In an NEJM Catalyst interview, Michael Dowling, the CEO for Northwell Health, and Charles Kenney, chief journalist there, talk about what they learned in putting together their new health-policy book, Health Care Reboot: Megatrends Energizing American Medicine. While the conventional wisdom is that the American health “system” is broken, the authors are optimistic about trends, especially regarding the benefits of value-based care, more appreciation of the social determinants of health, a growing emphasis on ambulatory care and expanded access as medicine becomes more consumer-driven.

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