A New Health Affairs Series: The Practice of Medicine

The series will explore many facets of the practice environment and how that environment affects physicians and other clinicians.

April 7, 2017

The Payment Reform Landscape: The Potential Value Of Aligning High-Value Benefit Designs With Payment Reforms

While payment reform efforts are proliferating, one thing we see often is a mismatch between the incentives offered to health care providers and those offered to their patients, who may not be driven to seek care from practices that have restructured to provide higher value care.

April 4, 2017

Physician Burnout Is A Public Health Crisis: A Message To Our Fellow Health Care CEOs

Burnout among physicians is becoming a national health crisis. Leadership is needed to address the root causes of this problem and reposition the health care workforce for the future. The authors of this paper---the CEOs of our respective institutions---are committing to do just that.

March 28, 2017

What’s Behind 2.5 Million New Health Jobs?

Data from the Bureau of Labor Statistics sheds light on how the health care sector added 2.5 million new jobs over the decade following the recession.

March 17, 2017

Kenneth Arrow’s Legacy And The Article That Launched A Thousand Studies

Kenneth Arrow, who passed away on February 21, was, according to many knowledgeable observers, the foremost economist of the second half of the 20th century. In a single article published by the American Economic Review in 1963, he launched modern health economics.

March 8, 2017

Geisinger’s Transformation: Balancing Growth And Risk

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.

March 8, 2017

The Immigration Ban And The Physician Workforce

There are more than 7,000 physicians trained in countries targeted by the new executive order working in the United States. Their departure can have deleterious consequences for the management of life-threatening conditions for hundreds of individuals.

March 6, 2017

Outdated Privacy Law Limits Effective Substance Use Disorder Treatment: The Case Against 42 CFR Part 2

In the midst of the current opioid epidemic we cannot afford to provide outdated, siloed addiction treatment governed by antiquated privacy laws. 42 CFR Part 2 has outlived its usefulness.

March 1, 2017

Don’t Ease Resident Work Hour Restrictions

The Accreditation Council for Graduate Medical Education will vote in February on a new proposal to loosen restrictions on resident duty hours. How can it be anything other than reckless for physicians at any level to work more than 24 or even 16 consecutive hours?

February 27, 2017

Syrian Doctors And The American Dream: Practicing Medicine In A New Immigration Landscape

Becoming a physician is a lifelong dream for many. Having the opportunity to train in the United States is also a deeply held ambition for countless aspiring doctors around the globe. We are living out that dream.

February 24, 2017