American systems of oral and systemic health---training, licensure, service delivery, and insurance---continue to operate in parallel. A growing evidence base points to the cost and quality shortfalls associated with having separate systems treat the same person.
January 19, 2017
While it’s true that the spread of ECHO has outpaced the publication of the research exploring it, it is critical here to clarify what ECHO is -- and what it isn’t.
January 13, 2017
The market for medical devices historically has been dominated by big-ticket “physician preference items.” Changes in physician payment and organization are reducing the demand for these cost-increasing innovations, and redirecting the flow of investment capital.
January 9, 2017
ECHO may be a silver bullet, but at this point the hopes for the model seem a bit overheated and greater caution can help us focus more on learning and refinement for now, preventing a later catastrophic disappointment.
January 3, 2017
Education, Health, And Behavioral Health: New Policy Priorities For Their Integration Emerge For 2017
Health reform proposals offered during 2017 should include incentives for health care systems to work collaboratively with schools and child care and early education (ECE) to improve child health outcomes. And mental health promotion should be considered a part of how success is defined in...
December 23, 2016
The model of graduate medical education (GME) in the United States is held in high esteem both here and around the world, but it needs to adapt to an environment of constrained resources coupled with expanding societal health needs.
December 15, 2016
We need to use the collective voice, imagination, and energy of physicians to serve as a bulwark against the changes to come.
December 13, 2016
As the Obama Administration comes to a close, this piece lays out my vision for the future of health care. I share the steps we have taken to change how we pay for health care, incentivize coordination, and unlock health care data.
December 12, 2016
Ten years ago, the Institute of Medicine released a report reflecting the work of an IOM subcommittee that Robert Reischauer and I co-chaired. Ten years later, the country is further along this path, but we are still relatively early in the process.
December 6, 2016
Proposed legislation in New Jersey aims to protect patients from surprise billing. But the implications of this policy should be thoroughly evaluated.
December 5, 2016