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COVID Testing
​Are They Really Free?
Even if the patient shows symptoms and receives other care related to the novel virus, without a test the patient may be on the hook for the cost of the visit.
Obamacare Neighborhood Watch
Patient Centered Medical Home ​
The Patient Centered Medical Home is the heart of Obamacare. Let us be clear: It is neither patient-centered or a home. 
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Multiplicity of Disease
​A Most Pressing Healthcare Challenge
While much attention has been directed at the management of chronic disease, it is the multiplicity of disease rather than the chronicity that increases demands on healthcare systems.
Reintegrating Patients to the Workplace
After an Illness
In patients with chronic fatigue syndrome, myocardial infarction, rheumatoid arthritis, and asthma, the illness was strongly linked to the functional outcome and they need help reintegrating with the workplace.
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Two Sides of the Same Coin
Quality Improvement & Practice Development
The majority of nurses, doctors, allied health professionals and other healthcare staff possess a strong desire to provide the best possible care and experience for their patients. Unfortunately, this sometimes falls short of what was planned or intended.
Med Tech Advances
Increased Expenditure vs Quality of Life 
From 1960 to 2000, average life expectancy increased by 7 years, with each year of increased life expectancy costing about $19,900 in health spending.
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​ ​ICU Care Allocation
​Can society continue to afford open-ended ICU Care?
America endeavors to join the global medical village and ensure affordable health care for all Americans. This will be impossible using the country's current open-ended expenditure system. ​
Med Tech Advances
Expenditure vs Quality of Life
Analysts often point to advances in medical technology and their diffusion across health systems as the principal driver for burgeoning expenditures.
Data Driven Recommendations for US Hospitals
To Save Lives and Cost
Of industrialized nations worldwide, the U.S spends the most on healthcare and the most on healthcare per capita, even though the quality of healthcare by specific measurements remains relatively low.
Calculating ICU Costs
Is Cost the Endpoint of Care?
 There are two common accounting formulas for healthcare costing, conveniently termed top down and bottom up. Bottom-up and top-down approaches give different cost estimates.
Intensivists at Night
Failure of Process Optimization?
Intensivist presence in the nighttime is unlikely to influence length of stay or other outcomes, unless the processes within and
beyond the ICU have been adjusted to profit from professional night-time decision making.
End of Fee for Service
Really?
​​Regardless of all the payment reform talk, fee-for-service is not going away soon.
Portes Tournantes Hospitaliers
The Readmissions Cycle
​​​Nearly 1in 5 Medicare patients returned to the hospital within a month of discharge, with an estimated 1 in 8 avoidable. 
Intensivists At Night
Putting Resources In The Right Place
Management by intensivists has become a quality indicator for many ICUs and many institutions have hired full-time intensivists for both day and night coverage in the ICU. 
After-hour ICU Discharges
A Source of Preventable Patient Deaths
​​​After-hours ICU discharges contributes to adverse care events, including preventable hospital deaths.