Embedded with its Sponsors, MCHCE identifies and tackles ethical issues on the cutting edge of delivery and financing system reforms – and, in keeping with its social justice roots, MCHCE raises awareness about the barriers to care for vulnerable populations, including the undocumented.


Our Work in Health Care Reform

For 20 years, MCHCE has assisted its Sponsors to grow and adapt to monumental changes in the delivery and financing of health care.  New and diverse ethical issues arise everyday at both the bedside and system-levels. Leveraging our diverse expertise in health policy, ethics and law, we anticipate and pinpoint the ethical challenges ahead.  In collaboration with our Sponsors, we build decision-making frameworks rooted in their missions, visions and values.


From Managed Care to Accountable Care

Back in 1996, MCHCE navigated its Sponsors and other Twin Cities health care provider and payer organizations through the challenging ethical issues in managed care. MCHCE mapped out these issues, created 20 case studies and compiled the commentaries of 47 leading thinkers in its cutting-edge book, Ethical Challenges in Managed Care: A Casebook. This still-popular book remains highly relevant in today’s era of accountable care.

managed care casebook cover


Today, guided by our social justice commitments, we bring a triple-aim centric ethics lens to the new array of diverse ethical issues arising in accountable care and shared savings models.  Our ethics lens is informed by our unique expertise in health policy and health law.  This interdisciplinary expertise is essential to supporting our Sponsors in addressing conflicts of interest, in supporting population health and individual patient health and in protecting vulnerable populations.  We’ve participated in reforming charity care and financial aid policies in our Sponsor organizations.  Fundamentally, we are patient advocates – and have sought to make relevant ethical contributions through our collaborations with multiple stakeholders.  Our role is often to gather the facts and lead stakeholders through a values-based ethical analysis, leading to a principled decision.


Some of our recent work on health reform includes:

  • Supporting our health system Sponsors in the development of charity care and financial aid policies, and conflict of interest policies
  • Educating our Sponsors on barriers to access to care and social justice concerns in health reform
  • Connecting our Sponsors’ community outreach initiatives
  • Engaging in health policy research for and organizational ethics consultation with the St. Mary’s Health Clinics, a Sisters of St. Joseph of Carondelet Ministry