How Much Market Power Do Hospital Systems Have?

Hospital systems like Boston’s Partners Healthcare and Northern California’s Sutter Health are supposed to exert virtually unchecked economic power in their local health insurance markets. Many health policy experts believe they have enough clout with health insurers to charge what they wish for their own services. So why did these and other high quality health systems suffer sharp economic reversals at the end of 2013? See How Much Market Power Do Hospital Systems Have:

A Modest Proposal: Charting Day

Physicians are spending more than a day a week on paperwork, and nearly $85 thousand a year on administrative costs related to billing and “quality reporting”. Administrative costs are drowning independent physicians and driving them to sell their practices. Jeff Goldsmith proposes a solution: Charting Day

Can Hospitals Survive? Part II

Hospitals all over the United States are seeing fewer inpatients and their revenues have basically ceased growing, despite five years of economic recovery. Traditional strategies such as merging to get market power with health insurers and acquiring physician practices don’t seem to be working. What is happening to the nation’s hospital industry and what do boards and managements need to do to cope with a rapidly worsening economic outlook? Can Hospitals Survive, Part II

Practice Redesign Isn’t Going To Erase The Primary Care Shortage

The largest problem the health system faces in the next decade is the retirement of the baby boom primary care physicians, just in time for boomers enrolling in Medicare and millions of newly covered by health reform. Younger physicians are not entering primary care because it pays so poorly. Can we design new primary care models to alleviate the impending shortage, or is something more fundamental required?

Health Care: An Alternate Economic Universe

While the US economy continues to labor to create new jobs, the health system has added over a million jobs since the beginning of the recession, despite falling physician office visits, hospitalizations, etc. What gives? Is health care an alternate economic universe?