You Are Here?
The ever-insightful Charles Hugh Smith describes the “S-Curve of Centralization.” Bloomberg reports on the financial distress and consolidation in the healthcare sector, leading to the question: On the “S-Curve of Centralization”, where is healthcare? Which leads to even harder questions: Given your massive […]
The Law of the ATOM
The Lexicon of Value The Law of the ATOM* An immutable and all-powerful truth. Whenever anything becomes too expensive relative to the value provided, particularly if the inflated price is the result of artificial government intervention in markets, a technological solution invariably replaces the expensive, cumbersome incumbent, no matter what the incumbent’s […]
The Patient’s Guide to MACRA—Revolutionize Your Healthcare
Fine, Dr. Davis. If I don’t want to deal with all the headaches of MACRA, I should buy my own healthcare. But I don’t have any money for that. None. What should I do then? The same thing. Nearly all of these clinicians have a certain number […]
“The Dictator’s Handbook” – Survive AND Thrive
There’s nothing wrong if you want to work within corpmed—as long as you’ve decided to do so intentionally and did not just sleep-walk into your position. And because I’m concerned about your personal and professional success, I’ve urged you to read the book “The Dictator’s Handbook“—a roadmap for your survival in any large […]
Success Codes— GI Edition
Time for another edition of my wildly popular “Success Codes” series. If you haven’t already, you may want to review my world-class, yet humbly simple (yes, really) explanation of RAF scoring—it’ll help you understand some of the shorthand terminologies below. It’s the only one on the web written by a PCP who’s been in the trenches […]
The Problem of Skewness
It doesn’t matter how large the reward of success if the cost of failure is too great to bear. That’s called skewness. More and more clinicians are about to see it. Here’s what it is and what you can do. Many ACOs and Medicare Advantage organizations (MAOs) […]
For Healthcare Leaders: Don’t Do This—EVER!*
What the administrator says to the PCP: “You know, we really need you to spend extra time risk-coding, but we’re not able to put it in your comp plan. Really, it’s no different than asking an orthopedist to use a less expensive implant in the OR.” What the PCP hears: “We have […]
The Patient’s Guide to MACRA—and a Healthcare Revolution
MACRA changes how medical care is paid for. Instead of being paid for delivering a unit of service, the professionals who care for you will be paid by your insurer based on the data they submit. Data, not care. What you pay for is what you get. […]
How “The Dictator’s Handbook” Can Help You Be Happy
Serena was a puzzle. And the source of her superpower was surprising. It lead me to write these words to share her wisdom. I first met Serena in her office. A physician, a generation younger than myself, she was smart and pleasant and friendly. […]
Success Codes— Integumentary Edition
Time for another edition of my wildly popular “Success Codes” series. If you haven’t already, you may want to review my world-class, yet humbly simple (yes, really) explanation of RAF scoring—it’ll help you understand some of the shorthand terminologies below. It’s the only one on the web written by a PCP who’s been in the […]