How can Medicare lead delivery system reform?

The current fee-for-service system of paying for health care emphasizes volume and complexity, and often discourages attempts to improve effectiveness and efficiency. This brief discusses several policies that could begin to move away from the adverse incentives embedded in the current system to incentives that encourage better care and better value. The authors believe that U.

Is integration in large medical groups associated with quality?

Objective: To test the relationship between the presence of recommended chronic care model systems and the degree of integration among large medical groups.

Study Design: Cross-sectional survey in 2007 completed by medical directors of medical groups nationally with at least 100 physicians and a range of medical services and who had also participated in the National Survey of Physician Organizations.

Methods: We recruited 111 medical directors among 123 who were eligible.