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Why Cost-Cutting Doesn’t Cut Costs — And What Will

by joeflower | Jul 21, 2011 | Future Hospital Industry, Healthcare Economics, Healthcare Management, Healthcare Policy, Systems Thinking, Top Healthcare Stories

Cutting costs does not cut costs. If we hope to steer health care toward a better cheaper future, we have to wrap our minds around this conundrum: Slashing spending does not necessarily improve the bottom line. Governments in Ireland and the United Kingdom have come...

What about personal responsibility?

by joeflower | Jun 24, 2011 | Healthcare Economics, Healthcare Policy, Systems Thinking, Top Healthcare Stories, Universal Healthcare

A reader writes to ask: What about personal responsibility? “I see no movement afoot to require the public to accept or meet norms of behavior that would reduce the need for medical treatment—smoking, excess drinking, use of drugs, over weight, etc. What ever happened...

The Future of Ambulatory Surgery Centers

by joeflower | Jun 13, 2011 | Future Hospital Industry, Healthcare Economics, Healthcare Management, Healthcare Reform, Top Healthcare Stories

Lindsey Dunn of Becker’s ASC Review reports on what I had to say to the Ambulatory Surgeons meeting in Chicago the other day: In a keynote address to attendees at the 9th Annual Orthopedic, Spine and Pain Management-Driven ASC Conference in Chicago on June 10,...

Coordinating Care: It’s A Moral Question, But Not A Hard One

by joeflower | May 31, 2011 | Future Hospital Industry, Healthcare Management, Healthcare Policy, Healthcare Reform, Top Healthcare Stories

Under the headline, “Medicare Plan for Payments Irks Hospitals,” today’s New York Times details the opposition stirred up by the government’s “value-based purchasing” initiative.  If you’re buying anything (and the US federal government is the largest purchaser of...

How to Blow the Big One: A Methodology

by joeflower | May 20, 2011 | Future Hospital Industry, Healthcare Economics, Healthcare Management, Healthcare Policy, Healthcare Reform, Systems Thinking, Top Healthcare Stories

[Note to the reader: Anything that is in italics and square brackets (such as this note) is addressed to you, personally. Yes, you. Try it on, see if it fits.] Healthcare has, right now, the greatest opportunity we have seen in our lifetimes to make a big change, to...

The Quest for the “Not for Comfort” Health Care Organization

by joeflower | Mar 18, 2011 | Future Hospital Industry, Healthcare Economics, Healthcare Management, Systems Thinking, Top Healthcare Stories

Let’s create systems that will take on real risk and that will compete for customers based on real results and real prices. [This article first appeared in the March 15 edition of the American Hospital Association’s H&HN Daily] The current reorganization of...

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