The payment landscape is shifting dramatically in the US health care industry and this has serious implications for the survival of providers. With the volume-to-value transformation, traditional fee-for-service payments are being replaced with a financial incentive framework that rewards for improved quality and outcomes. Although this impacts only Medicare payments...

There is no issue more important to the future of America than it’s long-term fiscal sustainability. And the long-term fiscal sustainability of the United States has been placed in jeopardy primarily by the structure and expense of America’s healthcare system. According to the Congressional Budget Office, nearly the entirety of...

In the late 1800's France poured money, men and material into building the Panama Canal. They were spectacularly unsuccessful. Years later the concept of a canal intrigued President Theodore Roosevelt. The prevailing sentiment at the time was that the canal should go to Nicaragua presumably because clearly anything connected with...