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tag: Deficit Reduction

Three Tiers of Healthcare: Have’s, Tight Budgets and the Have Not’s

9 August, 2013 Posted by John G. Self
If only there was more transparency in healthcare, the arguments goes, we could take a big step to reducing costs.  OK, let’s have a show of hands.  How many people actually believe that? Transparency requires a free exchange of information – patients asking questions, being responsible for the care they need, and paying for it. […] Read more»

HAI’s Brightwell Was Dead Bang Right

7 August, 2013 Posted by John G. Self
We will find out fairly quickly who the best of the best is at running hospitals.  The Affordable Care Act and the inevitable deficit reduction will weed out the top performers from the soon-to-be unemployed. History does repeat itself.  In the early 1980s, a savvy investor-owned hospital executive, Charles Brightwell, of the old Hospital Affiliates […] Read more»

Fastball to the Strike Zone

31 July, 2013 Posted by John G. Self
The question is not if, but when and how many. Layoffs.  They are inevitable in the new healthcare economy that will be defined over the next five to seven years by the impact of the Affordable Care Act and the inevitable deficit reduction through cuts in reimbursement for Medicare, Medicaid and, ultimately, commercial payors.  These […] Read more»