Hospital and Healthcare Transformation over Last Few Decades

  • John A. SavinoEmail author
  • Rifat Latifi


As demonstrated throughout this book, hospitals have undergone massive and significant transformation, which if viewed by the previous generations of physicians, they would have difficulty recognizing the current hospitals’ transformed state. Traditionally, physicians expended enormous political capital to avoid being captured by the hospital in order to maintain both professional autonomy and control over their income without managerial interference. However, during the Clinton administration, the physician independence diminished significantly and has continued since. The current healthcare model in the United States is focused on an antagonistic environment between health systems, hospitals, and physicians versus the health insurance companies’ reimbursement paradigms. Yet, the modern hospitals survive despite many challenges and continue to provide the best possible care that humans ever received.


Hospital transformation Insurance Healthcare policies Bundle payments Quality Government agencies Medicaid Medicare 


  1. 1.
    The Tangled Hospital-Physician Relationship/Goldsmith J, Kaufman N, Lawton B May 9,2016. Accessed 4 June 2018.
  2. 2.
    Dowling M. Michael Dowling: Payers, providers and the long road from contention to cooperation. Becker’s Hospital Review. February 16th, 2018. Retrieved from:
  3. 3.
    Porter ME, Lee TH. The strategy that will fix health care. Harv Bus Rev October 2013. Retrieved from:
  4. 4.
    Dafny LS. Does CVS–Aetna spell the end of business as usual? NEJM. February 15, 2018;378(7):593–5.CrossRefGoogle Scholar
  5. 5.
    Nosta J. Healthcare’s Tipping Point: Amazon, Berkshire And JPMorgan Take On Care And Cost. January 30th, 2018. Retrieved from:
  6. 6.
    Slotkin JR. Why GE, Boeing, Lowe’s, and Walmart Are Directly Buying Health Care for Employees. Harv Bus Rev June 8th, 2017. Retrieved from:
  7. 7.
    American Hospital Association. Expanding electronic patient engagement. March 2018. Retrieved from:
  8. 8.
    eHealth Initiative. American Hospital Association Annual Survey IT Supplement Brief #2. March 2nd 2018. Retrieved from:
  9. 9. Centers for Medicare and Medicaid Services. Trump Administration Announces MyHealthEData Initiative to Put Patients at the Center of the US Healthcare System. March 6th, 2018. Retrieved from:
  10. 10. Centers for Medicare and Medicaid Services. Trump Administration Announces MyHealthEData Initiative at HIMSS18. March 6th, 2018. Retrieved from:

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Westchester Medical Center Health Network, New York Medical CollegeValhallaUSA
  2. 2.New York Medical College, School of Medicine, Department of Surgery and Westchester Medical CenterValhallaUSA

Personalised recommendations