Background: Health care policy is currently under scrutiny due to health care reform, yet in our experience the majority of house staff have insufficient opportunity to learn about the environment they will soon be practicing medicine in. The ACGME attempts to address this through the Systems-based practice competency, but further guidance is lacking. Purpose: Our [...]

Background:  The Affordable Care Act (ACA) has recently enabled millions of U.S. adults to acquire healthcare coverage.  The differential shift in payer mix in Medicaid-expansion versus non-expansion states after ACA implementation may be relevant to hospitals beyond reimbursement.  Medicaid has historically been associated with longer hospitalizations and higher mortality in diverse patient populations, more so [...]

Background: While improving the American healthcare system has been a top focus of the domestic policy agenda for decades, health reform debates since early 2020 have taken place against the backdrop of a global pandemic that has highlighted key challenges in public health infrastructure and healthcare access. U.S. physicians are at the forefront of this [...]