosing to buy a car

As we “debate” the idea of choice concerning healthcare coverage, there are many key points that we seem to be leaving out of the equation. We are a country founded on the principles of individual rights, but also other rights that are bestowed upon us. Many people believe that one should not have to pay for services if… Read More »

Universal coverage does not require single payer

Healthcare in the United States has been deemed a social right. No matter what happens, a person will always receive care under emergency conditions. There are also many organizations that make it their mission for all to receive non-emergent care. The idea of universal coverage is a bipartisan issue as there is no doubt that a healthier society… Read More »

The EHR of today is not the answer

Electronic Health Records should be more than just records When we implemented an electronic record in a large multispecialty group by in 1998, it was called an electronic medical record. The focus at the time was how to recreate the paper record electronically.  We were focused on how to use the data that was collected to improve care,… Read More »

Disruptive innovation in healthcare

I recently read an article, What is Disruptive Innovation? by Clayton M. Christensen, Michael E. Raynor, and Rory McDonald from the Harvard Business Review, that got me thinking about disruptive innovation in healthcare and why it is so difficult. Incumbents, or the supply side, focus on improving their products to their present customer base and inherently ignore the… Read More »

Help me help you understand me

Personal, human care needed to address both physical and emotional needs My wife recently went to visit her very active parents. Her dad, while out walking the dog before light, tripped and fell. As he is on blood thinner, and he took a hard fall, they proceeded to go to the emergency room. Through the course of the… Read More »

SNF liaisons are an important tool in value-based care

Embedding a liaison to help transition people from SNFs to home lowers costs Whether you are an accountable care organization (ACO) or operate under a bundled payment, or any type of value-based payment model, skilled nursing facility utilization and cost are a major area of focus. Not only is it a major source of healthcare expenditure, but people… Read More »

The combination of physical limitations and chronic conditions is costly

As we move to value-based care models, where we place our focus becomes very important. With limited resources both in dollars and human capital, knowing where to spend our energy is dependent on knowing information driven by data. Sometimes dictum is driven more from thought than fact. We focus a great deal on those with multiple chronic diseases,… Read More »

When things get tough, trust more

We live in an ever-changing healthcare environment. No matter where you look, or what you hear, there is ambiguity and difficult situations. When things get tough, we have a tendency to become anxious, and this anxiety leads to behavior and thought processes that we need to name and hopefully keep in check. One such behavior is that of… Read More »

Cost of care at the end of life: Focusing on the facts

There is a great deal of discussion around the cost of care at the end of life. The spectrum ranges from, “this is where we need to put all our focus,” to the press around “death panels.” In order to really understand the scope, we need to look and see what the data tells us. It is estimated… Read More »