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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande Sep 18

    Atul Gawande Retweeted Anna Mathews

    A great—and disheartening—investigative story.https://twitter.com/annawmathews/status/1042128450088095744 …

    Atul Gawande added,

    Anna Mathews @annawmathews
    Walmart wanted to stop using the 5% of health-care providers with the worst quality, and it couldn't do it. Does that happen with any other kind of supplier? https://www.wsj.com/articles/behind-your-rising-health-care-bills-secret-hospital-deals-that-squelch-competition-1537281963 … via @WSJ
    6:40 PM - 18 Sep 2018
    • 153 Retweets
    • 315 Likes
    • Zohreh A TheChauMeister Lori Thatch Taking Action 4 US Jennifer Michelle, MPH, EMT Marjorie Fessler Vivian Tan AnshuBJindal Zen Chu
    18 replies 153 retweets 315 likes
      1. New conversation
      2. Pradheep J. Shanker, M.D., M.S.‏ @Neoavatara Sep 18
        Replying to @Atul_Gawande

        When large conglomerates like Hopkins and OhioHealth dominate the markets...this is the result. Of course, we have been pushing such consolidation for a decade, so not sure why anyone is surprised by the result.

        1 reply 0 retweets 3 likes
      3. Brian King‏ @BrianKi65682130 Sep 18
        Replying to @Neoavatara @Atul_Gawande

        The hospitals aren't the only conglomerates in this story. The article seems to paint Cigna as a friendly neighbour trying to get you a deal. Cigna is massive, and for profit. Hospital systems like NYP and John's Hopkins are nonprofit. Two sides to this I think.

        0 replies 1 retweet 2 likes
      4. End of conversation
      1. Ken Croen‏ @KDCroDoc Sep 19
        Replying to @Atul_Gawande

        No other segment of the economy is completely devoid of transparency about cost and quality.

        0 replies 1 retweet 3 likes
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      1. Renee Broadbent‏ @reneeEbroadbent Sep 19
        Replying to @Atul_Gawande

        Thank you for sharing. Agree it’s powerful and demonstrates one aspect of the many problems with our current healthcare system.

        0 replies 1 retweet 1 like
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      1. Norris Kamo MD, MPP‏ @norriskamo Sep 18
        Replying to @Atul_Gawande

        One solution is something you wrote about in 2015, @walmart Centers of Excellence, but only for elective non-emergent care: America’s Epidemic of Unnecessary Carehttps://www.newyorker.com/magazine/2015/05/11/overkill-atul-gawande …

        0 replies 2 retweets 0 likes
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      1. Arvind Cavale‏ @endodocPA Sep 19
        Replying to @Atul_Gawande

        Perhaps your own institution is part of the secret deals @annawmathews talks about.

        0 replies 0 retweets 1 like
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      1. Docsdoc‏ @Docsdoc3 Sep 19
        Replying to @Atul_Gawande

        Deductibles/denials caused us to merge with a NYC hospital. The revenues doubled thanks to hospital contracts but the overhead has tripled. The losses are greater than before. Everyone lost including the payors. Is this what ACA had envisioned? Only God or Gawande can save us!

        0 replies 0 retweets 1 like
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      1. Sejal Mehta‏ @sejalsmehtamd Sep 20
        Replying to @Atul_Gawande

        Time to take a closer look. Can we go back to basics?? Real exchange of service and payment should be between physician and patient. With every added layer, cost will be rising.

        0 replies 0 retweets 0 likes
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      1. Mary Scully‏ @mfs1947 Sep 20
        Replying to @Atul_Gawande

        Our health care system is like a squid with a seizure disorder, there's a lot of moving parts but it's isn't going anywhere.

        0 replies 0 retweets 0 likes
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      1. Dino William Ramzi‏ @dwramzimdmph Sep 19
        Replying to @Atul_Gawande

        This is only thought-provoking if you feel that anyone has adequately defined quality in healthcare. In this case, nobody in their right minds should say that “the best we have” is actionable.

        0 replies 0 retweets 0 likes
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      1. Mitt‏ @mittcoats Sep 19
        Replying to @Atul_Gawande

        Why is Walmart an intermediary in someone’s health? The only unique comparative difference between US health care and all other nations combined... employer-based health benefits If you do anything as ABC CEO, please dismantle employer health benefits.

        0 replies 0 retweets 0 likes
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      1. New conversation
      2. Susan: Vote Nov 6. No Excuses!  🌊‏ @dalvajulia Sep 19
        Replying to @Atul_Gawande @rocketgirlmd

        Actually there's one thing we can do, especially as we age. Reflect on our lives, talk to families & doctors, & prepare ourselves for death. I've been working through this for years, & I'm making arrangements to insure I won't go to hospital & can approach it based on MY values.

        1 reply 0 retweets 0 likes
      3. Susan: Vote Nov 6. No Excuses!  🌊‏ @dalvajulia Sep 19
        Replying to @dalvajulia @Atul_Gawande @rocketgirlmd

        As a nation we need to start integrating death into our health discussions and sooner rather than later. Regardless of the articles written as if we can avoid it, we will not. So, let's explore.

        0 replies 0 retweets 0 likes
      4. End of conversation
      1. Bodhi Takva‏ @BodhiTakva Sep 19
        Replying to @Atul_Gawande

        Depends what you define as worst quality. Garbage in, garbage out.

        0 replies 0 retweets 0 likes
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      1. What’s Next?‏ @GraceJansen2 Sep 19
        Replying to @Atul_Gawande

        On another recent experience with waste. Was at my PCP for a follow up and a CBC was ordered. Turns out I had other open orders. They performed all orders without reviewing with me-unfortunate as 3 of them were work related and done at another facility. Employer paid 2x

        0 replies 0 retweets 0 likes
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      1. Ab Klink‏ @KlinkAb Sep 19
        Replying to @Atul_Gawande

        Concentratie...

        0 replies 0 retweets 0 likes
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      1. Molly Moore‏ @Molly23Moore Sep 19
        Replying to @Atul_Gawande

        I agree this is disheartening. if employers of size really wanted to take on health plans to enforce quality and outcomes and value - they could :) Revenue to health plans almost entirely come from employers. They have to push for change.

        0 replies 0 retweets 0 likes
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      1. Deepti‏ @MdDeepti Sep 19
        Replying to @Atul_Gawande

        Employee health plans are the norm now but don’t always mean best quality

        0 replies 0 retweets 0 likes
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