The Case against Employer-Sponsored Health Insurance

This article first appeared in the Austin American Statesman on May 23, 2018. The Patient Protection and Affordable Care Act — known as the ACA or Obamacare — is well-intentioned legislation that has failed to deliver on its promise to provide affordable health insurance to all Americans. In 2017, the uninsured rate of nonelderly individuals (ages 19-64) was over 15 percent. … [Read more...]

What mouthwash has to do with the CVS Aetna Acquisition

This commentary was first distributed through The Powers Report on December 12, 2017. Please sign up here to receive my newsletter in your inbox! Link to the Newsletter here. The makers of Listerine are not going to like this.  A recent study found that using mouthwash twice a day can increase your risk of developing prediabetes or diabetes by 55%. Yes. Someone thought to … [Read more...]

Thoughts for Your Thanksgiving Dinner

This commentary was first distributed through The Powers Report on November 20, 2017. Please sign up here to receive my newsletter in your inbox! Link to the Newsletter here. I am grateful for every Thanksgiving celebration because without this holiday, I might not be here. Decades past, the man who would be my father wooed the woman who would be my mother over a Thanksgiving … [Read more...]

November Thoughts – Elections et. al.

This commentary was first distributed through The Powers Report on November 10, 2017. Please sign up here to receive my newsletter in your inbox! Link to the Newsletter here. "I don't mean to be rude, but when exactly are you going to finish your book?" Thanks to my daughter for her sensitive query about the status of the slog...known to many of you as Health Care: Meet the … [Read more...]

Lessons from the French President about American Health Care Spending

Last weekend, political newcomer Emmanuel Macron became the new President of France. He's got some ambitious plans. President Macron seeks to strengthen the economic fortune of the European Union (EU) by creating a common budget to be followed by its member nations. Such a plan could create a disciplined, streamlined fiscal infrastructure across EU nations, enabling the EU to … [Read more...]

Say Good-Bye to Health Insurance as We Know It

A modified version of this post was sent out via The Powers Report. Please subscribe to get the latest updates! I, like many of you, am wondering what's going to happen to the health insurance market now that steps have advanced to repeal and replace the Affordable Care Act (ACA or Obamacare). As many of you know, I voted for Trump with the hope that ACA would be replaced. … [Read more...]

4 Secrets for a Successful Career after Medical School

This article first appeared on the forum Motivate MD on December 28, 2016. Dear students: ​ Please go to medical school, finish medical school and become a doctor. This is a personal request from a 47-year-old future patient of yours. By the time I reach my elder years I’m going to need access to some medical professionals with at least a couple of decades’ worth of … [Read more...]

Mitigating Financial Risk in Value-Based Care Models

This article was first published in the Healthcare Financial Management blog on August 11, 2016. The shift from volume- to value-based payment is changing the financial incentives in the health care industry. New payment initiatives such as the Bundled Payments for Care Improvement (BPCI) Initiative and the Medicare Access & Reauthorization Act (MACRA) reflect new Medicare … [Read more...]