Category Archives: Integrated Care

Structure and Function

Providers of medical care in the United States are consolidating. Hospitals are merging into “systems” and physicians are joining large physician groups, many of which are part of “vertically integrated” delivery networks that include hospitals.

Many forces are driving this consolidation, including the high capital requirements technologically advanced care, the challenge of meeting government regulations, the “arms race” consolidation of the commercial insurance industry, and the drive toward accountable care, in which providers take on some or all of the financial risk associated with the health outcomes of a population, and therefore need to work closely together to manage care delivery.

A recent paper in Health Affairs points out that structural integration does not necessarily translate into functional integration from the perspective of those who ought to matter the most – patients.
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