ACA Archives

EMRs: Are We There Yet?

by Barry P Chaiken, MD | Mar 13, 2018 | Archives

Our unfinished journey is more than half a century old. While rock’n’roll came of age and hippies invaded San Francisco, a small hospital in Mountain View, CA, in the heart of what was to become Silicon Valley, teamed up with the Lockheed Corporation and began the...

How Tinkering with the ACA Puts Health IT Investments at Risk

by Barry P Chaiken, MD | Oct 16, 2017 | Archives

Laws put in place over the past 70 years typically are done so with a delicate balance in mind —a bull in a china shop approach can do much damage in often unforeseen ways. However, it’s apparent that recent events portend myriad challenges for providers throughout...

Why Reform Legislation Won’t Solve Healthcare’s Ills

by Barry P Chaiken, MD | Jun 29, 2017 | Archives

The Senate’s recently released bill to repeal and replace the Affordable Care Act demonstrates a fundamental lack of understanding of healthcare delivery and how we fund payment for services. Although the ACA needs improvement to modify economic incentives to drive...

Repeal and Replace: It’s Complicated

by Barry P Chaiken, MD | Apr 7, 2017 | Archives

This past February, the President announced that the delivery of healthcare to America’s 300 million residents embraced more complexity than he previously realized. Only a few days before, at the annual HIMSS conference in Orlando, former Speaker of the House John...

Show Me the Money

by Barry P Chaiken, MD | Feb 22, 2017 | Healthcare Policy

As the country wonders about the next iteration or obliteration of the Affordable Care Act and how to prepare for changes to the healthcare marketplace in 2017, the 1996 movie Jerry Maguire, starring Tom Cruise and Cuba Gooding Jr., may have all the answers we need....