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Toby Cosgrove, MD, Discusses Strategies for Bending the Cost Curve
Toby Cosgrove, MD, president and CEO, The Cleveland Clinic, says their organization has implemented a variety of strategies to bend the cost curve.
Toby Cosgrove, MD, president and CEO, The Cleveland Clinic, says their organization has implemented a variety of strategies to bend the cost curve. He suggests that healthcare organizations should serve as role models for what is required to improve health outcomes. Some initiatives they practice include banning smoking on campus and refusing to hire smokers. As well, they removed sugared drinks and fried foods from company cafeterias. They also offer exercise programs to employees.
“We’re concerned that one of the main drivers of cost in healthcare [are] patients' behaviors,” Dr Cosgrove says. “We know that obesity, sedentary life, and smoking are major drivers of chronic disease and cost.”
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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