Summertime in the Pacific Northwest is a great time to catch a glimpse of salmon making the life and death journey swimming upstream back to the place of their birth.
We often talk about working “upstream” with patients with kidney failure and how critically important, yet difficult, this work can be. One out of seven Americans (30 million!) has chronic kidney disease (CKD), often referred to...Read more
It’s been five years since the first Pioneer Medicare Accountable Care Organizations (ACOs) formed, marking the beginning of Medicare payment reform and now one year of the Quality Payment Program (QPP) is up. So, how are we doing? And what can we still learn as it rolls out? The QPP was created to implement Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and if...Read more
Several months ago, I began receiving a flood of letters and phone messages from health plans, insurance brokers and others, reminding me—as if I needed reminding—that I was about to turn 65. “It’s almost time!” they said. “Congrats in advance!”
They were concerned about my future health coverage and wanted me to get the most out of life. They understood my confusion and were there to...Read more
There has been much ado in the news about health care reform, health coverage reform, health payment reform and clinical practice reform. All are tangential references to the real elephant in the room — health cost reform.
Why has the elephant grown so large? Is there a combination of diet and exercise that can help our elephant become slim and trim?
Your perspective on the reasons and...Read more