Insights
Our physicians writing about chronic care, early detection, and what actually keeps patients out of the hospital. No product pitches. Just the thinking behind the work.
A patient with heart failure who gains a pound a day is not gaining weight. They are retaining fluid, and that fluid has a predictable destination. Why the most preventable admissions are the ones nobody sees coming, and what a single weekly question would change.
Read the articleCare management has been proven for two decades. The constraint was never whether it works. It was how many people one nurse can carry, and what happens to everyone else on the list.
Richard Ferrans, MD, ScM
EvidenceFor years the office reading was the number we treated. A decade of evidence changed that, and it changed what we should be asking patients to do between visits.
Richard Ferrans, MD, ScM
Follow throughMost systems stop at the recommendation and count it as a success. The work that matters happens afterward, when someone goes back and checks whether it actually happened.
[ Author ]
TransitionsThe riskiest month in a patient's year, and the one with the clearest playbook. What has to happen in the first week, and why so much of it does not.
[ Author ]
RegulationWhere recognition ends and diagnosis begins is not a philosophical question. It determines what a system is allowed to do, and it should determine how it is built.
Richard Ferrans, MD, ScM
Chronic careGetting a patient to goal is the easier half. Keeping them there for the rest of their life is the part the system was never designed to do.
[ Author ]
Draft placeholders. Titles, excerpts, and dates are stand ins to show the shape of the page. Nothing here publishes until it is written and the byline has approved it.
See it live
A short conversation, a live call, and your questions answered by the people who built it.