healthcare reform Archives

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’ Revisited

by Barry P Chaiken, MD | Dec 10, 2012 | Healthcare Policy

In the immortal words of Ronald Reagan, “There you go again.” Something that can be explained simply is twisted to look infinitely complicated with plots and subplots that would make J.K Rowling proud. The recent controversy over the use of EMRs to increase...

Show Me the Money

by Barry P Chaiken, MD | Dec 7, 2010 | Archives

The most important lesson in medical care comes from a bank robber who spent more than half his life in jail and stole more than $2 million. Sutton’s law, named after the one of the most prolific bank robbers in history, Willie Sutton, states that when diagnosing, one...