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Health Affairs, 27, no. 3 (2008): 749-758
doi: 10.1377/hlthaff.27.3.749
© 2008 by Project HOPE
 
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*Related Article

Quality & Accountability

Crossroads In Quality

Margaret O’Kane, Janet Corrigan, Sandra M. Foote, Sean R. Tunis, George J. Isham, Len M. Nichols, Elliott S. Fisher, Jack C. Ebeler, James A. Block, Bruce E. Bradley, Christine K. Cassel, Debra L. Ness and John Tooker

Expanding insurance coverage is a critical step in health reform, but we argue that to be successful, reforms must also address the underlying problems of quality and cost. We identify five fundamental building blocks for a high-performance health system and urge action to create a national center for effectiveness research, develop models of accountable health care entities capable of providing integrated and coordinated care, develop payment models to reward high-value care, develop a national strategy for performance measurement, and pursue a multistakeholder approach to improving population health.


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