Reframing Prevention in the ACA Era

This article, “Reframing Prevention in the Era of Health Reform,” was co-authored by Dr. Howard Koh, Dr. Rahul Rajkumar, and me in the September 13 2016 issue of the Journal of the American Medical Association:

The 2010 passage of the Affordable Care Act (ACA) raised numerous opportunities for disease prevention. Of the 10 legislative titles comprising the ACA legal framework, Title 4 (“Prevention of Chronic Disease and Improving Public Health”) initially held the most promise for delivering new financial resources as well as effective policy for prevention.1 Six years later, Title 4 outcomes show mixed results. In the meantime, however, other ACA innovations are redesigning health systems by incorporating prevention into a range of new care models. Doing so connects the clinic and the community in ways not necessarily envisioned in the statute, thereby broadening possibilities for the future of population health.

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