Thoughts on the Future of Primary Care

2012 National Leadership Conference

CSG Health Policy Task Force
Moving Forward on Health Care Reform: With or Without the Affordable Care Act
May 18, 2012

Reform, whether mandated by the Affordable Care Act or not, is needed to address citizens' demands for quality health care services. Medicaid, state employee health care and now, health insurance exchanges are potential policy levers to increase quality, improve states' health outcomes and hold the line on costs. This session highlighted replicable initiatives undertaken by states to build an improved health care system responsive to today's fiscal policy context.

Presentation by Dr. William Rowley, Senior Fellow, Institute for Alternative Futures

Thoughts on the Future of Primary Care

Even without extension of coverage under the Affordable Care Act, today’s health care system is challenged to provide adequate primary care to insured individuals. Dr. William Rowley, a senior fellow with the Institute of Alternative Futures, predicted the shortage of primary care will be exacerbated if the Affordable Care Act stands. Even though more medical schools are opening up, more people are going into primary care and the number of physician’s assistants and nurse practitioners have boomed, Rowley pointed out that more innovative ways of practicing medicine are necessary. He also spoke to the necessity of efforts to improve population health – public health policies aimed at environmental and lifestyle changes that prevent the need for medical intervention at all. 

Dr. William Rowley

Dr. William Rowley is a senior fellow with the Institute for Alternative Futures, a leader in the creation of preferred futures. Rowley is a subject matter expert and frequent keynote speaker on possible futures for a full range of health care issues. He has analyzed trends and developed forecasts and scenarios for specific diseases, advances in biotechnology, the evolution of health systems, and the future of various health professions. Dr. Rowley is a vascular surgeon who also has extensive leadership experience including being chief operating officer of one academic medical center and chief executive officer of two others. Dr. Rowley received a Bachelor’s degree in psychology and a Doctor of Medicine degree at the University of Minnesota. He achieved the rank of Rear Admiral in the United States Navy.