While Comey dominated the airwaves this week, healthcare policy was getting shaped quietly behind the scenes by the wily Mitch McConnell. Meanwhile, there is increasing alarm about the risks of letting the exchanges die from oxygen deprivation. As POTUS plays a high-stakes poker game, with the lives of millions as chips, health plans bail on one market after another, and at least one influential Republican is asking to restore subsidy payments.

Meanwhile, states such as NY are taking matters into their hands and forcing the issue on insurers while the health insurers remain conspicuously absent in the national debate.

The question, therefore, is: if Humpty Dumpty has a great fall, can he be put back together?

I’ve had the privilege lately of speaking with many industry leaders while completing my research for my upcoming book. The one thing that everyone is betting on is that the shift to valued-based care (VBC) is a train that has left the station. But how fast is the train moving? Recent surveys seem to suggest that the train has at least slowed down for now. I explore this in the context of a recent survey by Quest Diagnostics in my latest blog in CIO.

In the midst of all the uncertainty, at least one part of healthcare is going, what crisis? A new genre of concierge practices in healthcare is keeping the rich healthy at all costs – no appointment, no waiting in line. A new medical practice model treats doctors as asset managers – the asset here is the patient’s body. Which should make us all look up the definition of health equity and reflect on what it means for American society today.

Why restructure when you don’t have to? Because you can. Management lessons from the Mayo Clinic’s overhauling of its already working system.

Who needs John Grisham thrillers when we have investigative reporting on healthcare? Charles Duhigg of NYT gives us this colorful story on Mylan’s EpiPen scam. Move over Gordon Gekko. Here comes Robert Coury.

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