Category: Policy

What administrators don’t understand about urgent care centers

Several years ago, a group of us concerned about health care costs and outcomes met with some local HR benefit managers. One was the head HR person of a city. In part of the conversation, she raved about a local chain of urgent care centers. She loved …

It is time for stewardship of our health insurance system

The bloated nature of health insurance in the United States has been a much-discussed topic in recent years. Particularly with the advent of the Affordable Health Care Act as well in response to physicians’ frustrations and increasing burnout from deal…

How to deal with politics in the workplace

This article is sponsored by Careers by KevinMD.com. Daily headlines in newspapers and on websites across the nation and around the Internet seem to inspire and anger, and it’s only natural that politics is a topic on everyone’s mind. We&#8…

The conservative appeal of Medicare for all

Everyone thinks of “Medicare for all” as a liberal idea, an extremely liberal one embraced by the socialist wing of the Democratic Party. It’s an idea Democrats were hesitant to embrace in the Obama era, for being too far out of mains…

Help hospitalized patients vote by requesting emergency ballots

Two years ago, when I was still in residency I happened to be on overnight call the day prior to election day. An associate program director of my residency program asked me if I wouldn’t mind being a doctor of record who evaluates whether I agre…

It’s time we start voting at our local hospitals

Early voting began recently in Texas with unprecedented excitement, as a record 15 million registered voters made their way to the polls. Reports say polls are looking more like Black Friday shopping lines than early voting locations. Although we canno…

Should there be mandatory state enforced nurse-to-patient ratios?

On November 6th voters in Massachusetts are facing a very important health care-related question. In addition to voting for political parties in the midterms, they also face three ballot questions. The first of these is whether there should be mandator…

Health care is expensive. It’s time to treat the cause.

We do not rely on the benevolence of the butcher, the brewer, or the baker to feed ourselves — Adam Smith observed in the “Wealth of Nations” (1776) — but on their regard for their own interest. The desire to pursue a profitable living also holds true …

The British are unafraid to talk about rationing. That’s something to admire.

I am a huge fan of Britain’s National Health Service (NHS), but probably not for the reasons many people might assume. It’s not because it’s “socialist” (a horribly inaccurate description), or that it’s nationalized, or anything like that. I’m a huge fan because somehow the people of Britain have developed the courage to talk about […]

Lessons from the meeting of different value-based concepts

Value remains one of the most widely invoked and variably interpreted concept in American health care delivery. Beyond patients, stakeholder groups across the health care ecosystem are undertaking value-based initiatives, including payers (e.g., value-based insurance design and payments), provider organizations (e.g., value-based care redesign), pharmaceutical companies and pharmacy benefits managers (e.g., value-based pricing and formularies), […]