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Michael Kelley Gusmano

Iacocca Endowed Chair and Professor of Health Policy, Lehigh University
Areas of Expertise:

About Michael

Dr. Gusmano's research investigates the consequences of health and social policy for poor and other vulnerable populations. His recent research investigates the implementation of the Patient Protection and Affordable Care Act, Medicaid policy changes, and the governance of emerging technologies.

In the News

Interviewed in "In U.S., Over 100,000 Await Organ Transplants. Are Pig Organs The Solution?," Consider This from NPR, April 3, 2025.
Interviewed in "Recipient of Pig Kidney Transplant Reaches a Milestone," NPR Radio: Morning Edition, January 30, 2025.
Interviewed in "A Transplanted Pig Kidney Offers a Grandmother Hope for Life Without Dialysis," NPR Radio: Morning Edition, December 17, 2024.
Quoted by Rob Stein in "First Human Transplant of a Genetically Modified Pig Kidney Performed," NPR's All Things Considered, March 21, 2024.

Publications

"Medicaid and the Great Unwinding: The Administrative Presidency Meets Federalism" (with Frank J. Thompson). Journal of Health Politics, Policy and Law (2025).

Examines how the Biden administration managed the large-scale process of reevaluating Medicaid eligibility—referred to as the "great unwinding"—after the COVID-19 public health emergency ended. Highlights significant differences in how states responded but concludes that, overall, the federal efforts were somewhat successful in nudging states toward more take-up friendly renewal processes.

"Transplant Patients' Perceptions About Participating in First-in-Human Pig Kidney Xenotransplant Clinical Trials: A Mixed Methods Study" (with Elisa J. Gordon, Karen J. Maschke, Jessica Gacki-Smith, Hannah L. Brooks, Margaret M. Matthews, Karen Traboulsi, Dahlya Manning, and Joseph Leventhal). Xenotransplantation 32, no. 1 (2025).

Explores the ethical concerns and decision-making factors for kidney transplant candidates considering participation in future first-in-human pig kidney xenotransplant trials. Findings show that while participants recognized the scientific value of xenotransplantation, they had significant concerns about risks and only a small percentage of survey respondents were willing to join such trials.

"Enduring Inequalities: Revascularization Before and After the ACA" (with Daniel Weisz, Swati Palghat, and Victor G. Rodwin). World Medical & Health Policy 16, no. 4 (2025): 618-629.

Investigates whether the implementation of the Affordable Care Act (ACA) helped reduce disparities in the use of coronary revascularization procedures in the U.S. Results demonstrate that while the ACA expanded insurance coverage, it alone was not enough to eliminate persistent inequities in access to these critical heart procedures.

"He State of American Health Coverage: The 2022 Elections and the Affordable Care Act" (with F.J. Thompson). Health Economics, Policy and Law 19, no. 3 (2024): 292-306.

Explores the political struggle over the Affordable Care Act (ACA), highlighting how the Trump administration sought to weaken it, while the Biden administration worked to restore and strengthen it. Examines how federalism and the judiciary may shape the ACA’s future in this new partisan context leading up to the 2024 election.