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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
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Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
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Managed care reflections: a Q&A with David J. Shulkin, MD.

David J Shulkin, Christina Mattina

    The American Journal of Managed Care
    |July 24, 2025
    PubMed
    Summary

    The American Journal of Managed Care celebrates 30 years with thought leader insights. David J. Shulkin reflects on managed care evolution and future trends.

    Area of Science:

    • Health policy and management
    • Healthcare delivery systems
    • Medical economics

    Background:

    • The American Journal of Managed Care (AJMC) commemorates its 30th anniversary in 2025.
    • A special series features thought leaders discussing the evolution of managed care.
    • This initiative aims to provide historical perspective and future outlooks on healthcare management.

    Observation:

    • The July issue features an interview with David J. Shulkin, MD.
    • Dr. Shulkin is a physician and former secretary of the US Department of Veterans Affairs.
    • The conversation focuses on changes and continuities in managed care over three decades.

    Findings:

    • Dr. Shulkin shares insights on the transformation of managed care.
    • Key areas of discussion include policy shifts, technological advancements, and patient access.

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  • Analysis covers both progress made and persistent challenges in the field.

    • Implications:

    • Provides valuable historical context for understanding current healthcare challenges.
    • Offers expert perspectives on future directions for managed care policy and practice.
    • Highlights the enduring importance of effective healthcare management for patient outcomes and system efficiency.