Medaxiom Blog

Lack of prioritization has tremendous implications for your organization, namely that you may be unintentionally making it an unhealthy organization, either culturally, financially or both. If you are going to make a real attempt to set priorities, pay careful attention to the opportunity costs of what you won’t be able to do. They may outweigh any benefits of the priority you are trying to accomplish. It could be that the opportunity cost of what you are not getting done outweighs what you are getting done.

When it comes to strategic planning, there will always be more good ideas than there is the capacity to execute them. In order to achieve something you have never achieved before, you must do things you have never done before. This requires a combination of disciplined focus, behavioral change and utilizing different leadership approaches. Larry offers a variety of proven prioritization tips to help health care organizations actually accomplish measureable and meaningful change.

Larry tries to figure out why so many heart programs have not adopted a formalized same-day discharge (SDD) program for percutaneous coronary intervention (PCI) procedures, despite documented efficacy, safety, cost savings and patient satisfaction.

As you are probably well aware, CMS recently proposed to cancel the mandatory EPM program and reduce the size of the CJR program. At the same time, CMS has indicated they will be replacing EPM and CJR with new voluntary bundle payment initiatives that will allow hospitals, specialists and post-acute providers to serve as Episode Initiators. Contrary to some in the industry, we view these as positive developments and wanted to share with you a few quick thoughts about them.

As we continue to explore and discuss different health care model options, Larry offers a brief history lesson on models used around the world.

With the Republican plan to repeal and replace the Affordable Care Act (ACA) seemingly dead in the water, the question of “what’s next” weighs heavy on the minds of elected officials and the overall population. One conversation that seems to be emerging is whether it is time to consider single payer health care.