Nathan Kaufman

Garrett Hardin popularized the idea of a tragedy of the commons in a 1968 Science essay carrying that title.a It describes a situation in which individuals with unlimited access to a public resource act in their own self-interest and ultimately deplete it. Hardin used grazing on a public pasture to make his point. Imagine a…

Garrett Hardin popularized the idea of a tragedy of the commons in a 1968 Science essay carrying that title.[1] It describes a situation in which individuals with unlimited access to a public resource act in their own self-interest and ultimately deplete it. Hardin used grazing on a public pasture to make his point. Imagine a…

The good ol’ days of hospital-based physicians providing services at no cost in exchange for exclusivity are over, creating significant disruptions.  Health systems are facing a growing shortage of anesthesiologists and radiologists, a shortfall that is driven by a broken business model for those types of services.  Underpayment for anesthesia and radiology care by Medicare and Medicaid combined with a lack of experience in related revenue cycle management and high…

Healthcare systems are plagued by fragmented silos that result in suboptimal outcomes and increased costs, but by assigning a directly responsible individual and using real-time dashboards, health systems can optimize overall performance and improve quality of care.