• Mitch Keamy Photo Mitch Keamy is an anesthesiologist in Las Vegas Nevada Andy Kofke Photo Andy Kofke is a Professor of Neuro-anesthesiology and Critical Care at the University of Pennslvania Mike O'Connor Mike O'Connor is Professor of Anesthesiology and Critical Care at the University of Chicago Rob Dean Photo Rob Dean is a cardiac anesthesiologist in Grand Rapids Michigan, with extensive experience in O.R. administration.

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I've always guessed convergence would be driven by enterprise liability and price. THere was an interesting article in the new york times last month abouth the Geisinger clinic in Pa. THey are selling heart services with a "warranty." All services from initial procedure to something like 60 days post-op are at a fixed price, nominally set at %150 of the ususal fee. Presumably the docs fees are upped the same %50 and they share the risk for their seriveces post procedure (i.e. bring-backs, debridements.) Now THIS aligns incentives around quality, and provides the physicians with an economic incentive to play. YOu ought to look into it for Spectrum, Rob.

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