There is a big PR problem brewing, one receiving very little attention in the media or industry publications. One that I think will resonate among those who typically support the politicians who supported the Affordable Care Act.

I live and breathe the health care delivery and finance model in the U.S. every day, and I believe we are circling the drain.

Ive written recently about the lack of consumerism among patients, and the health industrys strong resistance to furnishing even a moderate amount of transparency that could boost consumers shopping effectiveness. This article, however, speaks to a cultural shift that could provide tremendous employer impact.

I am extremely frustrated with our system. Much of that revolves around the incredibly high cost. But thats only part of the story

I often hear employees say that they know we have the most expensive system in the world, but they feel that is a fair trade off because we have the best health care system in the world. Let me disavow you of that notion.

Please excuse me for being blunt, but if you are considering a human resource information system (HRIS) PPACA compliance tool now, you are way too late!