Posts Tagged ‘Healthcare’

Types of Change

It is typical to think about change in terms of intentions and consequences.  We intend to exercise more or eat better to achieve the consequences of weight loss and improved fitness.  The President intends to move the country towards greater use of renewable energy sources to achieve the consequences of greater energy independence and decreased […]

Engineering Healthcare Delivery

I am pleased to report that IOS Press released “Engineering the System of Healthcare Delivery” this week in Amsterdam.  Denis Cortese and I edited this 500-page compendium of the insights and ideas of a wide range of luminaries in healthcare.  Our goal was to bring together in one place the thought leaders who are transforming […]

Value of Prevention

Last August, the Director of the Congressional Budget Office (CBO), Douglas W. Elmendorf, sent a letter to Congress informing them that most preventative health interventions tend to expand utilization of services with costs that far exceed the eventual cost savings due to avoiding disease or detecting it earlier.  In other words, he reported that prevention […]

Unintended Consequences

Medicare limits reimbursement for healthcare procedures, often below the cost of delivery of these procedures.  Not surprisingly, healthcare providers figure out ways to compensate for these price controls.  They may, for example, bundle other, profitable services with those that they are forced to provide at a loss to get the overall profit margin to be […]

Healthy, Educated & Productive

Starting with the overarching objective of a healthy, educated, and productive population that is competitive in the global marketplace, what should be done?  Let’s work through this piece by piece. Start with healthy.  We are facing an epidemic of chronic disease, driven in part by an epidemic of obesity.  The eventual financial costs of diabetes […]

Transformation Archetypes — Part 4

A year ago, I bought an iPhone.  About six months ago, I switched from a PC to a Mac.  A few months ago, I began to use texting and now frequently rely on this means of communication.  Now, I am writing a blog.  My colleagues think that I have a chance of actually making it […]

Challenges in Healthcare Delivery

We are currently embroiled in two healthcare debates. One debate involves how the costs of making healthcare available to everyone should be apportioned among individuals, employers, and the government. The second debate concerns how to achieve reductions in the high costs of healthcare to provide the best value. Both debates have to be resolved effectively […]