Health Affairs

Health Affairs, 28, no. 2 (2009): w232-w234 (Published online 27 January 2009) doi: 10.1377/hlthaff.28.2.w232 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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PERSPECTIVE

Medicare: The Place To Start Delivery System Reform

Francis J. Crosson

The development of accountable care organizations (ACOs) is an appropriate goal for delivery system reform. The Medicare program can be instrumental in starting the necessary transformations in payment design, incentives, and delivery system structure. Payment reforms are critical; should come first; and may need to be substantial, cumulative in impact, and dramatic in design. Learning from successful models of physician-hospital integration and creating new models that can pass legal, regulatory, and antitrust concerns will be needed, if the promise of ACOs is to be fulfilled.

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				F. J. Crosson 21st-Century Health Care -- The Case for Integrated Delivery Systems N. Engl. J. Med., October 1, 2009; 361(14): 1324 - 1325. [Full Text] [PDF]