Chandresh Shah

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How to say NO as a Leader?

Here are some common places where you learn how to say NO. There are times in life and dealing with your staff when you just have to say no. Perhaps it’s a suggestion about a strategy, execution of certain tactics, product and product features, marketing, human resources … and so on. Or perhaps it’s about …

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MACRA, Physician Reimbursement, and Moving beyond MIPS

Dr. Gail R. Wilensky, Ph.D has just wrote a thought provoking perspective in the New England Journal of Medicine. (“Will MACRA Improve Physician Reimbursement?” April 5, 2018) Tracking the journey from Resource based relative value scale (RBRVS) and Sustainable growth rate formula (SGR) which was not really a value based system, to current MIPS portion …

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EHR – Hope and Reality

Seth Godin wrote very well about Hope and Reality in our lives. “Sometimes, we don’t sell what we’ve got, we sell what could be.” He gives the example of Bruce Springsteen’s autobiography. just the proposal can sell for $10 million, not the finished book. Why? It is what can be.  That’s how the Stock Market …

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I Resolve NOT to Resolve!

Every new year I end up making resolutions. I resolve, just like many of you to exercise, to eat better, to live a healthy life, work harder, create goals in life. The one thing I have resolved this year is not to create resolutions. Not because I don’t stick to them, but because I realize …

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