Alan Garber: the Affordable Care Act

The United States’ health reform act, the Affordable Care Act, contains many initiatives and pilots to reduce costs and improve care, particularly for Medicare, the federally-funded program for the over-65 age group.

A central goal of many of the pilots such as "accountable care organizations" and the "patient-centred medical home" is to move from a system of care that is fragmented and plagued by misaligned incentives to one that is highly integrated and efficient.

Nuffield Trust Senior Fellow Ruth Thorlby speaks with Alan Garber, Henry J. Kaiser Jr. Professor at Stanford University, about which of the many pilots and innovations were the most promising and exciting from his perspective.