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Health Care Needs New Rules to Enable Innovation and Reward Experimentation

(cross-posted on Microsoft on the Issues)   Technology is playing a major role in helping bring healthcare into the 21st century.  Many of us have seen it first hand in treatment from our doctors, from...

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Lessons from Medicare and Medicaid

So this week’s question from the Washington Post RX Blog was: Do you think that a government-sponsored health insurance option is needed to help control rising costs and "keep insurers honest," as...

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Individuals and Personal Responsibility May Be the Tipping Point in Health...

The latest turn in the healthcare debate is the increasingly sensational coverage of town halls happening across the country.  While they’re described as rancorous and sometimes violent, I’m pleased...

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Three Simple Truths

So this week’s question from the Washington Post RX Blog was: Recent polls show declining support for President Obama's handling of the health-care issue. What should he do to get the effort back on...

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In the Health Reform Recipe, the Missing Ingredient Is the Consumer

So this week’s question from the Washington Post RX Blog was: What's Your Take On Obama's Speech?  What did you think of President Barack Obama's Sept. 9 speech to a joint session of Congress? Was it...

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Empowering Consumers

So this week’s question from the Washington Post RX Blog was:   In the Baucus bill, insurers would pay a tax on the value above $8,000 for an individual policy and $21,000 for a family plan. What do...

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Reflecting on the healthcare system while waiting at the hospital for a loved...

Often when we talk about healthcare reform, it can be a rather abstract discussion -- you watch some tv show with ‘experts’ reflecting on some 20 page bill or hashing through the merits of a public...

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Personal Accountability

So this week’s question from the Washington Post RX Blog was:The Senate Finance Committee passed a bill containing its version of the health-care overhaul. Are you satisfied with this bill? What does...

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Learning from Singapore and Switzerland

So this week’s question from the Washington Post RX Blog was: Which country has the best health-care system and why? Can the U.S. follow its model? My response -- Learning from Singapore, Switzerland...

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New delivery models will solve the cost crisis

This week's question for the Washington Post Health Care Rx blog was: Has Congress done enough to constrain long-term, health care spending growth? What cost containment strategies would you advocate...

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The Six Billion Pound Challenge -- How a Focus on Driving Outcomes can...

I commend the administration for shining the light on the need to improve health in America!  While I want to be optimistic about change, I’m skeptical about how much real improvement we will really...

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Reform Health Care by Re-empowering Consumers

For my latest thoughts on consumer engagement and its relation to health care reform, please see my contribution to the Harvard Business Review Conversation Starter blog.

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The right solution for the ‘population’ may be the wrong solution for the...

This week's question for the Washington Post Health Care Rx blog was:   What does the debate over mammography screening teach us about the challenges in moving to evidence-based medicine in a revamped...

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The Top Ten Medical Advances of the Decade. What’s Wrong with the Picture?

Sometimes it’s fun to peruse year-end lists—best shows, best moments, best  songs, best presidential gaffes, best viral videos, and the list goes on….  which gets even longer with the end of decade or...

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Health Reform -- Fixing the Core Problem or Just Symptoms?

The health reform debate has passed another milestone, but the question I keep getting asked by friends and family is whether the proposed legislation will actually improve our health delivery system....

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The Way Forward

This week's question for the Washington Post Health Care Rx blog was:   In a Feb. 2 conference call, House Speaker Nancy Pelosi talked about starting small. She indicated she wants the House to vote on...

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Change Agents at Work; Catalysts to Improve Our Health System

There are days that I love my job (not every day yet), and last week I had one of those special days.  I participated in the Forum for Sustainable Health, an event hosted by Arizona State University’s...

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A Milestone on Many Levels: Publishing a Joint Op-Ed with Google

Over a year ago, a dialogue started about the rules surrounding ‘meaningful use’ – and with anything like this, there are always lots of voices, lots of opinions.  Given our history, we were in the...

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Health Care Reform is About Improving System Performance

I was asked to contribute to the sequel to the award-winning book, Paper Kills.  The New Edition (released just last week)  is called Paper Kills 2.0, How Health IT Can Help Save Your Life And Your...

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Liberate the Data Part II – Perspectives from Eclipsys and Microsoft

It was just about a year ago at last year’s HIMSS that I posted about the need to “liberate the data” within health IT systems – separating data from applications and making it available for reuse in...

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