Joe Flower, in Hospitals & Health Networks, in a very provocative piece headlined ”Winning’ by Defeating the Triple Aim,” writes:

“We are near the end of the first act of whatever you want to call this vast change {in health care} we are going through.

“And where are we? Across America, the cry of the age is ‘Volume to value.’

“But in each market, some major players are throwing their muscle into winning against the competition by defeating the Triple Aim, by increasing their volume, raising their prices, doing more wasteful over-treatment, and taking on little or no risk for the health of populations. At least in the short term, the predatory strategies of these players are making it more difficult for the rest of us to survive and serve.”