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CMS RFI on MACRA
I’m a few weeks short of the 1 year anniversary of my departure from federal service. I loved my time in Washington, and loved the people, the passion, the sense of purpose, and of course the focus on...
View ArticleAre follow-up visits necessary?
I've spent two afternoons precepting with the residents recently. It's good to get back into clinical work – and after spending 3 years in Washington – separated by the Beltway from the real world –...
View ArticleNew York’s SHIN-NY Regulation
Posted today. PDF: SHIN-NY rule. I’ll add narrative later today.
View ArticleSelf-Driving Health
Lots of news about this recently. Five years ago, you would shake your head and say “no way – not in my lifetime.” Now you know that this is our future. It will be safer, will save billions of...
View ArticleAdvice to the new National Coordinator
Two and a half years ago, John posted an entry with this title – and I recall that it was a good summary of the state of the industry. While I didn’t agree with all of his suggestions, I enjoyed the...
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Service Innovation
“Shift the business models” “Re-align the incentives” “Fee-for-value” These phrases are not new. Nor are the concepts they represent. Yet we’re starting to see new experiments from the federal...
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Why do I run marathons?
That’s me over there in the white shirt. Six days ago. It was a day that I had worked toward since ~ March. I’ve done this every year since 2010. For about 15 minutes after the marathon, I was sure...
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Career Transitions
I had lunch yesterday with an industry colleague who was recently let go from his job with a big company. He is now doing what everyone told him to do: network, network, network – to find the next...
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National Coordinator 6.0: A Blueprint for Success
1.0 Brailer 2.0 Kolodner 3.0 Blumenthal 4.0 Mostashari 4.1 me 5.0 DeSalvo 5.1 Washington 5.2 White 6.0 Rucker Now that it’s public, I’ll offer my thoughts on the next steps for Don and ONC. Don...
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Parsing eCW’s $155M payment to the government
UPDATE: Here are the public records for the case. More details there about the original complaint. Excerpt: @eClinicalWorks to pay $155M fine: https://t.co/RngioK62SX But what’s it mean?...
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Funding Disruptive Innovation
“Innovation” is a provocative word. For some, it invokes an eye-roll of disdain: “why can’t we just get our work done?” They rhetorically ask. Sometimes, the way we are doing things is just fine. Why...
View ArticleApple, Cerner, Microsoft, and Salesforce
… all rumored to be in the mix to acquire athenahealth. Nope. Why not? a) Apple doesn’t do “verticals.” It’s that easy. Apple sells products that anyone could buy. A teacher, a doctor, my mom. Sure...
View ArticleClik here to view.
Service Innovation
?Shift the business models? ?Re-align the incentives? ?Fee-for-value? These phrases are not new. Nor are the concepts they represent. Yet we?re starting to see new experiments from the federal...
View ArticleClik here to view.
Why do I run marathons?
That’s me over there in the white shirt. ?Six days ago. ?It was a day that I had worked toward since ~ March. ?I’ve done this every year since 2010. ?For about 15 minutes after the marathon, I was sure...
View ArticleClik here to view.
Career Transitions
I had lunch yesterday with an industry colleague who was recently let go from his job with a big company. ?He is now?doing what everyone told him to do: ?network, network, network – to find the next...
View ArticleClik here to view.
National Coordinator 6.0: A Blueprint for Success
1.0 Brailer 2.0 Kolodner 3.0 Blumenthal 4.0 Mostashari 4.1?me 5.0 DeSalvo 5.1 Washington 5.2 White 6.0 Rucker Now that it’s public, I’ll offer my thoughts on the next steps for Don and ONC. ?Don...
View ArticleClik here to view.
Parsing eCW’s $155M payment to the government
UPDATE: ?Here are the public records for the case. ?More details there about the original complaint. ?Excerpt: @eClinicalWorks to pay $155M fine: https://t.co/RngioK62SX But what’s it mean?...
View ArticleClik here to view.
Funding Disruptive Innovation
“Innovation” is a provocative word. For some, it invokes an eye-roll of disdain: “why can’t we just get our work done?” They rhetorically ask.? Sometimes, the way we are doing things is just fine.? Why...
View ArticleApple, Cerner, Microsoft, and Salesforce
… all rumored to be in the mix to acquire athenahealth. Nope. Why not? a) Apple doesn’t do “verticals.”? It’s that easy.? Apple sells products that anyone could buy.? A teacher, a doctor, my mom.? Sure...
View ArticleClik here to view.
Hampshire College: Convergence?
Yahoo! It’s Spring! Wow. It’s been too long since I’ve posted here. I’ve been busy with my day job .. and writing elsewhere (some recent stuff referenced here). Now .. the topic of today: Hampshire...
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