LET’S MAKE AMERICA ALTRUISTIC AGAIN! National Volunteer Week – April 21-29.

As our economy takes off, there are still many left behind or in need of a helping hand – including veterans with disabilities, those with behavioral health and addiction challenges, the undocumented without access to health services, refugees seeking a new start, and many, many more. Not-for-profit health and social service agencies are often the

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Insanity: doing the same thing over and over again and expecting different results. (attributed to Einstein). Perhaps increasing access to primary care needs a new approach – rewarding evidenced based care, rather than outpatient visits.

Some highly acclaimed initiatives to improve access to quality primary health care and reduce cost have proved challenging. Over the past several weeks we have seen several glaring examples –  hospitals leaving ACOs, no change in ED use, the uphill strategy to train more primary care physicians, and “whatever happened” to medical homes.  Dartmouth was

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