This may mean that accountable care organizations may have some rethinking to do if they are to get the quality and shared savings they expect.
The next surprise of the week was not a conclusion from research, but a criminal horror story from venerable Johns Hopkins, where an obstetrician gynecologist, who had practiced there since 1988, was accused in early February of secretly taking pictures of his patients with a camera inside a pen. He was found dead days later.
Now, an estimated 100 women who were treated by physician Nikita A. Levy are coming forward, seeking lawyers and lawsuits, after Baltimore police told reporters for The Baltimore Sun that they uncovered an "extraordinary" amount of evidence at Levy's Towson home.
Of course, healthcare writers who've been around as long as I have develop a cynicism that keeps surprise at bay. We've seen it all before, and often, even at some of our most prestigious medical institutions.
But I was indeed surprised by the Levy story. And I guess I'm glad that I still can be.