King v. Burwell pointed at but did not directly challenge the ACA's most essential weakness: Government-mandated participation in health insurance exchanges as a precondition to receiving a subsidy is not the best or most effective means of achieving its goal of expanded access to health coverage.
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We must find a way to cover those who are no longer healthy but need care.
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When I retired from Aetna, I became part of the private equity world. It turned out to be a natural fit.
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I remain deeply interested in the transformation of the American healthcare system to improve quality and contain costs.
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As consumers are being asked to pay more of the cost of healthcare services, they will increasingly demand more value and will also ask for more transparency and tools to determine the value they are receiving.
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What we need are different types of insurance, some of which have copays, some that have coinsurance, but they need to offer a better first layer of coverage.
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Much of a leader's responsibility in creating a positive, high-performance culture is setting the right tone and acting on it consistently. That day-to-day execution - the tenor and tone - really makes the difference. One deviation - one exasperating meeting - and the CEO legitimizes bad behavior.
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It's difficult to compete against a player that's also refereeing the game.
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I believe in the power of a positive, high-performance culture, which begins with strong ethical values at the core.