dr. solomon's dilemma

homesolomon profilefinancial incentivesinterviewscost v. carediscussion
interviews: These interviews were conducted by producer/correspondent Hedrick Smith.
Martin Solomon

photo of Martin Solomon He has been practicing family medicine in Boston for 23 years. He is consistently named in "Top 10" lists of Boston doctors, and is well known throughout the Boston medical community. In 1998, Dr. Solomon sold his practice to CareGroup, the corporation of six hospitals in Boston, including Beth Israel-Deaconess (BID). He currently is the leader of Pod 11, a group of 11 primary care physicians in Brookline trying to manage patient costs and care. He is also the author of Don't Worry Be Healthy, a book which encourages people to enjoy their life more while worrying less about their health.
James Reinertsen

photo of James Reinertsen He became CEO of CareGroup in 1998, arriving from Minnesota, where he had been CEO of HealthSystems Minnesota in Minneapolis. Known for his ability to balance cost-cutting and patient care, he has been termed a visionary leader who embraces modern efficiency techniques like Continuous Quality Improvement, or CQI, and puts them into effect in the hospital setting. In Boston, he is facing the biggest challenge of his career, promising to bring CareGroup to a point of break-even by this fall. He says that the biggest money-loser in the CareGroup panoply is the Beth Israel-Deaconess Medical Center. In November, he took over as President of BID to quicken the pace of change - and, many assume, cuts -- there.
Andrew W. Brotman

photo of andrew brotman He was previously a Senior Vice President at CareGroup in Boston, Massachusetts, and Psychiatrist-in-Chief of The Beth Israel Deaconess Medical Center. He is the author of over 80 publications and speaks widely about eating disorders, depression, psychotic disorders, and the impact of managed care on hospitals, doctors and patients. Currently, he is Vice Dean for Clinical and Hospital Affairs at NYU School of Medicine.
Philip Boulter

photo of philip boulter He is the Medical Director and Senior Vice President of Boston-based Tufts Health Plan, one of the country's leading integrated managed care insurers. Formerly a practicing internal medicine physician and endocrynologist, Dr. Boulter served in leadership positions in New Hampshire at the Hitchcock Clinic and Matthew Thornton Health Plan before joining Tufts. He is also an Associate Clinical Professor of Family Medicine and Community Health at Tufts University School of Medicine.
Tom Delbanco

photo of tom delbanco He is Chief of the Division of General Medicine and Primary Care at Beth Israel Deaconess Medical Center. He is a well-known leader in the field of patient-centered care, and, when he arrived at the Beth Israel Hospital in 1971, created one of the first nationally recognized hospital-based primary care practice and teaching programs, called health care Associates. Currently, he is a Professor of Medicine at Harvard Medical School and chairs the Picker
Kim Saal

photo of kim saal In addition to being the Medical Director of CareGroup, the Boston corporate parent of six hospitals that include Beth Israel Deaconess, Dr. Kim Saal is a practicing cardiologist. Recently named to the post of Medical Director, Dr. Saal before that was President of the Provider Service Network, a CareGroup-affiliated group that represents more than 3,000 Boston doctors in contract negotiations with insurers. His success in managing numbers as well as patients was firmly established when he led the physician medical group representing doctors at Mount Auburn and Cambridge hospitals to several years of profits.

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