mcdonough’s perspective on healthcare reform in the us provides a clear, coherent analysis of the mix of access and delivery reforms in the affordable care act (aca) aka obamacare. as noted by mcdonough, this major reform bill is designed to expand access for health coverage that includes both prevention and treatment benefits among uninsured americans. additionally, this legislation includes s...

disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. for patients living with multiple chronic conditions, such disconnects can be particularly detrimental. lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...