The Zeigarnik effect

You pull out the key to open the door to your house. You unlock the door and get inside. Then, several hours later, you are looking for the key and wondering where it is. And you discover that you have…
Site neutral payments: Are there winners and losers?

The mantra ‘location, location, location’ in property purchases was supposedly emphasized by Lord Harold Samuel, a British real estate tycoon. Location is also important when Medicare pays for some health care services. Depending on whether services are provided in Hospital…
The torrid number of hospital mergers and integrations do not create value for our healthcare system

It is now common to see headlines like “When hospital prices go up, local economies take a hit” (Wall Street Journal), “Hidden hospital prices harm patients: Can this new pricing tool make a difference?”(USA Today) or “Hospital mergers and health…
The clash between mission and revenue for not-for-profit, tax-exempt hospitals

Hospitals represent one of the largest industries in the U.S., with revenues greater than $1.4 trillion. The American Hospital Association reports that there are 5,200 nonfederal, short-term general, and other special hospitals in the country, of which 3,000 are non-for-profits…
Beyond private equity: A new sheriff in town

Bhagwan Satiani, MD, explores the entrance of insurance companies into the physician practice acquisition market. The well-written recent editorial from Mal Sheahan, Vascular Specialist medical editor, explained the case against private equity in medicine, and what is at stake for…

