The Employer-Led Health Care Revolution?

The Employer Led Health Care Revolution HBR 2015-page-011

This comes from a Harvard Business Review called The Employer-Led Health Care Revolution.  It chronicles Intel’s attempt to save money on healthcare.  They did all the hip stuff like on-site clinics, wellness programs, etc but:

While those programs generated improvements in employee awareness, engagement, and accountability, it had become clear by 2009 that they alone would not enable Intel to solve the problem, because they didn’t affect the root cause: the steadily rising cost of the care that employees and their families were receiving.

So, they put their heads together and:

The company decided to tackle the problem as it would a manufacturing challenge: by using lean improvement methods to rigorously manage the quality and cost of its health care suppliers. Intel led a health care collaborative that focused on six clinical processes for treating conditions such as diabetes and lower back pain.

The picture above is the results. Now, what is missing from this picture?  Hmmm.  There seems to be something familiar that is gone.  Hmmm.  Oh, yes, the answer is to get rid of the doctors!  They must have been the problem all along!  Everyone knows that a rehab office assistant or what I like to call a ROA can figure out by phone what to do. What was the medical system thinking?  Now this is revolutionary!

I have repeated this over and over again on this site that the ultimately goal by administrators/hospitals/government/employers, in any medical solution, is to get rid of the doctors.  This is just another example of many.  It makes my back start to ache just reading it. Now I have to go call the ROA.  Damn.


Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  2 comments for “The Employer-Led Health Care Revolution?

  1. Perry
    August 17, 2015 at 10:38 am

    Doctors? We ain’t got no doctors. We don’t need no doctors! We don’t got to show you no stinkin’ doctors!

  2. Steve O'
    August 16, 2015 at 10:50 am

    Even better:
    1) Hire worker on contract as part-time “consultant” with no benefits.
    2) Worker misses work for uncomplicated lower back pain.
    3) Fire.
    4) Contact headhunter for new “consultant.”

    Now that’s lean, baby!

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