Transition (trăn-zĭsh’ən) n. Passage from one form, state, style, or place to another. A word, phrase, sentence, or series of sentences connecting one part of a discourse to another. In the midst of running Medsphere I became aware that we were onto something very powerful. Somewhere along the line I finally “got it” that what [...]
Entries Tagged as ‘Rational Choice’
September 25, 2009
Customer Disservice: Health Care #FAILs again and again
Disservice (dĭs-sûr’vĭs) A harmful action; an injury An act that is not just Our health care system is completely devoid of customer service. It is pathetic. I took my son to have a simple tympanostomy (ear tubes) procedure this morning. I show up, sign in and take my seat amidsts the throngs of people in [...]
May 26, 2009
Transcript to Transformation: Twitterview with @Berci
Twitterview (twĭt’ər vyū) n. A twitterview is a combination of the terms Twitter and interview. The Twitter medium of 140 characters forces a concise style of interviewing and response. The public can join in on the conversation and become participants themselves by following along or tracking hashtags. On March 26, 2009 the leading health care [...]
March 6, 2009
Return of Microcapitation: Condition Specific Capitation Payments
Microcapitation (mī‘kro kăp’ĭ-tā‘sh en) n. A health care delivery mechanism wherein a service provider contracts with an administrator to provide health care services on a per capita basis. A financing mechanism wherein a service provider assumes financial risk, is compensated at a fixed per capita rate for predetermined services, and is evaluated based on service [...]
January 30, 2009
Ten Fold (10X): Is There Really an Order of Magnitude Difference?
Magnitude (măg’nĭ-tūd‘) n. Greatness in size and extent. Greatness in significance or influence. Two recent news items caught my attention. They follow on the heels of some of my recent writings on VistA EHR, MUMPS based systems, and the idea of virtuous cycle investments as a true stimulus in helping to lay down the health [...]
January 29, 2009
Stimulus? What Government Should Learn From the X-Prize
Stimulus (stĭm’yə-ləs) Something causing or regarded as causing a response. An agent, action, or condition that elicits or accelerates an activity or response. Something that incites or rouses to action; an incentive. I am completely NAUSEATED . . . this entire stimulus package is going to be one of the greatest debacles ever witnessed in [...]
October 20, 2008
Cash is King: Differential Premiums as a driver of behavior change
Differential (dĭf‘ə-rĕn‘shəl) adj. Of, relating to, or showing a difference. Constituting or making a difference; distinctive. Dependent on or making use of a specific difference or distinction. This is the third in a four part series of interviews with the panelist of “The Business Case for Health 2.0″ closing session on the opening day of [...]
July 30, 2008
Microcapitation: A Case Study
Case Study (kās stŭd’ē) n. A detailed analysis of a person or group, especially as a model of medical, psychiatric, psychological, or social phenomena. An exemplary or cautionary model; an instructive example I have received a couple of off-line questions regarding the concept of micro-capitation, and having responding publicly to one, I sought permission from [...]
May 27, 2008
Episodes of Care: You have got to be kidding
Episode (ĕp‘ĭ-sōd‘) n. 1. A portion of a narrative that relates an event or a series of connected events and forms a coherent story in itself. 2. One of a series of related events in the course of a continuous account; An incident that is part of a progression or a larger sequence. As I [...]
March 5, 2008
Health 2.0: The Long Tail of Health Care
Long Tail (lông tāl) New business phenomenon in which low distribution and storage cost enable significant profits to be realized by selling small volumes of niche items instead of large numbers of popular items. The potential for online retailers to make more money than their bricks and mortar counterparts because there is virtually unlimited “shelf [...]
