Budgets are the nemesis of almost everyone in healthcare. This blog post from HBR highlights how Group Health of Puget Sound and ThedaCare eliminated them.
We all know that budgets are obsolete the minute after they have been completed. So why hasn't any healthcare organization gotten rid of this wasteful activity. Actually, Park Nicolet in Minneapolis has been without for a few years. Recently two other network members have joined them and many more have become curious. The following well written synopsis by Brad Power is a description of what has replaced budgets at ThedaCare and Group Health - http://blogs.hbr.org/cs/2011/10/in_my_last_post_i.html