Health Care Costs: “Slain or Sleeping”? Avoiding Brick & Mortar.

Mike Magee The Affordable Care Act has officially arrived. Obstructionism persists, but appears increasingly desperate and politically ill conceived. What remains in the policy backwaters is the legitimate debate over whether Accountable Care Organizations, and a host of other structural changes, are to be credited with the slowing of health cost inflation, and with maintaining […]

The New Healthcare Workforce: Will Form Follow Function?

Mike Magee In the November 21, 2013 issue of the New England Journal of Medicine, the lead article asks, “Are We in a Medical Education Bubble?”(1) In the article, the authors explain that “ Bubble markets are created when an asset trades for increasingly higher prices as it is bought by people who are hopeful […]

Medicare Funded Home Health Care

Steve Landers MD New England Journal of Medicine Feature this week on Home Health Care funding. “Most older Americans want to age in place.1 The Medicare home health benefit is a prominent national policy supporting older Americans at home and provides for visiting nurse and therapist services from home health agencies (HHAs). In 2012, Medicare […]

“Smokers Need Not Apply” – A Byproduct Of Employer Based Health Insurance

Mike Magee Enlightened employers around the world spend considerable time and resources assuring that the workplace in healthy and safe. They do so to maximize productivity, retention, worker satisfaction, and to limit liability and cost. Their efforts are guided and directed by informed legislation, administered with varying degrees of regulatory success. Employers in the US, […]

Competitor Analysis: The Future of Primary Care

Mike Magee Most would now agree that we are approaching a fundamental disconnect in two health delivery trend lines. They are: 1) the growing need and demand for services fueled by our aging population and 2) a growing shortage of primary care health professionals. Where opinions diverge is how to address this growing problem in […]

Pointy Stick Prodding For Quality Health Care Access: The Case For Retail Pharmacy Clinics

Mike Magee This past week, I heard my effort to offer “constructive insights” on a Board described by a fellow member as being jabbed with a pointy stick. Geeze, I thought I had mellowed! All I said was that retail pharmacy clinics deliver a good product, that “virtual minute clinics” as extension arms of the […]

200th Anniversary of the New England Journal of Medicine

Mike Magee The New England Journal of Medicine this year celebrates its 200th anniversary. When I first arrived in rural Massachusetts with my family in 1978 (fresh out of surgical training at the University of North Carolina), I was embraced by a physician on the Medical Staff at our 100 bed hospital, Percy Wadman MD. […]

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