Hospital–physician vertical integration is on the rise. While increased efficiencies may be
possible, emerging research raises concerns about anticompetitive behavior, spending …

Policy Points: Investigations on systematic methodologies for measuring integrated care
should coincide with the growing interest in this field of research. A systematic review of …

The concept of accountable care organizations (ACOs) has been set forth in recently
enacted national health reform legislation as a strategy to address current shortcomings in …

Payment systems for health care today are based on rewarding volume, not value for the
money spent. Two proposed methods of payment,“episode-of-care payment” and …

The “patient-centered medical home” and the “accountable care organization” are two
widely discussed models for delivery-system reform. Drs. Diane Rittenhouse, Stephen …

Dr. Fisher is a professor of medicine and of community and family medicine, Dr. Bynum an
assistant professor of medicine and of community and family medicine, and Dr. Skinner a …

THE FUNDAMENTAL CHALLENGE FOR HEALTH CARE RE-form in the United States is to
expand access to all US residents, while rapidly reengineering the delivery system to …

During the past decade, US hospitals have acquired a large number of physician practices.
For example, from 2007 to 2013, hospitals acquired nearly 10% of the practices in our …

The US health system has been described as the most competitive, heterogeneous,
inefficient, fragmented, and advanced system of care in the world. In this paper, we consider …

This article summarizes findings from the National Demonstration Project (NDP) and makes
recommendations for policy makers and those implementing patient-centered medical …