Despite the evolution and investment in EMRs over the past five decades, little evidence exists that all this digitization is making a difference in quality, safety, or cost.
Continue readingTag: ACA
How Tinkering with the ACA Puts Health IT Investments at Risk
On February 27, 2017, President Trump said, ”Nobody knew healthcare could be so complicated.” Well, Mr. President it is complicated and yes, we all knew.
Continue readingWhy Reform Legislation Won’t Solve Healthcare’s Ills
To best understand the failures of the bill, it is important to understand its shifting of incentives that were modified by ACA.
Continue readingRepeal and Replace: It’s Complicated
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, …
Continue readingShow Me the Money
At the close of 2017, some version of “x-care” will exist. Whether it be Obamacare, Trumpcare or Ryancare, no one’s mantra will be “I don’t care”.
Continue readingWhy the Pressure’s Rising for EMRs to Make and Impact
To understand our struggle to obtain value from EMRs, it is important to “show you the money.”
Continue readingBacchus and Healthcare
In the absence of understandable, easily accessible quality metrics, we utilize price as a surrogate for quality.
Continue reading‘Show Me the Money’ Revisited
To date, hospitals, EMR vendors, and the government struggle to demonstrate the value of EMRs in enhancing patient care and delivering cost savings.
Continue readingThe Roberts Legacy: ACA Upheld
Five decades hence, scholars will look back on this decision the way we look back on Brown vs. Board of Education. It is momentous in scope and will forever change how Americans live.
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