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    Crisis of Empowerment
    Gayle Brekke
    • Dec 14, 2021
    • 7 min

    Crisis of Empowerment

    My recent re-reading of Believe in People: Bottom-Up Solutions in a Top-Down World by Charles Koch (which I highly recommend, by the way)...
    1911
    Physician Views of DPC - Results of a Survey
    Gayle Brekke
    • Aug 27, 2021
    • 3 min

    Physician Views of DPC - Results of a Survey

    Direct Primary Care was viewed as potentially beneficial for both patients and physicians. For some survey questions, DPC physicians had...
    950
    Paying for Primary Care - Part 4
    -
    • Mar 14, 2021
    • 8 min

    Paying for Primary Care - Part 4

    A look at physician incentives in direct and traditional primary care delivery Direct Primary Care and Cash Fee for Service Until now in...
    1682
    Actuarial Clarity for Building on the ACA: 
Let’s 86 the 8.5% Myth and Other False Narratives
    gregfann0
    • Feb 28, 2021
    • 27 min

    Actuarial Clarity for Building on the ACA: Let’s 86 the 8.5% Myth and Other False Narratives

    The 46th President of the United States assumed office after serving eight years as vice president to the 44th president and four years...
    1870
    Paying for Primary Care - Part 3
    -
    • Feb 11, 2021
    • 5 min

    Paying for Primary Care - Part 3

    We examine behavior changes associated with the use of insurance and how they drive health care spending even higher. In parts 1 and 2 of...
    622
    2021 and Beyond: Consideration for Meaningful Change in Healthcare
    -
    • Jan 7, 2021
    • 8 min

    2021 and Beyond: Consideration for Meaningful Change in Healthcare

    It is often a challenge to have meaningful discourse on such a charged topic as healthcare. After all, it impacts all of us and...
    370
    The Tetradic Trumpcare Tally
    gregfann0
    • Dec 28, 2020
    • 17 min

    The Tetradic Trumpcare Tally

    “I think it’s probably the thing that I’m most disappointed…that I haven’t been able to say what a good job we’ve done. I haven’t been...
    3480
    Paying for Primary Care - Part 2
    -
    • Dec 9, 2020
    • 6 min

    Paying for Primary Care - Part 2

    How much more does insurance cost when it covers primary care? We saw in Part 1 of Paying for Primary Care that using insurance to pay...
    933
    Paying for Primary Care - Part 1
    -
    • Dec 2, 2020
    • 6 min

    Paying for Primary Care - Part 1

    How much can we save by using insurance properly? The unaffordability and poor value of health care and health insurance are top concerns...
    2096
    Bureaucracy
    -
    • Oct 24, 2020
    • 9 min

    Bureaucracy

    In the year 2000, the now world-renowned economist, Hernando De Soto published a must-read entitled “The Mystery of Capital – Why...
    290
    Hey Public Health Officials - Here's Why the Public Doesn't Respect You
    -
    • Sep 21, 2020
    • 3 min

    Hey Public Health Officials - Here's Why the Public Doesn't Respect You

    Respect must be earned, even during a pandemic. The Kaiser Health News article “Public Health Officials Are Our COVID Commanders. Treat...
    690
    The Big Lie: Out-of-Network Benefits
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    • Sep 2, 2020
    • 3 min

    The Big Lie: Out-of-Network Benefits

    I recently happened upon a publication entitled, "In Network vs. Out of Network Care - Fair Health Know Your Source Publications." A...
    180
    Why “Market - Driven” Needs to Be Brought                  Back into The Conversation
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    • Aug 18, 2020
    • 4 min

    Why “Market - Driven” Needs to Be Brought Back into The Conversation

    In 2007, Regina Herzlinger sounded the clarion call for healthcare reform with the release of her 3rd best seller, "Who Killed Health...
    240
    Why Challenge Status Quo Thinking?
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    • Aug 2, 2020
    • 3 min

    Why Challenge Status Quo Thinking?

    We must be willing to examine the fundamentals of health care in the US. Status quo thinking accepts “the way things are” as the way...
    250
    Health Services Research and Critical Thinking
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    • Jul 23, 2020
    • 7 min

    Health Services Research and Critical Thinking

    What can academia learn from the actuarial profession about promoting critical thinking? What other mechanisms are available to improve...
    230
    Welcome to Descant
    -
    • May 9, 2020
    • 5 min

    Welcome to Descant

    Our aim is to ultimately make the health care system better by challenging status quo thinking, exploring the evidence, and engaging in...
    260
    Direct Primary Care: Good for What Ails ME!
    -
    • May 9, 2020
    • 3 min

    Direct Primary Care: Good for What Ails ME!

    What this model is trying to do, and the amazing doctors who are doing it, are inspirational. They give me hope that health care can be...
    300
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