A great big headline to catch some attention, because everyone likes attention

So you understand the roaring wave of fear that swept through the greatest city in the world just as Monday was dawning--the stream of flight rising swiftly to a torrent, lashing in a foaming tumult round the railway stations, banked up into a horrible struggle about the shipping in the Thames, and hurrying by every available channel northward and eastward. By ten o'clock the police organisation, and by midday even the railway organisations, were losing coherency, losing shape and efficiency, guttering, softening, running at last in that swift liquefaction of the social body.

Today’s Most Attractive National ACO Model Is Offered By…CMS (at HealthAffairs)

I recently helped write an op-ed at HealthAffairs on the Next Generation ACO Model, one of Medicare’s pilot initiatives aimed at improving the Medicare Shared Savings Program Accountable Care Organization model: A large national payer recently announced the opportunity for Accountable Care Organizations (ACOs) to share in 100 percent of the savings they create for the payer’s largest book of…

NextGen ACOs and a Comment to the US Senate Committee on Finance

I wrote a post for Evolent Health’s blog and a Comment to the US Senate Committee on Finance’s Chronic Care Working Group (on behalf of Evolent). First paragraph: The provision of health care is changing more quickly than any time in recent memory. While this is happening in both the public and the private sector, we’re thrilled about two recent…

Burundi Falls Apart – Again

In late 2013, after a day-long bus ride through the rolling hills and lush greenery of Rwanda and northern Burundi – a trip during which one of my seatmates, evidently unaccustomed to facing her own mortality, threw up out the window – I hopped off in Bujumbura with absolutely no idea where to go next. The Bujumbura bus park is…

Book-Blogging – Americanah

For all sad words on tongue or pen, the saddest are these, ‘it might have been.’ – John Greenleaf Whittier The air in Chimamanda Ngozi Adichie’s envy-inducing book, Americanah, is suffused through with saudade. Saudade is a Portuguese word without a direct English translation, but you probably know it: a sense of wistful nostalgia for something that probably never existed;…

We Know How Cerebral Malaria Kills Children — But Do We Know How to Save Them?

We now know how cerebral malaria kills children. But do we know how to save them? An otherwise-fantastic NPR story suggests a solution that is, unfortunately, exactly wrong for the scope and scale of the problem: donated medical devices. And the problem of cerebral malaria is a massive problem. Malaria is a wicked disease, causing an estimated 584,000 deaths in 2013…

Book-Blogging – A Problem From Hell, by Samantha Power

Samantha Power’s masterful book, A Problem from Hell: America and the Age of Genocide, will make you want to do one of two things: drop everything and go work with her from the inside, to embolden our institutions and ennoble our leaders; or rage from the outside about the myriad failures of conscience and the fostering of cowardice that have…

Friday Morning with Frank in Petionville

I’m just now getting to some writing I had started, but couldn’t quite finish, on a trip I took to the Dominican Republic and Haiti earlier this year… On an beautiful, uncharacteristically quiet Friday morning in Petionville – the neighborhood in a post-Independence Day/New Year’s Day hangover – I met a guy the way a lot of travelers meet a…

How the Bill and Melinda Gates Foundation is Re-Thinking Philanthropy

The Bill & Melinda Gates Foundation is a massive, and massively powerful, philanthropy. In 2014, it gave $3.9 billion dollars to efforts ranging from college readiness in the United States to engineering a better toilet for low-income countries. It has the ear of presidents around the world, and can change policy with its heft. Which you probably already knew. But,…