Jeff Goldsmith is National Advisor to Navigant Healthcare and Associate Professor, Public Health Sciences University of Virginia.
Recent Posts by Jeff Goldsmith
By the dawn of the millennium, Geisinger Health System was facing a bleak future. It recruited a new leader, Dr. Glenn Steele. How Steele reinvigorated Geisinger raises questions about how integration actually works and what drives success in the Integrated Delivery Network model.
Health policy in Oregon is like football in the SEC: not only a contact sport but also a source of intense civic pride. The state's Medicaid expansion was similarly turbulent.
In the world of fine wine, it is well known that some types of wine grapes grow only in very specific climates and ecologies. Is it possible that the concept of terroir also applies in health care?
In its 2014 National Health Expenditures estimates, the Centers for Medicare and Medicaid Services’ actuaries make the hospital and physician practice sectors appear to be independent and non-overlapping. This is an optical illusion. Hospitals and physicians are hopelessly intertwined.
The 2014 US health spending estimate showed the highest national health spending growth rate since 2008 -- 5.3 percent. Is this the end of the Great Moderation? In my view, the answer is “no.”
Over the past 30 years, there have been two warring political narratives explaining health spending growth, with two different culprits and indicated remedies. At their cores, these narratives blame the main actors in the health care drama---patients and physicians---for rising costs.
If the HHS Secretary’s goal of having 50 percent of regular Medicare’s payments come through “Alternative Payment Methodologies” by 2018 is to be met, that growth is unlikely to come from either the Pioneer ACOs or the larger Medicare Shared Savings Program.
An Interview With George Halvorson: The Kaiser Permanente Renaissance, And Health Reform’s Unfinished Business
For decades, health policymakers considered Kaiser Permanente the lode star of delivery system reform. Yet by the end of 1999, the nation’s oldest and largest group model HMO had experienced almost three years of significant operating losses, the first in the plan’s history. It was struggling...
Sometimes big game hunters find frustration when their prey moves by the time they’ve lined up to blast it. That certainly appears to be the case with the health policy target de jour: whether providers, hospital systems in particular, exert too much market power. A recent cluster of papers in...
Editor's note: You can read other perspectives on the Medicare physician payment reform pending in Congress in Health Affairs and Health Affairs Blog (here, here and here). Partisan gridlock in Washington regarding health policy has been so pervasive and bitter that any bipartisan...