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Primary Care Needs an Overhaul, Report Says


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WASHINGTON Primary care needs an overhaul if it is going to work the way that it should in the U.S., according to a report from the National Academies of Sciences, Engineering, and Medicine.
High-quality primary care is the foundation of a high-functioning healthcare system and is critical for achieving healthcare s quadruple aim (enhancing patient experience, improving population health, reducing costs, and improving the healthcare team experience), noted the 449-page report. Yet, 25 years since the Institute of Medicine (IOM) report
Primary Care: America s Health in a New Era, this foundation remains weak and under-resourced, accounting for 35% of healthcare visits while receiving only about 5% of healthcare expenditures. Moreover, the foundation is crumbling: visits to primary care clinicians are declining, and the workforce pipeline is shrinking, with clinicians opting to specialize in more lucrative healthcare fields. ....

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Chief Program & Services Officer, Michelle Alletto | Texas Health and Human Services


Michelle Alletto serves as the Texas Health and Human Services Chief Program and Services Officer.
Alletto has over a decade of experience working in public health and public management. She most recently worked in health policy at the Milbank Memorial Fund, where she advised a multi-state collaborative on Medicaid long-term services reform and identified best practices in Medicaid-financed mental health and substance use disorder services.
Alletto previously served as deputy secretary for the Louisiana Department of Health. In that role, she oversaw the successful restructuring of Medicaid waiver services for the aging and disability services. Before that, she led maternal and child health initiatives in Louisiana, including serving as the deputy director for the LDH Birth Outcomes Initiative. Alletto was also the assistant director for public policy at the Association of Maternal and Child Health Programs in Washington, D.C. ....

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