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Goldsmith Takes Aim at ACO's, Suggests Alternatives

In the January 2011 issue of Health Affairs, Jeff Goldsmith suggests that the federal government’s ACO program (Shared Savings Program) is headed for trouble, and the program’s failure will have significant adverse impacts in increasing employer and health plan costs. His paper proposes an alternative, flexible contracting strategy for private insurers that strengthens primary care and promotes both competition and choice in specialty services such as cancer treatment, heart care and other expensive hospital based services. Read this widely cited analysis through this link. Jeff recently commented on the ACO regulations issued on March 31 by the federal government. Read them here.



Jeff Goldsmith on the Future of Radiology and Medical Imaging

The March issue of the Journal of the American College of Radiology carried Jeff Goldsmith’s Moreton Lecture to ACR in May of 2010. This lecture both celebrates the success of radiologists in leveraging and improving imaging technology, and challenges the profession to innovate in three important areas: making diagnostic imaging more definitive through technological refinement, collaborating more successfully with other disciplines which border radiology and experimenting with new payment models to create value for patients and payers. You can read the article at this link. These issues are explored in depth in Bruce Hillman and Jeff Goldsmith’s new book, The Sorcerer’s Apprentice: How Medical Imaging is Reshaping Health Care (Oxford U. Press, 2011). You can purchase this book at Amazon.



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