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home health home-centered health care Hospice palliative care

Palliative Care: Connecting The Dots Between Home Care and Hospice

Mike Magee In recent years I have frequently written about and discussed the need for a “parallel build-out” in order to achieve truly preventative care in the United States.(1) This refers to the challenge on the one hand of better managing our current burden of chronic disease in mostly older Americans, while at the same […]

Looking Beyond Health Coverage: What Kind Of Health System Will We Build For America’s Future?

Mike Magee In the battle over the Affordable Care Act, it has been easy to lose sight of the fact that this is essentially health insurance reform legislation focused on ensuring equity and justice, and expanding coverage to all Americans. That’s laudable and those goals will be accomplished. But the question remains, what kind of […]

Categories
home-centered health care

Home Health Care: Meeting The Patient Half Way.

Mike Magee In a 2013 article in JAMA, Steve Landers laid out the argument for money following the patient. Destination? Home, where family caregivers and others are increasingly doing their best to manage health care complexity. In the article Landers states: “Most older Americans want to age in place. The Medicare home health benefit is […]

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palliative care

Pete Hamill, Dr. Delaney, and The Promise of Palliative Care.

Mike Magee Last week, as part of research on a long-term project, I read Pete Hammil’s terrific novel North River. It recounts the experience of a fictional doctor, James Delaney, in New York City in the 1930’s.(1) In one passage, Hamill describes Dr. Delaney this way:  “He was a doctor, but medicine was not an […]

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Health Care Human Resources Uncategorized

The New Healthcare Workforce: Will Form Follow Function?

Mike Magee In the November 21, 2013 issue of the New England Journal of Medicine, the lead article asks, “Are We in a Medical Education Bubble?”(1)  In the article, the authors explain that “ Bubble markets are created when an asset trades for increasingly higher prices as it is bought by people who are hopeful […]

Categories
healthcare reform

Looking Beyond Health Coverage: What Kind Of Health System Will We Build For America’s Future?

Mike Magee In the battle over the Affordable Care Act, it has been easy to lose sight of the fact that this is essentially health insurance reform legislation focused on ensuring equity and justice, and expanding coverage to all Americans. That’s laudable and those goals will be accomplished. But the question remains, what kind of […]

Categories
employer-based health care Uncategorized

How The Ties Between Your Employer and Your Health Insurance Are Unraveling – and why that’s a good idea.

Mike Magee A series of highly publicized reports over the past few weeks have raised concerns that employer’s paternalistic involvement with your health and your health insurance is on a downslope. But is that really bad? Home Depot announced plans to shift 20,000 part-time (less than 30 hours a week) employees to government sponsored insurance […]

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