Atul Gawande has recently become CEO of a health care joint venture founded by Amazon, BerkshireHathaway and JPMorgan Chase. The surgeon, public. THE COST CONUNDRUM – What a Texas town can teach us about health care Read the full article. by Atul Gawande. The New Yorker. 01 June 5 things Atul Gawande learned on his return to McAllen, TX and “ The Cost Conundrum: Redux,” surgeon and author Atul Gawande provides.

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Gawande’s articles in The New Yorker lend some perspective to what he sees as the major drivers of high medical costs and how to address them. Atul Gawande had been selected to serve as CEO of their joint healthcare enterprise, focus is now shifting to his plans on containing high medical costs.

4 Insights from Atul Gawande’s Influential ‘Cost Conundrum’ Article | HealthLeaders Media

Anyone looking for clues on how Gawande might approach his new job has plenty of material to pull from. His journalistic work has been impressing gawade business people and policymakers for years. The article caught the attention of the White House and was required reading for codt during weeks of debate on the landmark legislation.

It is worth revisiting Gawande’s influential essay not only for its effect on the national healthcare debate nearly a decade ago, but also for addressing the financial factors that still affect healthcare today.


What initially drew Gawande to McAllen were the costs: The expenditures were also more than triple what Medicare had spent on McAllen enrollees inwhich was in line with the national average. Gawande approaches the issue from a national perspective, arguing that if expensive healthcare markets can bend the cost curve to that of low-cost areas, then the larger problems facing Medicare can be solved.

Unless we figure it out, health reform will fail.

Below are four observations from “The Cost Conundrum” on problems and solutions to the national healthcare market, as Gawande ascends to head one csot the most closely watched healthcare projects in recent memory:.

Gawande cites multiple university studies that found an increase in healthcare spending and treatment did not improve patient health, and in some cases was detrimental. One Dartmouth study he cited found high-cost areas were less likely to provide low-cost preventative services to patients, with Gawande observing: This applies to physicians demanding kickbacks for hospital service and negotiating with home health agencies.

Summary of “The Cost Conundrum” by Atul Gawande | Free Essay Samples

Atul Gawande’s Commencement Address at U. Gawande cites the Mayo Clinic as the standard for breaking through the financial incentives for physicians to shift focus from patient to profit. While admitting it is not an easy task, Gawande said the Mayo Clinic recognized the need to eliminate financial barriers by pooling the system and physicians’ money together and paying by salary.

Gawande also points to a similar approach by physicians in Grand Junction, Colorado, who agreed to a system that pays fees so as to discourage choosing between patients based on federal or commercial insurance coverage.


Summary of “The Cost Conundrum” by Atul Gawande

He added that the early creation of what would become ACOs have produced “enviably higher quality and lower costs,” compared to the average American city. The lesson of the high-quality, low-cost communities gawade that someone has to be accountable for the totality of care. Otherwise, you get a system that has no brakes.

Gawande said insurers, both public csot private, have proven they can’t manage the full complexity of medical care and instead suggests turning to local medical communities.

It will be our future.

Jack O’Brien is the finance editor at HealthLeaders. View the discussion thread. Federal agencies are preparing to furlough non-essential workers and diminish available services, harkening back to the day shutdown in Faced with skyrocketing drug overdoses, states are cracking down on opioid prescribing.

Some patients with chronic pain say they are becoming collateral damage. If they do, Phoebe makes sure their bosses know about it. Doctors working for the Albany, Ga.

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