Category: Uncategorized

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Downed Airliners, the GM Debacle and the Real Danger of Groupthink in Large Organizations

The scenario plays out something like this:  an organization pulls together a team of people to work in a stressful environment.  The team coalesces and after some time a shared set of norms emerges. Everyone begins to do things the same way.  When narratives outside this shared experience emerge, the group closes its ears and marginalizes the outside ...

Failing Academic Healthcare Systems: Are Mergers the Answer?

Challenges at many academic medical centers aren’t news.  At a time of declining reimbursement and patient migration to lower cost community alternatives, many academic systems are trying to figure out how to position themselves. In light of these challenges, I read with great interest news of a recent deal between Banner Health (a large and well-run not for ...

Reusable Rockets and Orbiting Nano-Satellites: A Lesson for US Healthcare?

A spectacular story about scientific disruption comes to us from last week’s Economist magazine. The authors write that, over the past few months, a hundred tiny satellites have been launched in orbit at a fraction of the cost of a traditional satellite.  Called nano-satellites, these 4-inch cubes are cheap, often constructed in simple workrooms with off-the-shelf ...

Another Domino Starting to Fall- The Narrowing of Physician Networks

In previous posts, I’ve discussed the inevitable squeeze that high cost/ low quality physicians will feel from payers as the system becomes more discriminating about paying more “reasonable” rates and only for performance. There now seems to be evidence that we are seeing the largest health insurers get tough by trimming their networks of the physician value ...