News

The Limits of Guidelines

Jerome Groopman published a provocative and thoughtful essay In the February 11, 2010 New York Review of Books  about the way one determines “quality health care.” Groopman’s focus is on clinical guidelines and just how prescriptive they can be. He makes a fundamental distinction between guidelines that can be applied in a standardized way (e.g., how to clean a catheter to …

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The Status Quo? Think Again

The last time a major effort at health care reform was tried, it died an ignoble death. Bill and Hillary Clinton were certain that they had read the political signals correctly and that health care reform was a winning issue for them. Bill Clinton framed health care as an essential economic issue after he was elected and before he became …

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Health Reform in Pieces: Mental health and health care reform

There is much speculation — and advice — about what to do about health reform given the change in Congress since the Massachusetts’ Senate race. Some policy makers and pundits are advising that it would be better to take small bites out of health reform — rather than trying to continue down a path focused on change to the entire …

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The Cost Burden of Disease: What Health Care Spending Can Teach Us About Improving Care

Examining the reasons people end up in the hospital could point to opportunities for improving patient care and making the health care system more effective and efficient, according to an issue brief released today by the Center for Healthcare Research & Transformation (CHRT). Nationally in 2007, four of the top ten diagnoses related to cardiovascular disease; in Michigan, three of the …

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What does Massachusetts say about health reform?

Well, every politician for the past 100 years has known that health care reform is the “third rail” of politics. And, if they didn’t know before Massachusetts, they know it now. So, why did health reform fail this time? Is it for the same reasons it has in the past or is there something unique about this moment or this …

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