In Memoriam FFS

On April 16, 2015, President Obama signed into law H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), effectively se...

Value-based Interoperability: Less is more

Interoperability in health care is all the rage now. After publishing a ten year interoperability plan , which according to the Federal Trad...

The Primary Care Journey from Tomatoes to Ketchup

According to OECD data , Americans see doctors less frequently than people in any developed nation. We are hospitalized less frequently and ...

Fixing Health Care: Rockefeller Style

Health care in America is a perfect example of the Pareto principle, because 80% of our gargantuan expenditures on health care are due to on...

Putting Meaningful Use 3 in Context

On March 20, 2015 the stars aligned to produce four simultaneous events that will never again coincide during the life of human civilization...

Obamacare Cheesy Poofs

One of the most revolting pleasures in life is to read learned opinions and in-depth analyses of consumers’ behavior written by beautiful pe...

The Starbucks Method for Primary Care

Whether you like it or not health care financing is transitioning from payment for discrete services to global payment for value. Whether yo...