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Steven D. Shapiro, MD, Describes How Hospitals Can Control Costs and Increase Quality
Steven D. Shapiro, MD, executive vice president, chief medical and science officer, University of Pittsburgh Medical Center (UPMC), says that when improving care, sometimes less is more.
Steven D. Shapiro, MD, executive vice president, chief medical and science officer, University of Pittsburgh Medical Center (UPMC), says that when improving care, sometimes less is more.
“Certainly, there are cases where you pay for what you get,” he says. “The future is figuring out which is which, and when ‘less is more,’ and what essential services do we still need to provide, and how do we do it in the best possible manner?”
At UPMC, Dr Shapiro says their models do “a little bit of everything.”
“When you put it together, it’s quite unique. I think our big advantage is that we’ve always been willing to change, and we know that change is necessary in the future,” he says.
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To 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 December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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