Blue Flower

Engaged patients do better. 

Healthcare reform seeks to shift the focus of the healthcare delivery system from visits to outcomes.   Realignment of reimbursement includes Value Based Payment system which rewards improved health outcomes rather than fee for service (visits).    Early descriptions appear in Michael Porters' book Redefining Healthcare.

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Population Health has achieved a significant level of interest over the past few years.  David Kindig published some early work in 2002  See "What is Population Health?" in the American Journal of Public Health.

The Triple Aim achieved even greater visibility when it was included in the Triple AIm by Donald M. Berwick, Thomas W. Nolan and John Whittington.  and first published in Health Affairs.   Don Berwick, the founder of the Institute for Healthcare Improvement went on to become the CMS Admistrator for the Obama Administration. CMS adopted the Triple Aim as one of its key initiatives  

Donald M. Berwick, Thomas W. Nolan, and John Whittington
The Triple Aim: Care, Health, And Cost 
The remaining barriers to integrated care are not technical; they are political.
Health Affairs, May/June 2008; 27(3): 759-769.

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