Mergers and Medicaid Expansion

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In a fast-paced Kidney Week 2018 session titled “Reshaping Relationships and Transforming Care Delivery,” Janis M. Orlowski, MD, MACP, chief health care officer of the Association of American Medical Colleges (AAMC), captured the dynamic environment of healthcare in the United States when she led the session with “Consolidation: Friend or Foe?”—the Christopher R. Blagg, MD, Lectureship in Renal Disease and Public Policy.

Orlowski captured the situation with a comparison of the 2008 merger of Mercy Hospital of Pittsburgh, a 160-year-old institution with 428 beds, with the University of Pittsburgh Medical Center, compared with the recent signed letter of intent to