This presentation covers various factors that are shaping the healthcare landscape today, including ACA expansion, delivery and payment system reforms, and cost containment efforts.

Medicare and Medicaid are shifting from fee-for-service to managed care models, and while this has been a gradual shift in recent years, the factors outlined here are accelerating movement toward full integration as cost containment measures are increased. The healthcare policy landscape continues to evolve and will place new demands on providers and patients. This presentation gives a broad overview of these macro changes to enhance understanding of this changing landscape.

Content developed in conjunction with Michael Schweitz, MD.



Director of Rheumatology
St Jude Heritage Medical Group
Volunteer Assistant Clinical Instructor
UC Irvine

Dr Chabra is the current director of rheumatology at St Jude Heritage Medical Group and a volunteer assistant clinical instructor at University of California, Irvine. He has earned board certification in rheumatology and internal medicine.

After graduating from Western University of Health Sciences in 2002, Dr Chabra completed his internship and residency at Banner Good Samaritan Medical Center. He has authored 11 research publications and has acted as principal or subprincipal investigator on 7 clinical trials in rheumatology. He is a recipient of the Orange Coast Top Doctors Rheumatology Award for 6 years running.


Chief of Rheumatology
Good Samaritan Medical Center,
West Palm Beach, FL
Arthritis & Rheumatology Associates of Palm Beach,
Boynton Beach, FL

Dr Schweitz is a nationally recognized expert and key influencer in the field of rheumatology and policy. He is a fellow of the American College of Physicians, as well as a founding fellow and master of the American College of Rheumatology. As cofounder and immediate past president of the Coalition of State Rheumatology Organizations (CSRO), Dr Schweitz was a national advocate for excellence in rheumatology and policy, serving as an active ambassador in Washington, DC, to secure access to the highest level of care for rheumatic disease.

Dr Schweitz completed his undergraduate, medical school program, and internal medicine training at George Washington University and completed his rheumatology fellowship at Georgetown University in 1977. Dr Schweitz has participated in over 100 clinical trials as a principal or subinvestigator. He is an accomplished lecturer in rheumatology and a well-recognized voice in healthcare policy and access issues.