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Health care in the United States is comprised of an array of providers and payers, public and private, that operate within a complex financing and delivery system. Balancing cost, quality, and access is a common objective for the numerous players in the health care system; however, incentives are not always aligned and how each of these players approaches this objective differs.

Our approach

The Research and Action Institute is committed to exploring the tensions and trade-offs involved in the promise of delivering better health care for all. While many policymakers, advocates, and academics  often propose broad, sweeping improvements to the U.S. health care system, few of those improvements are without unintended consequences and even fewer are likely to be politically feasible in the next two decades. Yet, incremental progress through policy is feasible and achievable — and the institute is focused on these advancements including making more efficient use of mental health care providers and getting more value from value-based care efforts.

Atul Grover, MD, PhD, and Jonathan Jaffery, MD, MS, MMM, discuss misrepresentations of health system consolidation and why provider adaption is crucial.

Nov. 1, 2024

An examination of services offered across health systems and hospitals highlights the benefits provided to communities beyond narrowly defined charity care.

Sept. 5, 2024

Atul Grover, MD, PhD, asks readers to consider redefining the problem of rural health care in an editorial for Marshall University’s Journal of Medicine.

Feb. 14, 2024

A comparison of market share between health systems and insurers highlights the implications of market consolidation across these two industries.

May 1, 2024

Some VBC models have achieved net savings, while others have resulted in relatively modest net spending. Are we measuring “value” appropriately?

March 30, 2023

The AAMC Research and Action Institute defines challenges faced in rural communities and reviews policy efforts and opportunities to improve rural health care.

Sept. 27, 2023

The AAMC Research and Action Institute looks at the mental health crisis—including workforce shortages, lack of insurance parity, and how to fix it.

Oct. 10, 2022