At Geisinger Health System, the experience has been that good care can lead to lower costs, but replicating its success might be difficult given its unique history and demographic situation.
The guidelines for patients’ eligibility for bariatric surgery have not changed since 1991, although recent data suggest there may be indications for broadening application of the surgery.
Forced migration of Pacific Islanders raises ethical issues of health and health care disparities, which are examined in the case of Tuvaluan immigrants.
AMA J Ethics. 2017;19(12):1211-1221. doi:
10.1001/journalofethics.2017.19.12.imhl1-1712.
The adoption of the accountable care organization model means that coordination of care will greatly improve, doctors will end up taking a much more active role in preventive care, and access will have to increase dramatically, perhaps with office-hour changes to accommodate patients' schedules.