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Viewpoint |

Health Care Delivery Innovations That Integrate Care? Yes!  But Integrating What?

Regina E. Herzlinger, DBA1; Stephen M. Schleicher, MD, MBA2; Samyukta Mullangi, MD, MBA3
[+] Author Affiliations
1Harvard Business School, Boston, Massachusetts
2Memorial Sloan-Kettering Cancer Center, New York, New York
3University of Michigan Health System, Ann Arbor
JAMA. 2016;315(11):1109-1110. doi:10.1001/jama.2016.0505.
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This Viewpoint discusses the use of bundled payment programs organized around procedures or diseases as a means of addressing the challenges of implementing integrated models of health care delivery.

To enable improved cost control, quality, and access, US health care delivery is moving from fragmented fee-for-service delivery into various innovative integrated models, including accountable care organizations (ACOs), patient-centered medical homes (PCMHs), and bundles, defined as a coordinated group of services for a specific need, administered over a predefined period. These innovations hold promise for patients whose complex care requirements account for the bulk of health care costs and who would reap the most benefit from a coalesced network of care.

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