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

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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