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Dancing on the Grave of Obamacare: Questions

by joeflower on November 10, 2016

I hate to interrupt the festivities, but I have a few questions. There are one or two little unknowns here. The answers to these questions are matters of life and death to many in the industry, literal life and death to many thousands of patients, organizational life and death to thousands of companies, hospitals and […]

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Healthcare costs too much, and we don’t get enough of the healthcare that we need. This is our core problem in one word: “productivity.” The obvious difficulties of healthcare in the U.S., where we can’t seem to take care of everyone, millions are saddled with coverage that is too expensive for them to really use, Medicaid […]

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The final MACRA rules are out. MACRA stands for the Medicare Access and CHIP Reauthorization Act (MACRA), the historic Medicare reform law that passed last year that nobody outside of healthcare has even heard of, and everyone inside the industry is in a sweat about. There is plenty of room for debate about the rules, […]

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Blockchains: Turbo-charging Healthcare Transactions

October 6, 2016
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What It is: You’ve heard of bitcoin, that magical digital money not attached to any national economy or banking system? Blockchain is the technology behind it. It’s a clever extension of existing encryption techniques that enables trusted, secure transactions of any type, even with total strangers, even without knowing the identity of the counterparties — […]

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Neural Dust: the blind see, the lame walk?

August 18, 2016
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What it is: A tiny encapsulated bit of circuitry, with sensors and a chip, that can be inserted into your brain (or actually, anywhere in your body), to check out the local conditions and report back. Here’s the actual paper in Cell from the UC Berkeley scientists and here’s a bit about it on the […]

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Follow the money. Then follow the trust.

July 20, 2016

How will healthcare be distributed in the future? In ways that bear only some resemblance to the way it is distributed today. The changes will be driven by the new economics of healthcare embedded in the “volume to value” movement, based as it is on “provider-sponsored risk,” the basic, obvious and yet startlingly opaque logic […]

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Trust. Partners. The Secret Sauce of the Next Healthcare

July 20, 2016
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The double doors to the ambulance bay slide open, and one more patient on a gurney is hauled across the threshold of your Emergency Department. This one’s in diabetic shock. Stop the picture right there and ask yourself: Is this a medical success, because you can do something for this person? Or a medical failure, […]

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Why Did Healthcare Inflation Slow Down? Why Does It Matter?

June 30, 2016
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The costs of healthcare turned a corner in 2009. You can see it on any graph of National Health Expenditures, whether by dollars or dollars per capita or percentage of the economy. There is a decided downward bend in the trend line between 2008 and 2009. The line then stays nearly flat, close to or […]

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Artificial Intelligence Picks Up Speed

June 22, 2016
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What it is: Pundits, start-ups, and marketing firms right now are throwing the term “Artificial Intelligence” like confetti on a parade. It’s the new “greenwashing.” What makes an AI system different from a really good program with massive computing power and a monster database is that the computer will only do what you program it […]

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Republican State Struggles To Keep Obamacare Alive

June 22, 2016
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What it is: Alaska’s GOP-dominated legislature has passed and Sarah Palin endorsed Governor Bill Walker has signed a bill to bail out the state’s one remaining Obamacare insurer, using $55 million in tax money. Take a look: http://www.politico.com/story/2016/06/alaska-obamacare-collapse-224149 What it is not: A sign that Republican states are just caving in to the inevitability of […]

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