Lessons From a Lighthouse: Caring for the Caretakers


When serious chronic illness requires extended episodes of care, there are opportunities for hospitals and health systems to alleviate that strain on patients and their loved ones. 


Turning Ambition into Action: Achieving Health Equity Starts with Better Measurement


A successful health equity strategy starts with better measurement and effective communication.



Practice and Proficiency: From the Airport to the Operating Room


A reflection on one aspect of the Vizient Research Institute’s 2021 study, the prevalence of high-risk surgical procedures occurring in low-volume settings and its juxtaposition with the views of physicians, health system executives and patients.


Celestial Orbits and the Myth of Aligned Incentives


Aspiring to economic alignment between providers and patients is not unlike looking up and hoping for an eclipse. The altruistic nature of health care providers, and not the alignment of financial incentives, is necessary to balance the economic interests of the providers with those of their patients.


Maslow’s Hammer and Health Care Prices


Has our trust in the market to govern the distribution of health care services and to establish rational, sustainable prices may have been misplaced or might the market be the wrong tool for the job?


The War of Our Lifetime


The COVID-19 pandemic will likely have a lifelong emotional impact on the generations who live through it. This blog post is tribute to health care workers and a rallying cry for what lies ahead.


Miles to Go Before I Sleep: Robert Frost and the Common Good


The percentage of Americans aged 65 or older will surpass 80 million by 2040 and will hit 94.7 million by 2060, brining brings with it an enormous burden of chronic illness, shouldered by a group of people who are increasingly disabled, socially isolated and severely limited in their ability to cope with their illnesses and the complexity of the health care system. At the same time, we have an unprecedented increase in the number of healthy seniors—folks whose professional careers are coming to a close, but whose physical and mental capabilities are far from exhausted. With their working lives winding down, many of these healthy seniors express feelings of diminished usefulness. It’s this fortuitous confluence of relatively healthy seniors and their less fortunate generational peers that make the echoes of volunteerism that John F. Kennedy spoke of in 1961 relevant today.


Health Care Spending and the Winds of November


Using homeownership as an analogy, we'll explore how the traditional role of health insurance has been replaced by an expectation that each beneficiary will take out at least as much as they pay into the system, a fundamentally unsustainable economic model.


The Decline of Emergency Departments: COVID’s Impact on Where Patients Seek Care


Most health care services volumes are poised for a rapid recovery from the aftermath of the COVID-19 pandemic. However, a shift in where care is delivered that began before the pandemic has only accelerated and is particularly impacting emergency department demand.


A Fire Hydrant, a Chain-Link Fence and the Health Care Labor Shortage


Health care has not been spared from a nationwide labor shortage. This blog explores how the traditional payment system can complicate an already challenging situation and the implications for patient care and ongoing efforts to address the issue of health disparities.