Health Affairs, 26, no. 2 (2007): w107-w118 (Published online 26 January 2007) doi: 10.1377/hlthaff.26.2.w107 © 2007 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

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A Rapid-Learning Health System

Private- and public-sector initiatives, using electronic health record (EHR) databases from millions of people, could rapidly advance the U.S. evidence base for clinical care. Rapid learning could fill major knowledge gaps about health care costs, the benefits and risks of drugs and procedures, geographic variations, environmental health influences, the health of special populations, and personalized medicine. Policymakers could use rapid learning to revitalize value-based competition, redesign Medicare’s payments, advance Medicaid into national health care leadership, foster national collaborative research initiatives, and design a national technology assessment system.

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