Category Archives: Work

MA universal health coverage (in brief)

Today at work, I was asked to provide some background for the 2006 Massachusetts state law, Chapter 58: An Act Providing Access to Affordable, Quality, Accountable Health Care. After the fact, I thought I’d post a portion of my communication on my blog.

Background on the MA Universal Healthcare Bill
Massachusetts’ Universal Healthcare bill was signed into law in 2006 and MA remains the only state which provides health insurance coverage to all it’s residents. When MA drafted this legislation they did it with the state’s insurers sitting around the table as a stake holder so unlike the public option which you hear so much about in D.C., Massachusetts created a Public/Private option blend. The result has been fairly positive for the state’s health insurers who have bucked a national trend by adding members; something unheard of nationally.

Why universal care works
The MA universal healthcare bill contained both a corporate and individual mandate. This has forced businesses to provide health insurance and encouraged residents to buy insurance or face fines. Nearly all but the state’s smallest companies must offer health insurance that meets ‘minimal creditable coverage’, or they are forced to pay a fee based on the number of uninsured employees as well as any costs incurred by the State if their employees use free care (go to a clinic or ER). Residents also shoulder responsibility and have an individual mandate requiring they have insurance. 

Even though there was a lot of negative press about these mandates infringing on individual liberties and making the state ‘unfriendly’ to business, it did not prevent the MA from keeping this in the bill and it is in my opinion one of the reasons MA achieved universal coverage so quickly. The state made a strong case by saying that since every resident at some point uses the healthcare system, everyone should be expected to have some form of health coverage.

So what’s the problem and what is/are the solution(s)?
Despite a significant downturn in the economy, universal healthcare remains popular in MA. An article published last month in The Boston Globe points out that residents still support the bill which brought universal care to MA by a 2-to-1 ratio (State’s Health System Popular). However, the program does have many detractors and there are many problems; cost control and access to primary care physicians being the top two probably.

The state made news back in July when it announced that they would scrap the current “fee-for-service”; a system in which insurers pay doctors and hospitals a negotiated fee for individual procedures or visits (NE Journal of Medicine Article). A state commission has recommended that within the next 5 years the state move to have a yearly fee for each patient. In theory, this will eliminate any financial incentive to overtreat patients and encourage greater efficiencies. Additional monies could be earned through pay-for-performance initiatives.

Now that coverage is avavailable through private employer-based insurance and the state run “Commonwealth Connector” the next step is tackling the jams in the system to ensure better access and  decreasing medical cost trends.  Ideas like ending fee-for-service and implementing pay-for-performance models are innovative approaches that have yet to be tested so it can not be said if they will fail or succeed and the law of unintended consequences can never be discounted, but I am pleased that the state continues to take this issue seriously and errs on the side of innovation and action.

Work, work, work…

This past week has been a blur.  I knew that the pace in the office would pick up and I’m proud that I’ve been able to keep up.  Since my co-workers have come back from vacation and returned to the office on Tuesday, September 8th – work has been very busy.

I’m not much for people who constantly talk about how busy they are so I rarely address my work in this blog unless it pertains to something I am doing which I find cool or interesting and want to share.  However, the past two weeks (and this last week in particular) have really kicked my butt. Groceries, laundry, returning calls, checking e-mails and yes, blogging have all fallen by the wayside.

The break-neck pace will not cease for another couple of weeks when a report I’m helping launch, a webcast series I am pulling together and a handful of other very interesting projects I’ve been asked to help lead all get off the ground. I have no regrets about my involvement and like each project. It is the convergence of multiple deadlines that provide me (and my team) little wiggle room and has kept me up late working and wondering, “are there are enough hours in the day?” 

Oddly, last year around this time I was logging some pretty crazy work hours as I scheduled and led meetings across the U.S. for a project called “From Proposals to Policy”.  I’ve only been with my employer for 18 months so perhaps I should just plan for every fall to be a bit chaotic.  Even though the work is gratifying and I like my team, I’m looking forward to returning to a more sane work schedule.

Social media: LinkedIn

There is a lot of talk about social media in business today and even more confusion about how to leverage some of the more talked about / successful sites.  I’m not an expert on all forms of social media, but I do particularly like two: LinkedIn and Twitter.

Social media is defined by wikipedia as media that can be disseminated through social interaction, that is highly accessible and has scalable publishing techniques. Social media are distinct from more traditional media (e.g. newspapers, television, and film) and is relatively inexpensive and accessible.  It is precisely this accessibility that makes social media both great and a great pain.  For that reason I wanted to share today’s article by Scott Kirsner in The Boston Globe entitled, “Make better introductions”. This article focuses on the benefits of LinkedIn.

LinkedIn is often considered a networking website designed solely for career advancement.  While the site is an excellent tool to leverage and meet people if you are searching for work, it is so much more.  As with so many social media tools – sometimes the full potential is either not fully realized at first or is perceived “too much work”.  In both cases these assumptions are incorrect. I won’t write endlessly about ways one can leverage LinkedIn since the Sunday article does a good job.  However, I will list the ten recommendations – check out the article here for more detail.

  1. Spell your name wrong.
  2. Get recommended.
  3. Take advantage of the toolbars.
  4. Write a compelling headline.
  5. List everything.
  6. LinkedIn can replace business cards.
  7. Automated searches.
  8. Stealthy vs. public prowling.
  9. LinkedIn isn’t Facebook.
  10. Build your network now.

I’ll also add a few of my thoughts / recommendations, which I’ve found provide nearly instant responses and results; they include:

Use the Question & Answer feature.  Asking the right kind of questions can result in possible leads for your firm and answering questions can lead to increasing your profile online by making you an expert in certain categories.

Don’t accept connections of people you don’t know.  The purpose of this site is to connect so it might seem counterintuitive, but if I’m connected to someone I don’t know what does that say about the stregnth of my network?  While I might not regularly stay in contact with everyone, if I were to reach out to someone in my network they should know who I am.  Sometimes the “Facebook-affect” takes place on LinkedIn (a desire to increase contacts no matter how tenuous or estranged they might seem).  Recruiters often have these profiles and it suits their needs as they can reach out to a large pool of candidates but that is not why I’m on LinkedIn, and I don’t view someone’s worth by the number of connections they have – neither should you.

Lastly, visit this site regularly.  LinkedIn is constantly adding new tools that help connect people.  Even if this site does not have obvious benefits – realize this is a lost opportunity for you to connect and strengthen your existing contacts.  Your professional brand is yours to promote or let languish – nobody is ever going to give you a performance review on how you market yourself, but free opportunities that have real value are rare in business.

Later this month I’ll write about another social media site I love – Twitter.  Until then you can reach out to me at www.linkedin.com/in/bostonmarketingguy.

Volunteering your way to a job

The Boston Globe has an article in today’s paper, Volunteering your way to a job. Although there is a lot of work to be done when you are first unemployed (i.e. getting your resume in order, applying for unemployment, etc…), if you are organized and efficient, you can conduct an effective job search in just a few hours each week.

When I was laid off in 2001, making myself available and keeping busy was essential. After being unemployed for a couple of months, I realized I needed to shake-up my routine so I turned to the AIDS Action Committee of MA (AAC) to volunteer Tuesday – Friday from 10:00am – 4:00pm in the development office.

I initially approached AAC for selfish reasons as a tech lay-off but my time at this wonderful health and human services non-profit paved the road and redirected me to a career in healthcare. Without realizing it, I was making excellent connections and more importantly, I was re-training myself. Too often people assume learning and career training needs to take place within a classroom, but that is simply not true.

Boston ranks 3rd in pay-raise survey

In an article published today by the Boston Business Journal, the non-profit researcher, World at Work, ranked Boston employers third-highest in a study on expected pay raises within major metro areas. Washington, D.C. took top honors in local business pay raises (no surprise since the government never is short on cash). Boston and Tampa tied in the survey where the average raise is expected to be 2.3%.

On the downside, the 2009 increase is the smallest in the survey’s history and 1.7 percentage points below the 3.9% that had been projected in the previous year’s report. And then there is the depressing fact that the MA unemployment rate is hovering around the 9% mark.

You can read the full article here.

Marketing triumph

Recently I wrote about how busy work has been and while it looks as if it will be a very busy summer, sometimes the work I do can be very gratifying. A good example of that is this morning’s release of my firm’s annual report.  This usually gets quite a bit of attention, but the timing of this report really could not have been better planned considering all the attention on this subject in Washington, D.C. Last week saw Senator Kennedy’s “Affordable Health Choices Act”, issued to members of Congress and this week President Obama indicated that it was precisely because of increasing costs that meaningful reform must happen now.

All day long one of the top news story on MSNBC has been our report. For a marketing guy like myself, this is pretty cool to see.  I know…I’m a markting-nerd; refrain from commenting.

Busy, busy, busy…

Although I enjoy both my job and my co-workers, I’ve been buried with work since recovering from my bout of meningitis. This is partly due to the fact that I had to play a bit of catch-up after missing a week of work, but this is also driven by several projects I am managing, which require my constant attention.
Later this month we are coordinating a fascinating one-day event in Washington, D.C. that will bring together healthcare leaders from around the country to discuss how the industry can better leverage healthcare data to improve quality and patient care. Earlier this year, the Obama Administration made a significant investment to drive greater adoption of Electronic Health Records (EHRs). Many organizations already have adopted an electronic platform to capture and analyze their data but this initiative will (hopefully) significantly move those that have yet to implement such IT projects. This program in D.C. is truly visionary and one of the reasons I really like my work. Leveraging secondary health data is not likely to make anyone money anytime soon, but by thinking about this strategically today – steps can be taken for leading institutions to position themselves in the market.

I’m also fixated on two web-based projects that will dominate most of my summer. No doubt I’ll be obsessing about hitting deadlines and answering a multitude of questions from all the stakeholders this project will impact. I think I was asked to lead these web-based projects because of my previous experience spearheading similar (albeit smaller) projects, and because the rest of my team had little desire. These are both fairly high-profile so I’ll keep my fingers crossed. If everything goes according to plan both of these web projects will be completed in September.

I’ve never worked at a company that has so many large-scale projects occuring at the same time. It really can leave my head spinning at times, but for the most part it is something I genuinely enjoy. I’ve been more challenged in the past 18months (since joining the firm) than I have been in the previous seven or eight years of my career.

I see fat people

U.S. statistics now show more than 34% of U.S. adults were obese in 2005-2006, compared with 32.7% who were overweight. The National Center for Health Statistics study, based on a survey of 4,356 adults, said the prevalence of obesity has more than doubled since 1980 while the prevalence of overweight has remained stable.

What is it going to take to reverse this trend in the United States? This is terribly depressing. Obesity affects the quality of life for millions of Americans and their families and leads to illnesses and shortened life spans. Imagine what healthcare costs would look like if this trend was reversed? Sorry for the social commentary, but I am passionate about healthcare and I wish more people were too.

No wonder we are all so exhausted


Tina Brown has an interesting article posted on The Daily Beast blog today called,”The Gig Economy“. In her article she refers to a trend that is being overlooked by economists, which shows that more and more Americans are holding multiple jobs to make ends meet.

What I thought was interesting about this article was that this trend no longer affects just the ‘working class’, but now is fairly typical for even college-degreed professionals earning more than $75,000 a year. When I met my partner nearly 10 years ago he worked in the service industry and balanced three jobs to make ends meet. About 3+ years ago he started working at a Fortune 500 company in a highly specialized role. When he took the job, he thought that it would mean he would work Monday – Friday focusing on only his new job but he quickly realized that he needed to keep his consultancy business to make ends meet. I have friends who are very successful at recognizeable firms in Boston including, Fidelity Investments, PricewaterhouseCoopers, BlueCross BlueShield, etc.. who all have side jobs that augment their income. Some people do this because they like the diversity or enjoy the extra income the work generates, but Tina’s story indicates that for many (and I know these people too) the extra jobs are a necessity due to a decline in real wages and or loss of employment.

This story has really made me stop to think about the implications and what this all means for the real health of our economy. It has also made me pause to wonder just how incomplete a picture our unemployment reports really are providing us. Recently it was reported that the U.S. unemployment rate jumped over 7% (a rate not seen since the first month of the first term of office for President Bill Clinton). What might the job reports indicate if they were to measure real income for all American families?

Once upon a time, there was such a thing as a single-income family. While there are still a few of those out there, nobody would argue that it is quickly becoming a thing of the past. However to have traded the need for a two-income family for a two-income multiple jobs family is a trend that has terrible implications for family and family life.

My 2008 Retrospective

One of the reasons I started my blog was to record my thoughts and so as 2008 draws to a close, I wanted to revisit some of the high and low points from the year.
THEATER
Although there were no visits to Broadway shows in NYC this year, I was able to get out and see the following shows: Spamalot, Avenue Q, Whizzin, The Light in the Piazza, Varla Jean Loves a Foreign Tongue, and All About Eve. Additionally, I went to see both Margaret Cho and Kathy Griffin when they visited Boston. I also had excellent seats to see George Michael who put on a fantastic show.

TRAVEL
As with most Americans the majority of my travel this year was close to home, but I was able to get away a few times. I started 2008 in sunny, warm Fort Lauderdale. In the spring, I spent a cozy weekend with my entire family on the coast of Maine and later in the summer I spent long weekends in both Newport, RI and Provincetown, MA. I also made a mad dash to NYC to see the US Open in August with my former co-worker and friend Stephanie. This past November / December I visited Brasil and spent time in Belo Horizonte, Buzios, and Sao Paolo. Lastly, I will be leaving tomorrow to say good bye to 2008 from chilly Provincetown. All, told I visited 8 cities / towns and packed my bags for vacation a total of 7 times – not shabby.

CHANGES IN 2008
In February, I accepted a job to work for a well respected professional services firm and left my job at The Bostonian Group after nearly 4 years of service to the firm. The chance to join the Healthcare practice at this firm was a no brainer and something I have no regrets about but it was difficult leaving an organization where I had made so many wonderful friends.

The most upsetting change in 2008 happened on May 21st when my grandmother “Nana” passed away. Her passing was a forgone conclusion and had been expected for several months but it was still very upsetting and she is dearly missed. I can see how much she is missed in the eyes of her children who have spent the past 6 months learning to cope without their mother.

In June candidate Obama clinched the Democratic nomination making him the first man of color from either party to accomplish such a feat. Five months later he would go on to be the first African American elected to be President of the United States. Finally, after eight years, I felt like reason and intelligence won the day over fear and a desire to elect a President you would want to share a beer with – jeesh!

Other Great Moments in 2008
– Gov. Deval Patrick is one of the first (if not the first) sitting governor to walk in a Pride Parade. He does it to show his love and support for his daughter as well as to show his support for GLBT equality.

– The Red Sox and Patriots season may not have ended in victory but the Celtics accomplish an amazing turn around thanks to the addition of Kevin Garnett and others. Helping the Green Machine crush the LA Lakers (how sweet) and win their league leading 17th NBA Championship title.

– I attended my very first Tennis major by going to the US Open in NYC and was able to see first week matches played by Rafael Nadal and Serena Williams. Sweet!

– The Beijing Olympics and Michael Phelps combined for a one-two knock out punch that made the 2008 Summer Olympics probably the most amazing I will ever see in my lifetime.

Thank you for the memories 2008… I look forward to 2009.

Major work event

For the past few months I have been working diligently on a project that addresses healthcare reform. I most recently wrote about it on my blog in mid-October, “I really like what I do” and before that in September, “Work, work, work”. My latest project occurred today and was broadcast today from Washington, D.C. to 12 other cities and thousands of people via webcast. The event was divided into two segments – a national broadcast and a local panel discussion.

The 45-minute national broadcast was fed via satellite and webcast to several thousand people worldwide to listen to policy experts address the impact and implications of president-elect Obama’s healthcare reform plans. Following the national broadcast, each host hospital held a 1 hour “town hall” forum with a panel of local experts to address the challenges their communities face and the work that needs to happen to provide greater access, affordability and quality.

Boston’s event was held at Children’s Hospital Boston and despite some lingering frustrations with technical glitches in some cities, I’m both pleased with the event and relieved to talk about it in the past tense. This was the first real project I worked on from cradle-to-grave and it was far more work than anyone on my team (including myself) expected. The reward was seeing the program in action and hopefully dividends will be paid in the form of fostering new and stronger relationships with businesses, clients, and communities where this program was held. As I’ve mentioned in my log about my Medical Research Project, I am passionate about healthcare and believe that providing affordable quality care to everyone is a fundamental human right that is both worthwhile and attainable.

As was mentioned at today’s program and has been well documented previously, the U.S. now spends more than $1 Trillion annually in healthcare so the problem is not funding a mandate that seeks to provide universal or near universal care. The challenge is identifying how to redistribute the money already in the system to be more effective and curtail future spending increases to make the system sustainable. The program today was only a first step in a journey that will require a million more no doubt but fostering serious dialog and engaging stake-holders is a good start, and I was proud to be a part of the program.

I really like what I do

In an attempt to avert the train wreck that is Game 4 in the ALCS and shake my sour mood, I thought I would spend some time writing about what I’ve been doing at work these past few weeks.

For nearly 5 months, I’ve been focused on a project designed to get people thinking about healthcare reform. There are so many pressing issues we face individually and as a nation, but providing affordable, quality healthcare for our children and each other has long been a top priority for individuals, families and businesses (at least until the recent financial meltdown).

I am working with a handful of colleagues and a business partner to coordinate a ‘national town hall’ that will begin with a satellite broadcast in Washington, D.C. to address the president-elect’s healthcare reform policies. The broadcast will be viewed in 15 other cities around the country in late November. Immediately following the broadcast, each host city will have their own local town hall with a panel of healthcare experts that include policy wonks and government types, providers (i.e. hospitals, doctors, etc), payers (insurers), local employers and families. These local town halls will address problems and challenges they face and try to identify how the president-elect’s reforms can best be implemented.

Despite the long hours and work involved, I have really enjoyed this project and am finding it very gratifying. I would like to think that encouraging this type of dialog serves to raise awareness, educate us all and hopefully work towards developing implementable solutions both on a national and local level. We will see… There remains much work so if my postings become little more than humorous photos you will know why. I’ve timed my annual trip to Brazil to start two days after this huge event occurs. I hope that the flight down is one filled with feelings of satisfaction from a job well done.

Work, work, work

I know I’ve been slacking and not spending much time collecting or sharing my thoughts but that has been mostly due to an overly active social and work calendar that has left me with little down time to write. Lately I’ve been posting pictures that I have thought are funny, adding video clips and / or summarizing content that I have read in the news and on other blogs, which in my mind does not really count as a blog entry.

However, right now I’m pretty much absorbed with my work as I help my team prepare for a major event in late November and juggling a travel calendar that has me on the road more than I am accustomed. Last week I was in Dallas for training and early next week I will be in Chicago to talk about the progress of the November event I’ve been absorbed with lately. I was asked to go and talk to this group, because PwC wants more interaction between the industry marketing folk (like me) and the marketing professionals tied to geographies (precisely the people we have reached out to help us with our November event). It is a cool opportunity to share the work we have done to date and a neat chance for me because I get to be the messenger. My travelling will continue the following week (9/22) when I head to NYC for a few more days of training. Then hopefully, my travel will subside and I’ll have more time to rant and rave about whatever is dominating my thoughts.

Six months ago yesterday…

It was a mere six months ago that I started my “new” job. Leaving my former employer was sad but exciting. I had no idea how much I would ultimately enjoy the change and to be certain in those first few months, although I knew I had made the right move, adjusting to working for such a large employer took a great deal of getting use to.

Fast forward 6 months later and here I am happily integrated into a high performing team that is held up as a role-model for other business practices in my firm. My manager and team are all talented professionals who have taught me much and allowed me to help with projects that are both interesting and daunting in scope. I hope the six months that follow continue to be as interesting and fun for me. It certainly makes getting up each morning and starting work seem less like a job and more like a great way to spend my day.

Meeting in New York City

On Monday I hopped on the Acela to get to New York City. My boss had arranged a team dinner and an all day meeting to follow on Tuesday so everyone could meet each other and to address a number of ongoing projects. I arrived into town and stayed at the Dylan Hotel around the corner from the office. The hotel was convenient and clean, but I’m a starwood guy so on future visits I doubt I will stay there. However, since this was my first visit, I wanted some place close to the mother-ship for my meeting and the location simply could not be beat.

It was great to meet everyone, because it helped me feel more connected to the team. I really like working virtually, but I need to feel personally connected. Plus it was really fun eating at Tao Restaurant and spending the day at the corporate headquarters. I had a spectacular view of Midtown’s skyline.