Survey of faculty physicians at the University of Pennsylvania led to a list of proposals for health care reforms beyond those included in the Affordable Care Act.

Reporting of post-CABG mortality rates has resulted in a decrease in in-hospital mortality, and non-outcome-based measures of care quality show promise of improving patient satisfaction.

Although measures of patient satisfaction are being used to improve patients’ hospital experience, implementing incentives based on these measures may be premature and have unintended consequences for care delivery.

Although there is not yet strong evidence for ACOs’ cost savings, early data on quality improvement seems promising.

The Affordable Care Act broadens health coverage primarily through market mechanisms, building on the public-private partnership in service of an important policy goal.

The “Cadillac tax” on high-cost employer-sponsored health coverage exacerbates inequities by differentially affecting the costs and subsidization of coverage for lower- and higher-income workers.

Because health systems with high-functioning primary care services have decreased mortality and improved health outcomes, the sector can be classified as a public good, like police and fire services and public education.

Using data from comparative effectiveness studies to inform cost-effectiveness analyses or other economic evaluations would strengthen ethical policy making.

Although most of the population of Massachusetts has continuous health insurance coverage, many in the state—particularly those with income below 300 percent of the federal poverty level—experience difficulty in gaining access to care, paying for services not covered, and making co-pays.

Physician report cards (PRCs) provide comparative metrics that may help physicians in making referrals, as long as the referring physician understands the PRC limitations and the inconsistencies among PRCs from different institutions and locations.