Latest Commentary

Failure to expand Medicaid is a genuine job killer

Job killer. Job killer. Job killer! That's been one of the chants of the Great Recession era--a metaphorical sticker to slap on any initiative the least bit politically sensitive and scare the...

A tale of two levels of uncompensated care

It's the best of times and the worst of times for uncompensated care in the United States. Hospitals in states that expanded Medicaid eligibility under the Affordable Care Act (ACA) reap huge...

Talk past one another and watch healthcare costs inevitably rise

The United States has long been described as a melting pot. A group of volatile chemicals striving to reach the top of a beaker would be more accurate. That is among the reasons that healthcare in...

Gambling on HFMA ANI's showroom floor

ClearPoint Companies is my new favorite company in healthcare finance, not so much for their business model, but for the fact that theyhad a poker table at their booth that was staffed by a couple of professional poker players and a dealer"It's all about drawing people to the booths," Rudiger Merz, ClearPoint's chief strategy officer, told me. ClearPoint was not the only vendor with a gambling theme in line with the Las Vegas venue (last year's meeting was in Florida, where as I recall the theme was savage humidity). 

Is the U.S. headed toward third-world healthcare?

The United States is in denial. It is no longer consistently the best, biggest and brightest light in the world, yet its leaders exhort that cheer nevertheless. "We have the best healthcare in...

The nation's hospitals and the poor in Texarkana have a common problem

Texarkana's unique position of existing in two states that have taken different positions on Medicaid expansion neatly illustrates the torturously fractured implementation of the Affordable Care Act, according to the New York Times.

Reference pricing may be biggest threat to hospitals in transparency battles

Hospitals have resisted price transparency in small and large ways. That makes sense, because being opaque about what you charge presents specific business advantages--such as the ability to charge...

VA scandal: Fix just one portion of the VA healthcare system

Sen. John McCain has suggested in the wake of the VA healthcare fiasco that Congress consider privatizing some of the services offered by the huge care provider. It's not an uncommon suggestion...

Hospital leaders must acknowledge they're losing the war over price transparency

Wars often take years to play out, and assessing their historical impact can take decades. One of the most important factors is determining a turning point. In World War II, it was the battle of...