Let's start with these

With all the highfalutin talk about the Triple Aim, payment reform, ACOs, population management, and the like, wouldn't it be nice if hospital administrative and clinical leaders focused on these categories of harm that have been identified by the patients and families who have experienced a medical error.* Instead, our "leaders" and their governing bodies focus on building their networks to gain market power and minimize competition, expanding their risk pool, minimizing corporate risk, and fighting over who should share the surplus or deficit from capitated contracts.  They are truly cost centers in search of revenue streams. This is the corporatization of American health care.

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*Yes, these are Massachusetts numbers, but they are duplicated in other jurisdictions.

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