Managed Care Reflections: A Q&A With David J. Shulkin, MD

AJMC July 7, 2025
David J. Shulkin, MD, Christina Mattina

To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The July issue features a conversation with David J. Shulkin, MD, a physician and former secretary of the US Department of Veterans Affairs.

Am J Manag Care. 2025;31(7):In Press

AJMC: How have the concept of managed care and the conversations around it changed over the past 30 years?

SHULKIN: I think 30 years ago, the managed care industry was really developed and grew because of the issue of cost containment and the fact that the fee-for-service system...

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