http://prescriptions.blogs.nytimes.c...er=rss&emc=rss

http://www.nihcr.org/Detroit-Community-Report.html

...as the Detroit area develops an overall strategy for economic renewal going forward, some envision the health care system as playing a major redevelopment role, to the point that “Medicine could possibly replace motors as the engine of Detroit,” according to a May 2010 National Public Radio broadcast. While this view may be overly optimistic, there is evidence of considerable vitality in Detroit’s traditionally strong health care system.

-Will significant investments in health care infrastructure help make the Detroit area a major center for medical care and research that can help drive revitalization of the metropolitan area or will it simply drive health care costs higher and discourage employment growth by making coverage more expensive?

-Will hospital/physician integration accelerate, and, if so, what impact will this have on quality of care, efficiency and costs to purchasers of care?

-Will Detroit be able to attract and retain sufficient numbers of physicians to meet community needs?

-How will the Detroit safety net be affected by the sale of Detroit Medical Center to Vanguard?

-How will the safety net handle Medicaid enrollment growth resulting from coverage expansions enacted through health reform?

-Will the UAW Retiree Medical Benefits Trust, now the largest single health care purchaser in metropolitan Detroit, initiate innovative purchasing strategies, either on its own or in collaboration with other purchasers?

-How will Trust activities shape the Detroit health care market going forward?