Health Podcast Library
Episode 211

Why Health Care Reform Keeps Falling Short w/ Dr. Elliott Fisher, Dartmouth Institute

Jul 10, 2026
57:14

Episode Description

Decades after the research that proved high-spending regions don't produce better care, and 20 years after the term "accountable care organization" was coined, the U.S. health care system still runs overwhelmingly on fee-for-service. The incentives haven't changed, and the results show it.

Dr. Elliott Fisher, Professor of Health Policy at the Dartmouth Institute and the Geisel School of Medicine and the researcher who coined the term ACO, joins host John Marchica for a frank look at why value-based care has fallen short of its promise, and whether a public utility model for health care regulation might be the structural fix the system has been missing.

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🎙 ABOUT DR. ELLIOTT FISHER
Elliott Fisher is former primary care physician and now Professor of Health Policy at the Dartmouth Institute and the Geisel School of Medicine. His early research revealed that US regions with higher Medicare spending did not achieve better quality or outcomes, revealing the magnitude of unnecessary care and providing evidence that universal insurance should be affordable.  He worked with colleagues to develop the concept of Accountable Care Organizations and to achieve their inclusion in the Affordable Care Act. His current research and activism focuses on how to strengthen primary care, improve population health and make health care affordable for all.   He is a member of the Board of Directors of the Fannie E. Rippel Foundation.  

🎙 ABOUT HEALTH CARE ROUNDS
Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments.  

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