• Repertoire - A New Class of Competitor

    It is a natural tendency for large buyers to look to eliminate middlemen in their purchasing. The concept is sometimes called disintermediation, and it can occur in any channel of business where customer consolidation creates very large buyers in relatively short periods of time. Our industry should keep this in mind as we consider the seeming trend by some hospital networks toward self-distribution.

  • Time to remove health care from ideological debate

    In my last visit to this space, I raised several questions about our network of hospitals in an era of health care reform. Fundamentally though, I had one overarching question: Should we attempt to plan the transition to a more efficient and right-sized network of hospitals, a change that could better serve the needs of our communities today while containing costs, or should we simply wait and let the market do it for us?

  • More-efficient model needed for hospitals’ survival

    I know from many years of volunteer and fundraising work that people in our communities care deeply about their local hospitals.

  • If designed right, health exchange can save money

    As the governor’s commission on health reform continues to debate the various issues  outlined somewhat vaguely in the Affordable Care Act, one group, the Exchange Work
    Group, has encountered more than its share of challenges.

  • Health-exchange legislation must pass this session

    OPINION - The message from the business community to assembled legislators and state officers could not have been more clear in January at the Small Business Administration’s Summit meeting.

  • Cutting Medicaid doesn’t really save R.I. any money

    From the Feb 14, 2011 edition
    OPINION - Here’s the truth. Eliminating part or all of Medicaid will not save us money unless we intend to stop treating the people who will be affected. Thus, as long as we require our hospitals to treat everyone who shows up in their emergency departments, the most expensive form of care possible, then reducing Medicaid coverage is merely shifting these costs around at the same time we are increasing them.