The Clinical Enterprise is the Beating Heart of Health Systems
As health systems struggle to emerge from the post-COVID financial crisis, the importance of the clinical enterprise to these systems has dramatically increased. Healthcare organizations are getting larger, as failing enterprises are absorbed into growing systems. Yet clinicians of all stripes but particularly physicians feel a deepening sense of alienation from the expanding care systems […]
What the Health System Can Expect from a Second Trump Term
Health Policy as a Weapon in the Culture War Though the results of the November election are by no means a foregone conclusion, it is worth thinking about how a second Trump administration might affect the nation’s $4.7 trillion health system. People were not the problem with the first Trump term; his healthcare team was […]
Who to Blame for Health Costs: The Poisoned Chalice of “Moral Hazard”
The Decline and Fall of Elite Multispecialty Medical Groups
Last in Line: Hospitals Brace for a Chilly 2023
Last in Line Hospitals saved hundreds of thousands of lives in the US during COVID, but at an horrendous cost in burnout both among its clinical and management staffs. As the country struggles to tame inflation post-COVID, hospitals find themselves losing tens of billions of dollars on operations, and will be “last in line” to readjust their rates to the exploding people and material cost of care. Hospitals have also been targets of unrelenting criticisms from academic, the press and policymakers. How can they regain their financial footing in this hostile atmosphere, and demonstrate the value they create for society