Education Debt May be a Barrier to Enhanced Care

With the 2018 New York University announcement of free medical school tuition, undoubtedly there is increased interest in the potential impact this will have. Many hypothesize that this is a new era, and a new education model is forthcoming and necessary. As recently as 2017, there was a proclamation from the Association of American Medical Colleges that the… Read More »

The Tipping Point of Value-Based Care

If one studies the life span of a company, progression occurs in many stages. Once a business has reached a level of “maturity,” its survival depends on its ability to innovate and adapt. Regarding value-based care and payment models, healthcare experiences a similar metamorphosis. Fee for service has been the prevailing payment model, and the consumer historically remained… Read More »

Is AI the Next Major Innovation in Healthcare?

With the evolution of technology and innovation surrounding artificial intelligence (AI), it is essential to step back and dissect the nuances of how best to implement this emerging frontier in Health care. AI attempts to mimic human intelligence through iterative, complex pattern recognition and matching based on input data at a speed and scale that exceeds the human… Read More »

Are Portals and Telehealth Being Utilized and Do they Increase Value?

We continue to focus on improving access and services using technology as we move towards value-based care. Furthermore, we have experienced similar shifts away from direct human interactions with online retail and self-service banking, airline ticket purchases, etc. As we progress within this technology realm, numerous questions arise. Are consumers willing to sacrifice face-to-face visits with their clinicians… Read More »

Diagnostics & Treatment – There’s an App for That?

With healthcare continuing to focus on patient-centricity, smartphone applications “Apps” are rapidly becoming more prevalent in the diagnosis and treatment of conditions. Currently, there are approximately 325,000 health Apps on the market with consistent increased investment for the past decade. Furthermore, there are Apps that not only focus on wellness and prevention, but also help diagnose unknown symptoms… Read More »

When it comes to improving patient safety, should we be learning from the patient?

All of us in healthcare are striving to improve patient safety; but our current systems for tracking diagnostic errors have focused on individual clinicians’ decisions based on data and system designs and not information from the patient. Relatively few systems capture information from patients with the purpose of aiding in the understanding of such mistakes. A recent study… Read More »

The Value of Aligned Incentives between Providers and Consumers

As we continue our discussion regarding the imperative necessity of changing our present healthcare delivery system, we must adjust our thinking concerning the relationship between provider and consumer incentives. Engaging the consumer, a critical component of the solution, requires that we recognize and acknowledge that they too need enticements to keep them engaged, like including them in the… Read More »

Is U.S. Healthcare Really Worse than Healthcare in Other Countries?

Frequently, we hear the blanket statement that what the United States pays for its healthcare on a per capita basis is much higher than other countries while our outcomes are significantly worse. Making this statement, however, requires us to define what the desired results of our system and its efficiency actually are. Efficiency describes the relation of inputs… Read More »

What Drive’s Physician Clinical Variability?

We continue to enhance our delivery of value by increasing quality and lowering costs and our focus is shifting to the clinical appropriateness and consequently, the clinical variability amongst physicians. Clinical variability can be defined as the difference in spending on patients that have similar health characteristics treated by different physicians. As we begin to compare the different… Read More »