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Innovations in Health Care Delivery
January 26, 2016

Implementation ScienceA Potential Catalyst for Delivery System Reform

Author Affiliations
  • 1The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire
  • 2Division of Health Policy and Management, University of California-Berkeley School of Public Health, Berkeley
  • 3Intermountain Healthcare, Institute for Healthcare Leadership, Salt Lake City, Utah
JAMA. 2016;315(4):339-340. doi:10.1001/jama.2015.17949

The US health care system is in a period of unprecedented change. The threats posed by increasing health care costs and the growing consensus that much of current spending is wasted1 have stimulated a broad array of public and private initiatives aimed at improving care and lowering costs: new technologies, increased investments in patient-centered outcomes research (PCOR), public reporting on the quality and cost of care, pay-for-performance initiatives; and continued efforts to adopt value-based payment models. The health system has responded. For example, the number of accountable care organizations (ACOs) has increased from a handful in 2009 to more than 700 in 2015.2

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