The Future of the ACA Four Years Later – and The Perils of Being A Futurist.

Mike Magee Tonight we witness the first Presidential debate of 2020, and the future of the ACA (in the middle of a pandemic) is once again on the line. If past is prologue, make predictions of the outcome at your own risk. Four years ago, 1 month before the election, the New England Journal of […]

Predicting the Future of Obamacare Post-Election: Wilensky and Oberlander

Gail Wilensky and Jonathan Oberlander Mike Magee Negative leaders can deny change, resist it, ignore it – for a period of time. But they can’t escape it. And inevitably, they are eventually overtaken by it. Witness the current Trump dilemma. The leadership of the Republican party, following the defeat in the 2012 election, correctly acknowledged […]

AHC’s and The “Medical-Industrial Complex” : Re-establishing Appropriate Checks and Balances

Mike Magee In this week’s New England Journal of Medicine, there were dueling articles addressing the question whether this nation’s investment in Academic Medical Centers is helping or hurting when it comes to improving the quality and efficiency of our health care system. In the lead article, Gail Wilensky and her co-authors add up the […]

ACO’s – Rise or Fall – 2012 Will Be A Telling Year.

Mike Magee One year ago, health policy expert John Iglehart recently wrote, “One of the few major provisions of the Affordable Care Act (ACA) with solid bipartisan support establishes a new delivery model: the accountable care organization (ACO). Congress directed the Department of Health and Human Services (DHHS) to develop an ACO program to improve […]

Accountable Care Organizations (ACO’s) and A Revisit To “Managed Care”

Mike Magee Health Policy expert John Iglehart recently wrote, “One of the few major provisions of the Affordable Care Act (ACA) with solid bipartisan support establishes a new delivery model: the accountable care organization (ACO). Congress directed the Department of Health and Human Services (DHHS) to develop an ACO program to improve the quality of […]