Comparative Effectiveness in Healthcare

You’ve either seen, heard or perhaps been involved in a situation where a family member asks to borrow money, and later you find out they took a weekend vacation that the lender could not afford.  It’s natural that when you lend money to someone, you have some interest into their spending choices.  Look at what [...]

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Healthcare Reform and the Coss Conundrum

There are a lot of hopes placed upon the role of healthcare IT to address the ills of the healthcare industry, some are legitimate, many are not.  One such limitation I call the Coss Conundrum which goes like this.

Suppose for a moment that you and I are in a business arrangement in which your [...]

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First $19 Billion and Then A Miracle Occurs

Nothing quite describes the realities behind healthcare reform than this little cartoon.  Most people when asked about their health care are relatively satisfied, only in general and often abstract areas is healthcare a problem.  Is it expensive? Indeed it is, but compared to what? Healthcare is expensive because there are choices today that simply [...]

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Health Information Technology for Economic and Clinical Health Act – HITECH Act

The Stimulus package passing through the Senate yesterday left untouched the nearly 136 pages of proposed legislation for Health Information Technology, over 18% of the immense 752 page document. To be more specific where specifics are rare, I’m referring to the ‘‘Health Information Technology for Economic and Clinical Health Act” or HITECH Act and its [...]

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American Recovery and Reinvestment Act of 2009

Farmers have known for centuries that if you want to harvest wheat in October, you need to be planting in the spring.  If one is otherwise preoccupied and doesn’t get around to it until August, the wheat doesn’t care.  It won’t all of a sudden work extra hard to meet an October deadline.  In effect, [...]

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