Forum Session

A Tale of Three Cities: Local Health Care Markets and Health Care Reform
November 14, 2008


Laura A. Dummit & Lisa Sprague, MBA


Health care markets are comprised of providers, insurers, and employers that have histories and relationships shaped by social, economic, and political characteristics of the area. The National Health Policy Forum has explored the effects of these varied histories and relationships through some of its site visits. This Forum meeting brought a condensed version of three site visits to the nation’s capital. Speakers from Chicago, Cincinnati, and St. Louis compared the complexities of their health care markets to illustrate the aspects of health care that are truly local and explore how national health care reform efforts may need to account for critical characteristics of each market.


David Dranove, PhD, Walter McNerney Distinguished Professor of Health Industry Management, Kellogg School of Management, Northwestern University; Colleen K. O’Toole, PhD, President, Greater Cincinnati Health Council; Ronald Levy, Independent Consultant, Former President and Chief Executive Officer, SSM Healthcare – St. Louis

Slides from the presentations by Dr. Dranove, Dr. O'Toole, and Mr. Levy are available for download. Speakers' biographies are also available.

Related Materials

See also the reports from the site visits to Chicago (2008), St. Louis (2007), and Cincinnati (2004).

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