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June 6, 2011

Hospital-Based Programs for Children With Special Health Care NeedsImplications for Health Care Reform

Author Affiliations

Author Affiliations: Division of Hospital-Based Medicine, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Children's Memorial Hospital and La Rabida Children's Hospital (Dr Agrawal), Chicago, Illinois; and Division of General Pediatrics, Harvard Medical School, Children's Hospital Boston, Boston, Massachusetts (Dr Antonelli).

Arch Pediatr Adolesc Med. 2011;165(6):570-572. doi:10.1001/archpediatrics.2011.63

The Patient Protection and Affordable Care Act of 2010 creates the Center for Medicare and Medicaid Innovation to develop and test new delivery system and payment models designed to improve health care quality outcomes and reduce costs.1 One model receiving great attention is that of accountable care organizations, envisioned as networks of physicians, hospitals, and other providers collectively contracted with payers to provide comprehensive care with incentives for savings beyond projected costs and measurable enhancements in quality.2 Primary care provided within a medical home model is foundational to the functioning of accountable care organizations.3

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