Document Type

Journal Article

Publication Date



BNA's Health Care Policy Report


Volume 19, Issue 20

Inclusive Pages



Hospital Services; Hospitals; Quality improvement; Health Reform


For nearly a century, proponents of health reform have advocated for greater clinical integration to improve quality, promote efficiencies, and control costs. A seminal 1932 report issued by the Committee on the Costs of Medical Care called for the provision of care through group practice arrangements as part of a broader set of recommendations that included universal coverage, extension of public health services to the entire population, and a major investment in health professions education. Resistance to its findings was a key factor in convincing the Roosevelt Administration to abandon national health insurance in the original Social Security Act.

Open Access


Included in

Health Policy Commons



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