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The Devil is in the Details

Anyone involved in the Massachusetts reform is probably being asked the same questions that I am being asked.  How does the federal reform differ from MA’s reform?  How will it affect what we’ve already put in place?  Why is there so much opposition, hasn’t the MA reform worked reasonably well?   The answers are not simple.   Unfortunately, one must review the 2000+ page bill and another 100+ pages of reconciliation language in order to prepare a comprehensive review.  And, even then, you’re only partially there.  Many details, which could have a material impact on MA and the nation as a whole, will need to be further detailed through the regulatory process during what will be a very lengthy implementation phase.  So, […]

Goldhill's Atlantic Article on Healthcare

Thanks to all those who participated in last night’s Hewitt Healthcare Lecture by Dr. Jeffrey Flier, Dean of the Harvard Medical School. As promised, here’s a link to The Atlantic article by David Goldhill that Dr. Flier referenced in his lecture. We encourage you to give it a read and then share your thoughts with us in the comments.

2010 Hewitt Health Care Lecture

Pioneer’s 2010 Hewitt Health Care Lecture featured Dr. Jeffrey Flier, Dean, Harvard Medical School. Dr. Flier provided a historical overview of health care reform, and outlined his concerns about the federal heath care law, the Affordable Care Act.

What Am I Missing?

The Cerberus-Caritas tie-up is a mystery to me. You’ve got a deep pocketed investor with no discernible links to this industry, and a reputation for being tough-minded financial engineers, not operators. And the deal announcement suggests a interest in follow-on investments nationally in the sector. Meanwhile, you’ve got this weekend’s reforms on the federal level, a state government that seems to want to play an even larger role in this market, and Caritas’ portfolio of hospitals, most of whom play vital roles in their communities (that won’t react well to much cost-cutting). Cerberus must have something in mind. What is it? PS — Nice work by whomever is doing Caritas’ PR — the banner ads on the Globe article about […]

Hit the accelerator!

That’s my takeaway from the 2009 NAEP reading results. Here are just a few takeaways from the racial/ethnic subgroup data from 1992 to 2009 for the 4th grade and 1998 to 2009 for the 8th grade: Black students – 4th grade: The average scaled score goes from 204 to 216. At or above Basic goes from 47 to 62 percent. At or above Proficient from 10 to 23 percent. Advanced from 1 to 3 percent. – 8th grade: The average scaled score goes from 248 to 251. At or above Basic goes from 55 to 64 percent. At or above Proficient from 13 to 17 percent. Advanced drops from 2 to 1 percent. Hispanic students – 4th grade: The average […]