Baked Potatoes and Smurf Turf #1

People in Boise are proud of their famous spuds and the bright blue Astroturf of the Boise State football stadium, but otherwise are generally happy staying out of the spotlight and quietly enjoying life in Idaho. But recently, Boise has been the epicenter of a landmark healthcare trial, a major lawsuit against the biggest health system in state that was READ MORE »

Toto Needs a GPS

Recently I was at one of those industry events, the type where some big healthcare companies invite you in to hear some speakers and then ‘network’ with others who, like you, think big thoughts about the future of healthcare. Clearly, the invitation screening process broke somewhere because I got in.


Things That Matter

But this is what happens when you’ve Several times recently I have given one version or another of the same essential talk: Doc, here is what you have to do if you want to stay independent.


Unintended Consequence, Part n

Here’s guessing we can use that title for many posts, so we’ll not bother with counting the parts in the title. It will make ‘copying and pasting’ easier.


Sasquatch Spotted

Yes, there seems to be some level of agreement between Republicans and Democrats on one very important issue.

We all know the SGR formula for physician Medicare payments is broken. We are all tired of the twisted Kabuki theater that takes place at the end of every year, the net result of which is the cuts are postponed, dollars are wasted READ MORE »

The Fine Print

I think you might be able to get a no-cost breakfast and maybe even an occasional free dinner, but as the saying goes, lunch is going to cost you, one way or another.


Tinkering Begets Tinkering

Some reading about the challenges that surface when exchange plans eliminate specialty hospitals (e.g. the local Children’s hospital) and thus disrupt care for chronically ill patients reminded me of a recent project at our house.


Get Your Mind Right

News flash…They cancelled the Marcus Welby TV show. No, really, it is off the air.

As healthcare gets blown up and reconstructed, that version of independent medicine is gone and it isn’t coming back. If you are reading here in hopes of finding some magic potion that can lead back to the good old days, you will be disappointed. Besides, if READ MORE »

Yes, I am Myopic

I am not anti-big health system. I am not universally opposed to physicians becoming employed by big health systems. Sometimes, that is the best alternative.

But I am a big believer in the value of the independent physician practice.


Winners and Losers

The rules of healthcare are changing and changing more dramatically than some people are ready to admit.

Industries go through change all the time, most of which is incremental. But sometimes the changes are so deep and so fundamental that what comes out the backside is very, very different. Or gone completely.



Tim Coan, ALN’s CEO, writes an insightful and witty blog three times a week about a variety of topics relevant to independent physician practices.

Yes, I'd like to get Tim's blog.