Aetna Insurance Seattle Health Insurance

When he started his fellowship, Kellerman heard the same advice repeatedly: don’t expect to accomplish anything substantive in a year; just come to learn. But of course, he says, “we all try to make a difference anyway.” He had no shortage of ideas. Last year, he concluded his work on an Institute of Medicine committee that took a comprehensive and probing look at the state of emergency care in the U.S. The resulting series of studies, published last June, painted a despairing portrait, but also offered a raft of recommendations. Given the approaching midterm elections, Congress and the administration did virtually nothing. But after the Democratic takeover, Kellerman imagined things might be different.

The administration’s planned Medicaid rule change, however, dashed those hopes. Kellerman realized this was no time for lofty ambitions; Congress would have to play defense. The rule, scheduled to take effect on Sept. 1, deals with the

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