Facilitating Change. Preserving Access.

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Should it take six (6) years to define a crisis?

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With kudos to Sen. Grassley (R-IA) and his staff for envisioning the healthcare access crisis for rural America back in 2015, the dilemma for rural Americans has only intensified and become more “acute”. When Sen. Grassley introduced S.1130 in 2015, about 50 hospitals, designated as rural by CMS, had closed since 2010. In the last … Continue reading “Should it take six (6) years to define a crisis?”

Rural Healthcare’s Double Tsunami

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The path this virus has taken in the last nine months has created a double-tsunami effect on rural healthcare providers.  The first wave of infections never really reached rural hospitals yet government (Federal and State) mandates to shut down elective procedures and ambulatory clinic operations across ALL healthcare providers had a devastating financial impact on … Continue reading “Rural Healthcare’s Double Tsunami”

Rural Healthcare Access Post Pandemic

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I recently read the Bloomberg Law article authored by Alex Wolf that was reprinted in the American Bankruptcy Institute journal this week. Mr. Wolf’s points are accurate and reflect the “wait and see” attitude of the healthcare industry that, over the last 60 years, has maintained a reactive approach to healthcare delivery based upon the edicts … Continue reading “Rural Healthcare Access Post Pandemic”

Crisis: Access

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In the midst of the most active hurricane season in the last 60 years, there are additional, metaphorical hurricanes impacting the future of the United States in ways that will have a much more lasting impact on our Country. I will not begin to opine about the metaphorical hurricane that surrounds this election season although it carries an infectious agent … Continue reading “Crisis: Access”

Will COVID-19 save the planet and improve healthcare delivery?

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While it may sound crazy, the impact of the strategy employed by federal and state governments to “flatten the curve” and reduce the spread of infection in the absence of vaccines has had some unintended and very positive consequences. It has been widely reported that carbon levels in the atmosphere have been at their lowest … Continue reading “Will COVID-19 save the planet and improve healthcare delivery?”

Has the Pandemic killed Primary Care?

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This article is reprinted from VoxCare: The coronavirus pandemic is creating yet another kind of health care crisis: America’s primary care practices are struggling financially as patient visits plummet, and patients themselves are missing out on vital routine care. Doctors and other health care providers have seen a precipitous drop in the routine visits they … Continue reading “Has the Pandemic killed Primary Care?”

#Commercial Insurance and #COVID-19

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Is it of any curiosity to healthcare providers that automobile insurance companies have started rebating or discounting premiums based upon the fact that we are all driving less and, as a result, their claims processing for accidents has dropped dramatically? Well, if I’m not mistaken, it would appear that, with the stoppage of elective procedures … Continue reading “#Commercial Insurance and #COVID-19”

Why is crisis the only facilitator of change in U.S. Healthcare?

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Does anyone remember a time when being a “doctor/physician” was an individual declaration? Prior to the Flexner Report in 1910, many medical “practitioners” were self-appointed and promoted elixirs, potions, leach applications, and other supposed cures as part of their individual “practices”. The Flexner Report, written by Abraham Flexner, a social worker from Louisville, Kentucky, set … Continue reading “Why is crisis the only facilitator of change in U.S. Healthcare?”