Health Affairs February 15, 2017
The Billings Clinic, with its storied reputation as one of the nation’s leading physician-led, clinically integrated health systems, is viewed by many in our industry as an exemplar of where health care is heading. Clinically integrated for more than two decades, the system has invested heavily in infrastructure, from information technology to staff, to manage both populations and risk. But with the promise of value-based care finally in sight, it finds its ability to execute limited by forces beyond the walls of the clinics, hospitals, and other facilities where its 450 physicians and advanced practitioners see patients across Montana, Wyoming, and the Dakotas.
First among the obstacles is managing data — both incoming and outgoing. It is difficult for Billings...
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