The Influence of the United States Health Care Environment and Reform on Academic Medical Centers

Lars Matkin; David Ring

doi:10.1016/j.hcl.2020.01.003

The Influence of the United States Health Care Environment and Reform on Academic Medical Centers

Hand Clin. 2020 May;36(2):165-169. doi: 10.1016/j.hcl.2020.01.003.

Authors

Lars Matkin¹, David Ring²

Affiliations

¹ Orthopedic Surgery Department, University of Texas at Austin, Health Discovery Building HDB 6.706, 1701 Trinity Street, Austin, TX 78712, USA.
² Department of Surgery and Perioperative Care, University of Texas at Austin, Health Discovery Building HDB 6.706, 1701 Trinity Street, Austin, TX 78712, USA. Electronic address: David.Ring@austin.utexas.edu.

PMID: 32307046
DOI: 10.1016/j.hcl.2020.01.003

Abstract

Academic medical centers (AMC) provide care for most of the underinsured populations of the United States. Their large size and the high acuity of cases make AMCs vulnerable to changes in health care policy. They also are the primary centers for health care research and education and are therefore heavily dependent on federal programs and funding. Since the passage of the Affordable Care Act, AMCs have seen a decrease in the number of patients without insurance. They have also participated in the implementation of alternative payment models, including accountable care organizations, with mixed success.

Keywords: Academic medical center; Accountable care organizations; Affordable care act; Health policy.

Publication types

Review

MeSH terms

Academic Medical Centers* / economics
Academic Medical Centers* / legislation & jurisprudence
Academic Medical Centers* / organization & administration
Health Care Reform / legislation & jurisprudence
Health Policy / legislation & jurisprudence
Patient Protection and Affordable Care Act*
United States