http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundtable-with-bob-berenson-elliott-fisher-bob-galvin-and-gail-wilensky/ The Policy Journal of the Health Sphere Tue, 24 Nov 2009 19:57:48 -0500 hourly 1 http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundtable-with-bob-berenson-elliott-fisher-bob-galvin-and-gail-wilensky/comment-page-1/#comment-28710 Why Healthcare is expensive « Rx Informatics Thu, 16 Jul 2009 17:48:19 +0000 http://healthaffairs.org/blog/?p=1404#comment-28710 [...] http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundta... [...] [...] http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundta... [...]

]]> http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundtable-with-bob-berenson-elliott-fisher-bob-galvin-and-gail-wilensky/comment-page-1/#comment-26472 Health Care Friday | Design Website Blog Fri, 10 Jul 2009 16:05:52 +0000 http://healthaffairs.org/blog/?p=1404#comment-26472 [...] out how to pay for it? Here’s a trio of articles from the simple to the interesting to the complex. But any way you look at it, a health system overhaul has to be paid for. House and Senate [...] [...] out how to pay for it? Here’s a trio of articles from the simple to the interesting to the complex. But any way you look at it, a health system overhaul has to be paid for. House and Senate [...]

]]> http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundtable-with-bob-berenson-elliott-fisher-bob-galvin-and-gail-wilensky/comment-page-1/#comment-26457 Health Care Friday | Bloggers For Change Fri, 10 Jul 2009 15:21:04 +0000 http://healthaffairs.org/blog/?p=1404#comment-26457 [...] figuring out how to pay for it? Here's a trio of articles from the simple to the interesting to the complex. But any way you look at it, a health system overhaul has to be paid [...] [...] figuring out how to pay for it? Here's a trio of articles from the simple to the interesting to the complex. But any way you look at it, a health system overhaul has to be paid [...]

]]> http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundtable-with-bob-berenson-elliott-fisher-bob-galvin-and-gail-wilensky/comment-page-1/#comment-26335 Michael D. Miller, MD Thu, 09 Jul 2009 15:37:45 +0000 http://healthaffairs.org/blog/?p=1404#comment-26335 Great discussion. Having sat in on some group discussions about health reform here in neon-Blue Cambridge, MA it would be great if everyone interested in health reform understood the complexities of actually reforming health care delivery and controlling costs as well as the Bobs, Elliott, Gail and John. Having talked to each of them at various points over the last 20 years, I know they know of what they speak. However, the missing link between their knowledge and the public's understanding of the problems and solutions are simple explanations - which is why I think Atul's article has had such resonance. (No offense to Health Affairs, but many more non-wonky individuals also read the New Yorker.) I've done this type of explaining both in person and on my blog (for example, see "Health Reform Explained Simply at http://www.healthpolcom.com/blog/2009/07/07/hard-health-reform-explained-simply/), but unfortunately, too many people have tightly held beliefs about healthcare either from reading slanted "propaganda" or from their own life experiences. Since physicians generally have significant credibility and connections to their patients and their communities It would be great if we could get many more of them on-board for substantive delivery and financing system changes, but as Atul's article points out - and as Gail and Bob Bernenson discussed - most physicians who are profiting from the current situation are probably resistant to change. Whether Congress, et. al., will persevere with real changes via legislation and regulation or go a health reform route that expands upon the existing wobbly system remains to be seen. Great discussion. Having sat in on some group discussions about health reform here in neon-Blue Cambridge, MA it would be great if everyone interested in health reform understood the complexities of actually reforming health care delivery and controlling costs as well as the Bobs, Elliott, Gail and John. Having talked to each of them at various points over the last 20 years, I know they know of what they speak. However, the missing link between their knowledge and the public’s understanding of the problems and solutions are simple explanations – which is why I think Atul’s article has had such resonance. (No offense to Health Affairs, but many more non-wonky individuals also read the New Yorker.) I’ve done this type of explaining both in person and on my blog (for example, see “Health Reform Explained Simply at http://www.healthpolcom.com/blog/2009/07/07/hard-health-reform-explained-simply/), but unfortunately, too many people have tightly held beliefs about healthcare either from reading slanted “propaganda” or from their own life experiences. Since physicians generally have significant credibility and connections to their patients and their communities It would be great if we could get many more of them on-board for substantive delivery and financing system changes, but as Atul’s article points out – and as Gail and Bob Bernenson discussed – most physicians who are profiting from the current situation are probably resistant to change. Whether Congress, et. al., will persevere with real changes via legislation and regulation or go a health reform route that expands upon the existing wobbly system remains to be seen.

]]> http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundtable-with-bob-berenson-elliott-fisher-bob-galvin-and-gail-wilensky/comment-page-1/#comment-26297 The most dysfunctional Group of Doctors in the World? « Science Based Wellness Sat, 04 Jul 2009 05:52:56 +0000 http://healthaffairs.org/blog/?p=1404#comment-26297 [...] leading journal, Health Affairs, organised a round table discussion on Dr. Gawande’s essay and related topics. Here is what one of the participants, Elliott [...] [...] leading journal, Health Affairs, organised a round table discussion on Dr. Gawande’s essay and related topics. Here is what one of the participants, Elliott [...]

]]> http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundtable-with-bob-berenson-elliott-fisher-bob-galvin-and-gail-wilensky/comment-page-1/#comment-26160 Paging Dr. Gawande: Health Reform Matters : HEALTH REFORM WATCH Wed, 24 Jun 2009 17:49:06 +0000 http://healthaffairs.org/blog/?p=1404#comment-26160 [...] policy circles. The Obama White House is reading it, leading journal Health Affairs has sponsored a roundtable on it, and pundits across the political spectrum are invoking [...] [...] policy circles. The Obama White House is reading it, leading journal Health Affairs has sponsored a roundtable on it, and pundits across the political spectrum are invoking [...]

]]> http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundtable-with-bob-berenson-elliott-fisher-bob-galvin-and-gail-wilensky/comment-page-1/#comment-26159 Medicare is the Public Option | ChangingAging.org Wed, 24 Jun 2009 15:42:07 +0000 http://healthaffairs.org/blog/?p=1404#comment-26159 [...] overnight. Even shame has only a temporary effect on behavior. Here’s Gail Wilensky from a Health Affairs roundtable: It’s only by being able to offer compelling evidence that it’s the physician that is the [...] [...] overnight. Even shame has only a temporary effect on behavior. Here’s Gail Wilensky from a Health Affairs roundtable: It’s only by being able to offer compelling evidence that it’s the physician that is the [...]

]]> http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundtable-with-bob-berenson-elliott-fisher-bob-galvin-and-gail-wilensky/comment-page-1/#comment-26122 Health Care. (united health care, universal health care) » Blog Archive » Blogs vs. Traditional Journals in Health Care Policy Making: McAllen Texas as an Example (and the possibility that it’s not an outlier) Tue, 23 Jun 2009 01:30:19 +0000 http://healthaffairs.org/blog/?p=1404#comment-26122 [...] First off, there’s a lengthy Health Affairs academic, contrasting policy and business-oriented roundabout on McAllen from the learned Elliott Fisher, Gail Wilensky, Robert Berenson and Robert Galvin. [...] [...] First off, there’s a lengthy Health Affairs academic, contrasting policy and business-oriented roundabout on McAllen from the learned Elliott Fisher, Gail Wilensky, Robert Berenson and Robert Galvin. [...]

]]> http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundtable-with-bob-berenson-elliott-fisher-bob-galvin-and-gail-wilensky/comment-page-1/#comment-26090 Health Care: The McAllen Problem Sun, 21 Jun 2009 19:52:20 +0000 http://healthaffairs.org/blog/?p=1404#comment-26090 [...] overnight. Even shame has only a temporary effect on behavior. Here’s Gail Wilensky from a Health Affairs roundtable: It’s only by being able to offer compelling evidence that it’s the physician that is the [...] [...] overnight. Even shame has only a temporary effect on behavior. Here’s Gail Wilensky from a Health Affairs roundtable: It’s only by being able to offer compelling evidence that it’s the physician that is the [...]

]]> http://healthaffairs.org/blog/2009/06/18/the-policy-lessons-of-health-care-cost-variations-a-roundtable-with-bob-berenson-elliott-fisher-bob-galvin-and-gail-wilensky/comment-page-1/#comment-26087 The McAllen Problem « The Baseline Scenario Sun, 21 Jun 2009 12:01:39 +0000 http://healthaffairs.org/blog/?p=1404#comment-26087 [...] overnight. Even shame has only a temporary effect on behavior. Here’s Gail Wilensky from a Health Affairs roundtable: It’s only by being able to offer compelling evidence that it’s the physician that is the [...] [...] overnight. Even shame has only a temporary effect on behavior. Here’s Gail Wilensky from a Health Affairs roundtable: It’s only by being able to offer compelling evidence that it’s the physician that is the [...]

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