Health Affairs June 26, 2019
Any proposal for universal coverage—from Medicare for All, to a public option, to reinforcement and expansion of provisions under the Affordable Care Act (ACA)—faces the challenge of affordability. Affordability, in turn, may well hinge on the health care delivery system redesigning care to eliminate waste. A key question is whether the delivery system can do this, reducing fragmented care while maintaining or improving quality and meeting patient needs and preferences. This post focuses on the key role that integrated delivery systems must play in making universal coverage—in whatever form—viable. Our post: highlights one state’s (California’s) experience with integrated delivery systems—specifically, integrated care model physician organizations; provides new evidence on their ability to provide lower-cost, higher-quality, value-based care; and, proposes a...
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