New business models.

When the conversation begins about a health care delivery model that is unsustainable and then progresses to discussing new business models worth pursuing, the effort of several Miami hospitals shouldn’t be on the list:

Jackson Memorial has teamed up with other local hospitals to market Miami as a health-care destination. The institutions have ponied up $12,500 each for an initial campaign. And they launched a Web site,

People coming to the United States for their health care is a good thing, it’s a good thing for American health care to be perceived as the leader.  And it’s also an understandable effort by the hospitals as it becomes increasingly difficult to sustain operations in the current system.  But the same things that are bringing foreign patients to Miami hospitals (quality health care and cheap flights) are sending American patients to foreign hospitals (plus the promise/execution of lower costs).  That model isn’t sustainable either.

Swapping supplies.

Paul Levy with a simple (read: great!) idea:

We plan to have a general office supply swap for the hospital soon, but I thought I’d run an experiment in the meantime. It is based on my community experience running a soccer cleat exchange. I created the “Presidential swap shop” in the corridor near my office, which is within eyesight of a highly trafficked thoroughfare. The sign says, “Take what you need, leave what you don’t.” Already, within a couple of days, there has been a dramatic amount of trading activity.

The P4P Conundrum

A WSJ article outlines the conundrum with pay for performance:

Can hospitals persuade discharged patients such as Betty Beauchaine to pass up a Fourth of July hot dog?

It’s more about the patients than the providers.  And if health status isn’t incentive enough, maybe greenbacks are.  From Marketplace:

We published a paper that shows that if you pay individuals $7 a pound, you can get the type of weight loss that’s traditionally seen through off-the-shelf weight- loss programs.

Colliding worlds

Link: Companies find closed internet access policies not good for business.

Duh?  Maybe it’s not that obvious, but it certainly should be.  This article does a nice job comparing other activities employees do to “waste time” offline.

Money Quote: Gary Rudman, president of GTR Consulting, “These two worlds will continue to collide until there’s a mutual understanding that performance, not Internet usage, is what really matters.”

Update: Huh, another connection between education and health care, out-of-whack performance metrics in higher ed.

1,018 pages of … what?

Conor Friedersdorf:

The worst thing about “comprehensive reform” efforts are that they shut the average citizen out of the legislative process by making bills so complicated that it is nearly impossible for the average citizen to properly evaluate whether on balance it is a wise or unwise measure. Who can predict all the effects of a 3,000 page bill spanning all manner of issues? Often times not even the legislature itself. Certainly not the press, which often focuses on bits of the legislation that won’t actually have the most impact, sometimes because legislators themselves are deliberately obscuring what’s actually at stake.

Who’s to say the average citizen wants to read the legislation?  Or the interested citizen for that matter?