
Congressional Budget Office: 27 million will lose coverage and premiums will increase by 50% if repeal ACA without replacement
In my last post, I noted that Congress was eager to repeal Obamacare, but lacked consensus on a replacement. I noted that Obamacare was designed
Are high risk pools really a good replacement for Obamacare architecture?
Congress and the president-elect are enthusiastic about repealing Obamacare, but have not yet achieved any consensus about what to replace it with. High risk pools

Three ways to keep it simple — one of which is bad
“Keep it simple, stupid.” The “K.I.S.S.” principle. Generally a good idea, but not always. Consider three types of simplification: Leaning. This is about getting rid

First take on new CMS Comprehensive Primary Care Plus model
This morning, I read about the recently announced next generation version of the CMS Comprehensive Primary Care model, which will require multi-payer participation and will
Criticism of ProPublica’s Surgical Scorecard fails to consider the possibility of real, useful analytics.
Last week, ProPublica published a scorecard of surgical death and complication rates of more than 17,000 surgeons for 8 elective procedures using Medicare data. As

How government surveillance of internet data relates to health care privacy and big data
This week, I accompanied my daughter and her elementary school classmates on a field trip to see the musical “The Sound of Music.” To my

In the dust-up about “rebooting” the EHR meaningful use incentive program, “the Emperor has no clothes” has been the most interesting response.
Last month, six Republican senators released a document entitled “Reboot: Reexamining the strategies needed to successfully adopt health IT.” The report asserts that the original goal

Physician-led ACOs now outnumber Hospital-based ACOs: Why this makes sense, and where our terminology breaks down.
At a recent meeting of the American College of Physicians covered in MedPage Today, Neil Kirschner, PhD reported on the growth of ACOs. Dr. Kirschner is
Beautiful video from Cleveland Clinic advocating empathy
We focus on optimizing care processes, analyzing data, implementing technology, and the other technical and scientific aspects of our work to improve health care. But,