Commonwealth Fund January 14, 2020
Stephen M. Shortell

Toplines

The U.S. is making progress in health care delivery reform — both achieving savings and improving the quality of patient care — but the nation overall still spends inefficiently and rising costs concern many Americans

Required changes in health care delivery reform are too slow in coming and incentives for change are too weak
In 2008, Lawrence Casalino and I wrote about the U.S. health care delivery system reform: “At the heart of the challenge is transforming a 19th century craft-oriented delivery system to provide 21st century biomedical science and technology.” Evidence from the past 12 years suggests some progress is occurring, with, for instance, accountable care organizations (ACOs)...

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