by Tom aka Rusty Rustbelt
Useful Models for Reform?
Question: Can these two models be replicated throughout the country?
Answer: Not likely.
The Mayo Clinic is unique but has replicated itself a few times, and the Cleveland Clinic is unique and to the best of our knowledge has not been replicated.
Even if these models could be replicated, it is unlikely they could be replicated in any but some urban areas. And if they could, the transition cost in most markets would be immense, and who would pay for that? (the new Mayo Clinics are in high growth and very prosperous areas, Florida and Arizona) The cost of merging tens of thousands of physician groups into hospital entities would be gi-normous.
Can we learn anything from these organizations. Yes. Can we duplicate these models in other areas? Not likely, and certainly not in the near term.
Tom aka Rusty Rustbelt