Captivated by captives

One of the educational benefits of being CEO of one of the Harvard-affiliated teaching hospitals was that I also served on the board of our captive insurance company, CRICO, and its subsidiary, the Risk Management Foundation. Like many people, I had not previously understood the ins and outs of risk retention groups, medical malpractice insurance, and risk management, and so this was a great experience.As noted on its website:In 1976, the crisis of insurance availability led the Harvard Medical Institutions to form a “captive” medical professional liability insurer, CRICO, an offshore insurance company operating and domiciled in the Cayman Islands. Harvard’s model of creating an offshore captive—an insurer owned by the facility or health care system it exclusively insures—was later replicated by other health systems

Health Affairs Event: The Medi-Cal Waiver: Perspectives On Promoting Health System Improvement In California

California’s five-year federal waiver to help revamp the state’s $95 billion Medi-Cal program is set to expire on October 31, 2015. While crucial changes have been made to the program in terms of flexibility and accountability, and coverage has been vastly expanded, much work remains to be done before Medi-Cal can be considered truly transformed. With support from Blue Shield of California Foundation and California HealthCare Foundation, the editors of Health Affairs invite you to join us for an important briefing on Thursday, June 11, in Sacramento. At this event, “The Medi-Cal Waiver: Perspectives on Promoting Health System Improvement in California,” experts will discuss how waivers are being used to promote system improvement, delve into California’s experiences with and lessons from

Study identifies Ebola virus’s Achilles’ heel

An international team including scientists from Albert Einstein College of Medicine of Yeshiva University and the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) has identified the molecular “lock” that the deadly Ebola virus must pick to gain entry to cells. The findings, made in mice, suggest that drugs blocking entry to this lock could protect against Ebola infection. The study was published in today’s edition of the online journal mBio.

The Post-Graduate Detox

It’s graduation season and recent grads are finding themselves at the epicenter of the perfect storm of anxiety, nostalgia, debt, hopefulness and new beginnings. Graduation is a time of great joy but it can become a time filled with many unknowns. Handling these new feelings and situations takes a bit of practice and patience. Twenty months ago, I found myself entering into a graduate program without any expectation other than receiving a Master of Communications while bolstering my knowledge and earning potential.  But the friendships I left with and the transformations I experienced created a safety net of sorts for me that I’d grown accustom to.  The effects of that final surreal week were not felt until the Monday after graduation was over.  Had I known