In a rational political environment, there's a strong argument for tax reform—the next item on President Donald Trump's agenda. But we don't live in such an environment. Cutting taxes when the economy is near full employment will do nothing more than blow a massive hole in the federal budget.
The economic term for what's happening in retailing is disintermediation—the removal of middlemen from a supply chain or a series of transactions.
As policymakers, providers and payers continue to tinker with alternatives to an ailing fee-for-service delivery model, physicians are increasingly being called upon to help lead the transformation. Roughly 5% of hospital leaders were physicians in 2014, according to the American Association for Physician Leadership, and anecdotal evidence suggests that is rising. Frequently, physicians are being thrust into leadership roles without being given the tools necessary to succeed.
Regarding the story "CMS actuary predicts GOP repeal bill will reduce coverage by 13 million" (ModernHealthcare.com, June 13), with the increasing number of plans that offer horrific coverage for care (catastrophic coverage designs, for example), it is somewhat unfair to simply state a lost coverage number.
Just when you thought the Republican drive to repeal the Affordable Care Act was finally dead, there is a plausible new scenario being discussed on how Senate Majority Leader Mitch McConnell could resuscitate it.