Pulse: US


Asset-Light and Ready: Physician Groups Embrace Accountable Care

This is a report I wrote with Carsten Beith.

Hockey superstar Wayne Gretzky gave the business world its most over-used strategic metaphor, “I skate to where the puck is going to be, not where it has been.”  In healthcare, companies are chasing dozens of “strategic pucks” to position for post-reform success. Gretzky would surely disapprove. There's only one golden puck, and it's called value: delivering better healthcare at lower prices with greater convenience. 

A Solution to Exorbitant Health Care Spending?

http://www.gsb.stanford.edu/insights/solution-exorbitant-health-care-spending

Necessity Turbo-Charges Productivity at Cleveland Clinic Florida

Coming into 2015, Ozzie Delgado confronted a thorny problem. Cleveland Clinic Florida was experiencing expansive demand for surgical services. Occupancy was already at 92% and there would be no capacity relief until 2018. That’s when a $300 million capital project will add inpatient beds, three operating suites, an expanded Emergency Department and incremental diagnostic services (e.g. imaging, laboratory).
 

Whatever Some Candidates Tell You, the Incomes of Most Americans Have Been Rising

After a decade when most Americans saw their incomes decline, the latest Census Bureau income data contain very good news: A majority of U.S. households racked up healthy income gains in 2013 and 2014. The facts may not fit the narratives of Donald Trump, Ted Cruz, or Bernie Sanders.  But they do help explain why President Obama’s job approval and favorability ratings have passed 50 percent.

Let’s Talk: Constructive End-of-Life Decision-Making

At Jeff Shield’s memorial service, Genie Shields proclaimed that her husband’s death has been a “gift,” one that enriches all who receive it. When it became clear that lymphoma would take his life, Jeff and Genie decided to spend his remaining time with family and friends at their rustic Flying Bear farm in southern Vermont. Jeff loved Flying Bear.

New Rules: Accountable Care Changes Everything

By Christopher McDonough and David W. Johnson

People go to Las Vegas to let loose, take in the shows and have fun but mostly to gamble. At HIMSS 2016, payors, providers, investors and other industry insiders are hitting the strip in search of healthcare IT’s glitz and glamor.

Rethinking Healthcare.Gov: As Covered California Goes, So Goes Nation?

The 17 state-run healthcare exchanges are real-life “laboratories” for the federally-run exchanges that operate in 34 states. No state exchange has flexed its market muscle more than California’s. As an active purchaser of healthcare services, Covered California has achieved robust enrollment, moderate premium growth, high customer satisfaction and improving quality scores.
 

Child Care Workers aren’t Paid Enough to Make Ends Meet

Child care workers play an important role in the U.S. economy by allowing parents of young children to pursue employment outside the home and providing children a stimulating and nurturing environment in which to learn and grow.

Perspective on China’s Rise

The economic imperatives of global powers are changing approaches to international politics.

China’s rise could reshape an icon of international relations, post-World War II -- the Transatlantic Relationship between the United States and Germany – and Europe. An economic symbiosis that addresses China’s need for technology and Germany’s search for export markets could drive a shift in shared foreign policy interests on the part of Washington and Berlin.

Trade Trials: Getting TPP Right Is Better than Getting It Fast

“Foreign Affairs” ran a commentary by me on TPP, whose main message is that getting TPP right is better than getting it fast, for both economic and geopolitical reasons. But that will be very hard to do with the Obama administration’s current negotiating stance. Here is the URL: https://www.foreignaffairs.com/articles/asia/2015-05-12/trade-trials. 

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