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HAVING spent the last year reporting for a series of articles on the high cost of American medicine, I’ve heard it all. [...] As of Jan. 1, the Affordable Care Act promises for the first time to deliver the possibility of meaningful health insurance to every American. But where does that leave the United States in terms of affordable care? Read More »

You hear stories about crazy medical bills, but what very few people realize is that the reality of hospital bills can often be orders of magnitude more crazy than what most people expect. [...] Stephen Brill has a very long, but absolutely gripping, detailed analysis of the insanity of medical billing for Time Magazine... Read More »

It was late in 2009, and Willie Lawrence and the other heart specialists in his practice faced a dilemma. Should they renew their expiring office lease and commit themselves to their independent cardiology practice at Research Medical Center or shut down their business and take the jobs that local hospitals were offering? Medicare helped make the decision for them. Read More »

The February 10 Liberation Technology seminar titled, Can ICT Improve Clean Water Delivery Systems in Slums? Lessons from Kibera was led by two Stanford students, Katherine Hoffman, M.A. Candidate in International Policy Studies and Global Health together with Sunny Jeon, PhD candidate in Political Science... Read More »

Transparency of healthcare costs and outcomes rests on hospital leaders' shoulders.

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Here at DOBT we talk a lot about How To Fix Procurement, but you don’t hear a lot about why things go wrong. The Healthcare.gov Fiasco is instructive in that it highlights every piece of our procurement process that’s broken. How, with a half-trillion dollar a year spend, could something like this botch even happen? Here’s how: Read More »

State-based health insurance exchanges are a key component of the health care reforms included in the Affordable Care Act (ACA). Starting in January 2014, each state's exchange will provide a marketplace where individuals and small employers can compare and purchase health plans. The idea is both to expand health insurance coverage and to foster competition among insurers, thereby promoting cost containment. Read More »