economics

May 26, 2019

Slow Uptake of Value-Based Payment Kills Proven Integrative Model: CHI Health Care to Close

Seven years ago, David Fogel, MD set the goal of proving what he hoped could be a primary care cornerstone of a transformed system of health care. With a generous philanthropic grant, he and his spouse Ilana Bar-Levav, MD created a team-based integrative health patient-centered medical home (PCMH).  To give it power as a national model, the integrative PCMH was fully webbed into the emergent accountable care and value-based system. Early cost and health outcomes at their CHI Health Care significantly outperformed conventional practice metrics. They drew a visit from a US Surgeon General who was in search of innovative, value-based models. Yet now comes news that on July 23, 2019, the Center will shut its doors. An apparent guiding light for health system transformation will be snuffed. What gives?
May 19, 2018

An Actuary’s Proposal for Business Success for Lifestyle Medicine Practices

Insurance-based business models for lifestyle, functional, integrative and naturopathic medical practices are often something of a challenge.