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Rethinking Primary Care Investment Strategy
As a former healthcare investment banker, I observe what others have pointed out: that the U.S. will not fix its primary care crisis with higher annual expenditures alone. I argue for treating primary care as essential infrastructure by expanding the workforce through state-backed financing and loan relief, building modern information infrastructure with interoperable data platforms…
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A Brief History of Managed Healthcare: 1970 to present
The January 1970 issue of Fortune magazine, which focused entirely on healthcare issues and solutions, coincided with a time when healthcare spending was 7% of GDP. As an associate at McKinsey & Company during that period, I was inspired by this issue and by a subsequent meeting with Dr. Paul Ellwood to dedicate my professional…
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Maximizing the Value of Employee Benefits with Quality Measurement & Reporting
Peter A. Wadsworth (LinkedIn 8/8/2024) Investing in healthcare quality initiatives is a cost-effective strategy for employers. This approach aims to maximize the value of their expenditures on employee health benefits. READ MORE
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Better Healthcare Policy Group convenes in Washington, DC
March 14, 2024 The Better Healthcare Policy Group convened a meeting at the American College of Surgeons in Washington, DC, to catalyze discussions on the implementation of the Better Care Plan. The gathering included a diverse group of nearly 40 payers, employer coalitions, providers, patient advocates, patient safety and health quality professionals convening to discuss…
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The Better Care Plan: a blueprint for improving America’s healthcare system
Stephen M Shortell, , John S Toussaint, , George C Halvorson, Jon M Kingsdale, Richard M Scheffler, Allyson Y Schwartz, Peter A Wadsworth, Gail Wilensky HealthAffairs Scholar 6/20/2023 Abstract The United States falls far short of its potential for delivering care that is effective, efficient, safe, timely, patient-centered, and equitable. We put forward the Better Care Plan, an overarching blueprint to…
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Publicly Reported Health Outcomes: A National Initiative To Improve Care
Peter A. Wadsworth, Stephen M. Shortell, John S. Toussaint (Health Affairs Forefront 7/19/22) In this article, we describe the rationale and design criteria for a public-private approach to improving the quality and value of health care in the United States: a Publicly Reported Health Outcomes (PRHO) program. This long-term, aspirational initiative, focused on results and…
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The Better Care Plan Advantage
Peter A. Wadsworth (LinkedIn 12/11/2020) The Better Care Plan is a national health strategy to improve the affordability of health coverage and the quality of care received by Americans. It was developed by these eight senior healthcare executives, economists, and health policy researchers. Conclusions Medicare Advantage plans currently outperform Medicare fee-for-service (Parts A, B and…
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Medicare-for-All Part II: A Risk Assessment
Medicare-for-All Part II: A Risk assessment published on LinkedIn August 30, 2019. There are substantial obstacles to MFA becoming law, which render MFA a high-risk proposition that could crowd out more moderate legislative proposals, include: Elimination of Private Health Insurance (Sec. 107), an industry that represents more than 6 % of our Gross Domestic Product. The Freedom…
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Medicare-for-All Part III: Assessing the Alternatives published
This article compares Medicare-for-All with several alternatives including a public option, Medicare Extra for All, the Healthy America Program (revised) and Medicare Advantage for All using six criteria, such as universality of coverage, affordability, per capita costs and implementation time-frame. It concludes with seven recommendations, most notably nationalization of Medicaid and substantial changes to the…
Healthcare Policy, Strategy & Finance
Amory Associates was founded by Peter A. Wadsworth,
a former investment banker and financial advisor
specializing in managed healthcare,
and co-founder of the Better Healthcare Policy Group.
Our State Primary Care Funding includes:
Rethinking Primary Care Investment Strategy
Nine Key Levers for strengthening state primary care