Recently, there is a tremendous amount of focus on the value of social interventions and healthcare costs. To be of optimal help to the greater society, it is important for us to thoroughly understand how to investigate the value of such interventions. In the journal, Health Affairs, a recent study by Kangovi et al. investigates the return on… Read More »
A commonly held premise of shared decision-making is that the healthcare profession neither adequately gives specific treatment options nor discusses the trade-offs of surgical intervention. Predominantly, the thought is that if more in-depth conversations were to occur concerning the trade-offs, and there is more appropriate management of expectations, the chosen solution would be the more conservative approach. With… Read More »
There is a tremendous amount of focus on the value of social interventions like housing and food stability, on the cost of healthcare. For the benefit of all, we must learn how to investigate the value of these interventions. A recent study in Health Affairs by Kangovi et al. examines the return on investment for an evidenced-based community… Read More »
As we continue to focus on value-based care, with particular attention being put on the social needs of those we serve, how these investments are made is important. Historically, funding for this was part of the public health sector, either by governmental or philanthropic funding. However, as we move towards value-based payment models, other delivery entities begin to… Read More »
As we continue to evaluate the cost of healthcare, two main ideas are gaining traction; managed care and managed competition, both are models designed to enhance value in a market. Defined as patient-centered, managed care coordinates care, thereby providing payment incentives that reward achieving cost, quality, and service measures; thus, offering value-based care, whereas, the managed competition model… Read More »
A day rarely ends without Artificial Intelligence (AI) and its vast benefit being discussed in some form or fashion. I am all for technological and mathematical advances; however, one needs to remember that we are early on this journey and we would be better served to avoid the “shiny object syndrome”, meaning chasing after an item merely because… Read More »
As we continue to embrace technology and machine learning to improve care, it is essential to focus on situations as they arise, and advocate adjustments that allow us to evolve. One such area that requires further scrutiny is Physician liability and artificial intelligence (AI). Undeniably, AI is by no means flawless since it involves machine learning on present… Read More »
Happy Holidays! Thank you for reading and engaging with me on The Positive Contrarian this year. Today I am sharing one of my previous posts that focuses on the value of hope, something we all could use a little more of during the season of giving. I look forward to posting new content beginning the week of January… Read More »
As healthcare providers, we focus a tremendous amount of activity on screening to prevent illnesses. Whether it is cholesterol checks, mammograms, or colonoscopies, there is a time where the benefit diminishes due to the age or health of an individual. Currently, we are in a situation where screening continues past its efficacy. Therefore, how do we stop? It… Read More »
Recently, there has been a tremendous amount of focus and thought surrounding the idea that if patients use primary care more frequently, healthcare costs will improve. The thought is if more time is spent on prevention it will decrease the need for additional expensive interventions over time. Simultaneously, there is also conversations surrounding a shortage of primary care… Read More »