Episode of Care Tenncare

Jan 22 2018

As a local State program, Tenncare under the leadership of The Medical Director Dr. Vaughn Frigon, with the assistance of the McKinsey consulting team, has demonstrated exemplary success and is a model for other Medicaid programs. The secret of their success has been careful physician engagement in episode details, due to given the design of the State of Tennessee's program, and transparency of information. Given the success of the episodes program, the question arises of what can be done next?

Pyramid of Value

Dec 18 2017

An important game changing article that puts Value in a new light is in the NEJM Dec 21, 2017 issue by Green and Loscalzo. The title is "Putting the Patient Back Together - Social Medicine, Network Medicine, and the Limits of Reductionism". Many widely known and emergent tools are explained that can bear on the current understanding of Value in the healthcare context. Most importantly this article shows how holistic patient centered approaches are not only cool, but doable and can be effective in achieving a broad range of goals on behalf of patients and populations.


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Healthcare in 3 Dimensions is a system to optimize and assess the delivery of healthcare using counterfactual analysis of care paths, managing costs without sacrificing the individuality of the patient.


Dec 2017
Blog "Pyramid of Value"
Robert Ripley MD opines on the promise of holistic patient centered approaches. Read more …
Oct 2017
The “Pyramid of Value”

Robert Ripley MD, will be presenting the “Pyramid of Value” at the 2017 PCMH Congress, November 3rd & 4th.

Read more …
Apr 2016
Comment Health Affairs Blog
Effect of Integration Vertical and horizontal on Competition Read more …
Mar 2015
Healthcare in 3D video

Video introducing Healthcare in 3 Dimensions has been released. Learn more about this exiting technology. 

Read more …

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Nashville TN 37211

Phone: 615.347.8363

Email: rcripley@ripleyandassociates.com