Basic Health Access

The Value Based Movement lacks Value. It is important to understand how AAFP, Commonwealth, and others have arrived at their misguided focus about what is value.You will hear the various promotions constantly in journals, policy papers, and in the media. The following are more critical evaluations via Jha, Soumerai, Sullivan, CBO, Annals of IM, and others with my comments, critique, and assumptions regarding the real influences on outcomes. I still have hope for associations and foundations, but they need new leadership and a return to missions such as health access – real health access.Their staff need to be re-educated regarding the true value of family physicians and others serving in teams on the front lines despite that greater challenges of the value-based focus. Value, P4P, Performance Based Evidence Is Lacking Annals of IM 1/17 in a comprehensive review did not indicate value for performance based incentives. Only process was improved.   It is hard to stop a...

What does it mean when someone says you re killin me Smalls? Line from the movie "The Sandlot,"  meant  to show extreme frustration towards someone's ineptitude or clueless-ness, sometimes both.  You ' re killing me ,  Smalls definition  by Urban Dictionary. Nov 27, 2014   Urban Dictionary Those that design health care are indeed killing us small practices, small hospitals, and small health care - and we let them do it. The health care financial design is toxic to small practices. Only those with extremes of ineptitude or clueless-ness could do so. Or perhaps they are so dominated by those larger, more organized, and most powerful that they cannot see the damage being done. More confirmation of small health value and neglect AAFP has no excuse. Half of members are in small practices and have consistently been paid the least for family practice and are paid 15% less where they practice and suffer the most cost of delive...

Amazon, Berkshire Hathaway, and Chase grabbed headlines and many speculated on disrupting health care. In fact the headline alone sent health care stocks reeling. The power or concentrated dollars results in fear. To understand the power, follow the money. Meet the New Boss, Same as the Old Boss The money trail tells you what you need to know about the designs and designers. The money trail for this Big 3 indicates concentrations of more dollars into the hand of fewer. Experts in the concentration of dollars will likely do no better than those who have concentrated health care dollars and workforce over the past century. But there will be those who cheer the Big 3 on. Many hope that they will bust through resistance to implement a new regime in health care. But in health care as in economics, education, housing, and more there is not a new regime. Meet the New Boss, Same as the Old Boss Meet the Old Bosses Who Best Adapt and Change To Maintain Control In h...

Datapalooza is a celebration of advances in digitalization over the past decade. It is a chance to promote ideas, concepts, career opportunities, and merchandise. A call for papers could reward the right author with a publication - and even more attention. An academic approach to Datapalooza would critically consider whether the electronics movement has delivered or diverted with regard to the promises of improved health outcomes. There is good evidence that it has increased costs and has adversely impacted access to care where 40% and increasing proportions of Americans most lack access.  Year after year since 2005 and before, there have been the same promises - lower health care costs, better outcomes, better patient satisfaction, and better team member satisfaction. Year after year it is apparent that there are more costs and complications from digitalization. Health care spending has more than doubled and entirely in areas that have not improved outcomes ...