Doing that required being a risk taker, not being risk averse. So here are vignettes about some risks taken over 17 years, some with success, some with failure, and some with mixed results. These examples are from my experience. Recognizing the new health care industry algorithm is more complicated, being a risk-taker is still essential
I just got an urgent cold call from a Financial Advisor recommending I buy warrants in UBER since it is about to announce the opening of a system of “gig” urgi-care, UBER HEALTH. You will be able to get a doctor to make a house call within ten minutes using a new UBER HEALTH APP.
Sounds great! But with the transformation of health care more and more physicians are “employed” and not in “private practice.” The Medical Group Management Association reports that more than 50 percent of physicians are now employed by organizations affiliated with health systems. In some specialties, like cardiology, that is closer to 75 percent. Discussion of
After turning on my GPS app to monitor my walking time, pace, distance, and calories burned, I started thinking about how technology can change physician/ patient communication for the better, if used thoughtfully. For example, an article discussing the stethoscope as a historical artifact, raises the question are our physicians’ early or deferred adopters of
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
Is Concierge Medicine simply an under-the-radar way of letting CM members “jump to the front of the line” silently creating a dual system of care based on ability to pay a “private” surcharge? (A) A stated goal of the Affordable Care Act is to “Make coverage more secure for those who have insurance, and extend
My first experience with clinical turf competition was in 1968 as administrator of the Department of Surgery at Wilford Hall U.S.A.F. Medical Center. The Chiefs of general surgery, E.N.T., and Oral Maxillofacial Surgery each needed Head & Neck surgical cases for their residents. Time and time again protocols were agreed upon to rotate the cases