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PUBLIC STARTUP
What if the most innovative institution in American healthcare isn’t a startup at all, but Medicaid?
Public Startup challenges the assumption that government cannot innovate. Inside, Christopher R. Cogle reveals how Medicaid became an unlikely laboratory of reinvention. Where margins drive the mainstream, bureaucrats take the real risks, and the safety net functions less like a hammock and more like a scaffolding ladder for people.
“An authoritative and passionate ode to Medicaid - scrappy, inventive, and far more effective than its critics claim.”
- Christopher F. Koller, former President of the Milbank Memorial Fund
WHO SHOULD READ THIS BOOK?
If you care about how big institutions actually change, this book is for:
✅ Citizens who believe government should work better
✅ Healthcare leaders navigating system reform
✅ Policymakers and public officials
✅ Entrepreneurs and business leaders
✅ Physicians, dentists, nurses, pharmacists, social workers, psychologists, and public health professionals
What People Are Saying
“Public Startup is the clearest explanation of what Medicaid does and how it works that I have ever seen … This book will inspire all who read it to care enough and get to work on improvement.”
— Mark L. Rosenberg, MD, MPP, Founding Director, US National Center for Injury Prevention and Control“A view of Medicaid from the inside, Public Startup will help people from all political persuasions understand the importance of protecting this vital program.”
— Joshua M. Sharfstein, MD, Bloomberg Distinguished Professor of the Practice in American Health,
Johns Hopkins University
“This is an essential read for policymakers, health system leaders, clinicians, and anyone who wants to understand not just what Medicaid is, but what it can be.”
— Kara Odom Walker, MD, MPH, MSHS, former Delaware State Health Officer and Vice President of Aetna Medicaid
Photo Credit: Adrienne Fletcher Photography
GET YOUR COPY
Available in Kindle®, Paperback, Hardcover, and Audiobook.
Christopher R. Cogle, M.D. is an author, physician-scientist, and public leader. He serves as Professor of Medicine at the University of Florida, Director of the Florida Health Policy Leadership Academy, and Chief Medical Officer for Florida’s Agency for Health Care Administration and Florida Medicaid, where he works at the intersection of science, policy, and large-scale public systems. Dr. Cogle has received honors from the National Academy of Medicine, Harvard Business School, the Milbank Memorial Fund, and the American Cancer Society.