How a Tiny Office in Ohio Is Transforming Health Care

Governing: Eight years ago, Greg Moody got a call in his car from John Kasich, who would soon be elected governor of Ohio. Moody had worked on health policy with Kasich during his congressional tenure in the 1980s and ’90s. “Greg, we’re getting the band back together,” Kasich told Moody.

Kasich laid out his vision for a special department to focus on reimagining health care in the state. The way he saw it, even the most well-meaning health reform efforts too often get derailed because of bureaucratic confines. Siloed agencies either don’t want to work together or can’t share information with one another. Government can’t always get private providers to play along. Competing interests of the public, private and nonprofit sectors often muddle overarching health goals.

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