Bringing Direct Primary Care to Medicaid (#hcbiz 21)

Medicaid is a big part of our national healthcare expenditure. It accounts for 25% of the average state budget and nearly 10% of the federal budget. Caring for the 72 million+ Medicaid enrolled beneficiaries  is challenging.  Many live in unhealthy environments and face significant obstacles to maintaining their health and obtaining necessary medical care. On top of that, providers are paid

CultureInnovationPatient Engagement

What happens when you let patients design the clinic? (#hcbiz 20)

There’s a lot of pressure being applied to the healthcare industry today. There are penalties for readmissions within 30-days of discharge, reduced (or non) reimbursement for harm due to clinical error (i.e. the CMS “never events”) plus many programs that tie reimbursement to measurable patient outcomes and patient satisfaction (i.e. the HCAHPS survey). One approach to addressing these issues


Digital Health: Snake oil or the free market doing its work? (#hcbiz 19)

American Medical Association CEO Dr. James Madara took some shots at digital health at the AMA annual meeting in Chicago last week. He said: “Today we have really remarkable tools — robotic surgery, new forms of radiation treatment, targeted biologics; and we live in a time of rapid development in the digital world — telemedicine as an example.


MACRA and the Creeping Narrative of Healthcare Reform (#hcbiz 17)

The deadline for public comment on the MACRA proposed rule is June 27, 2016 at 11:59 PM ET.  This is the most comprehensive healthcare legislation enacted since Obamacare (ACA) and it will have a significant impact on all actors within our healthcare system for years to come. Since commercial payers tend to take CMS’ lead,

Social Media

How can doctors get value from social media? (#hcbiz 16)

Social media has become the primary source of information, news and more for many people (myself included). The numbers from this Pew Research Center report demonstrate the reach and scope. For example, 62% of all American adults are on Facebook and 70% of those login daily! The question is, how can doctors (and other medical