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Dave Burda hosts a weekly podcast discussing news that impacts market-based change. Subscribe on your streaming service.

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The Biden Administration’s “Hesitation” on Value-Based Payment Reform


I listened to Jessie Colin Young’s “Miss Hesitation” nonstop during my first year in college. The song narrates the smooth-talking singer’s failed attempts at romance. This catchy mid-song couplet spoke to …

Anti-Vaxxer Minds: The Song


President Nixon and Elvis Presley in the Oval Office on December 21, 1970  Photo: Ollie Atkins via National Archives Elvis makes everything better. Even Nixon. Biden’s relentless vaccine rollout continues …

Mary Brady’s Nursing Home Story: It’s Personal


Tuesday’s Dispatch featured the New York Times devastating investigative report on corruption, malfeasance and failed government oversight in nursing homes. That story hits very close to home. Mary Brady was the …

The Sorry State of Nursing Home Star Ratings


Patient Safety Awareness Week was March 14th-20th. On cue, the New York Times released a major investigative report on nursing home corruption, dysfunction, neglect and death. We discussed the report’s …

Getting Scientific About Wellness: Introducing Lee Hood


Three things will last forever — faith, hope and love — and the greatest of these is love. 1 Corinthians 13:13 Repurposing for healthcare, this verse becomes: Three things are …

Rotisserie/Fantasy Covid?


In the 1990s, I played in a rotisserie/fantasy baseball league. “Roto” combines sports, statistics, money, competition and trash talk to create a form of male nirvana. Unbelievably, my league still …

Silly Holidays and Healthcare


Roses are red. Violets are blue. Canadians have health insurance. And all Americans should too.  The Biden Administration got our Valentine. Their massive American Rescue Plan funds these initiatives to …

The Fluidity of Anti-Vaxxer Statistics


On last Friday’s Roundup, Julie Murchinson, Dave Burda and I discussed the widely circulated Urban Institute (UI) report on Covid-19 vaccine hesitancy. You can listen to our podcast here. You …

Sludgebusters


Last Thursday’s Dispatch profiled how medical bill hassles cost workers and their employers an astounding $144 billion each year. This hassle factor adds to the already monumental $266 billion in …

Healthcare’s Administrative “Sludge” Is Worse than You Think


The economic term “externalities” sounds remote and antiseptic, but it’s not. Externalities are the economic equivalent of side effects. They affect daily living in ways large and small. Riding a …

Waxing Vaccinations


Scale certainly hasn’t proven beneficial for administering Covid-19 vaccinations. Large state governors are smoldering on hot seats for fumbling vaccine logistics while many small state governors are sticking it to …

Hogan’s Texas Heroes Taken by Storm


A legendary Defense Department “Whiz Kid” taught my Analytic Methods class at Harvard Kennedy School. Professor Bill Hogan’s analytic prowess often left us in the dust. During one class, we …

Herding COVID-19 Immunity Forecasts


A Wall Street Journal op ed predicts herd immunity by April. Biden is hoping for herd immunity by Christmas. Who’s right?  A boss once instructed me, “It’s complicated Dave. Don’t …

COVID-19 Treatment and Referrals: Are You Kidding Me!


California is on my mind this week. Tuesday’s Dispatch highlighted extreme pricing differences for identical procedures at California Pacific Medical Center. Today, I turn my winter gaze to Los Angeles …

Hospital Prices: Are You Kidding Me!


Maybe it’s the several feet of snow piling up on our deck that have soured my outlook on hospital pricing behaviors. Winter blizzards are one way nature reminds humans that …

Medical Schools, Heal Thyselves!


USA Today reports that medical school applications, particularly among Black and Latinx students, are up almost 20% during this pandemic year. This is wonderful news. Many applicants express a desire …

What Kind of Doctors Do We Have in the House?


My wife and I have become addicted to long-running network dramas from the early 2000s. First there was “West Wing.” Then there was “The Gilmore Girls.” And now there’s “House.” …

The Stark Difference Between Virus & Vaccine Math


It’s all in the numbers. The difference between virus and vaccine math is essential to understand the importance of public health measures in slowing disease spread and wait for herd …

Snowstorms & Apple Watch Insanity


Almost three times as much snow has landed on Chicago the last 10 days than the rest of the season combined. The latest storm, Orlena (go figure), dropped over a …