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...]

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...]

An Alternative To Health Care’s Logic-Defying Payment System

This article was first posted to The Huffington Post on July 21, 2016. Recently President Obama provided an assessment of the Affordable Care Act (ACA or “Obamacare”) in an article published in The Journal of the American Medical Association (JAMA). The president acknowledged the program’s successes and shortcomings, and offered up some advice about how to improve it going … [Read more...]

Is This the End of Universal Healthcare?

This article was first featured on The Huffington Post on January 25, 2016 For decades, universal healthcare has been an important policy issue for Democrats. Party faithful argue that providing access to healthcare is a basic right that should be afforded to all American citizens. Data suggests that providing healthcare access benefits society both socially and … [Read more...]

The Side Effects of Obamacare Are Just What the Doctor Ordered

This article was first posted to The Huffington Post on June 9, 2015. When many people think of the Patient Protection and Affordable Care Act (PPACA or "Obamacare"), they think of a health insurance program designed to expand coverage and care options for Americans. The insurance element of Obamacare is the most prescribed and detailed aspect of the law, which is probably why … [Read more...]

Outcomes-based reimbursement: Do the codes support it?

This article was originally posted to Becker's Healthcare on October 2, 2014 There are 24 hours in a day, and when you're a physician, you have to think about how to best work those hours to take care of your patients — and yourself. Back in the day, when the fee-for-service model was alive and kicking, physicians would charge what were ostensibly market rates for the care … [Read more...]

Employee Based Healthcare: An Obsolete Entitlement

Advocacy for universal healthcare in America has stirred up the debate over the government’s role in society. Should the government require that all Americans are medically insured? If so, those who cannot afford it will get their insurance paid by the government. It won’t take long for the collective chorus to start chanting, “Entitlement!”So-called entitlement programs are … [Read more...]