Initiatives

Examples of gaps and weaknesses in our current acute care system

Current system pays/rewards doctors for procedures, tests, and high volume, not production of health.

About 46 million Americans do not have health insurance, including over 8 million children.

Emergency rooms provide de facto universal health care coverage at an extremely high cost.

The Medicare program is financially at risk as currently designed.

Medicaid provides incomplete coverage—the "donut."

Quality of care is highly variable across regions and does not correlate with cost of care.

Examples of implementations of the chronic care model
(these are illustrations and not necessarily prescriptions or endorsements)

Clinicians are compensated in a way that makes the reliable delivery of evidence-based care to all patients financially viable and sustainable.

Americans can afford and receive healthcare services "upstream" (i.e. in prevention and disease management) and avoid costly complications, ER visits, and hospitalizations.

Government programs are financially viable and provide care to adequately fill gaps in coverage.

Quality of care shows low variation across regions and correlates with cost of care; better clinical and human outcomes are better compensated.