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news
Recently, Jim Lehrer's NewsHour on PBS has aired a series of reports and conversations about the health care reform debate. Central to the debate is the issue of managing health care costs and improving health care quality. Several CAPP medical groups have been identified by the Obama administration as being models for a health care delivery system that can work.

The following is a story about the benefits of integrated delivery systems, such as Mayo, the Cleveland Clinic, and the Billings Clinic of Montana:

Montana Clinic Aims to Deliver Top-quality Care for Less:

For written story, click here. For video, click here.

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The Cleveland Clinic's CEO, Dr. Toby Cosgrove, was interviewed recently on NewsHour about how physician collaboration could improve overall quality while lowering costs:

Cleveland Clinic Chief: Lower Care Costs Must Be Focus in Reform Efforts:

For written story, click here. For video, click here.

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Change the Microenvironment: Delivery System Reform Essential to Controlling Costs, by Francis J. Crosson, MD, April 27, 2009

In this commentary, Dr. Crosson, chairman of the Council of Accountable
Physician Practices reminds policymakers that the most effective
policy solutions proposed to change payment and/or structural
delivery system reform will depend ultimately on their ability
to positively affect the "microenvironment" of the actual physician
practice.

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Public and the Health Care Delivery SystemThis recent
NPR/Kaiser/Harvard survey highlights the public's attitudes and
experiences with the American health care delivery system. It
sheds light on Americans' experiences with issues such as electronic
medical records (EMR), coordination of care and comparative effectiveness.
NPR is planning a series of news reports on these findings.

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Integrating Services for Low-Income Seniors Shows Health Care Benefit, by Claire Sowerbutt, Contributing Writer, MedPage Today, December 11, 2007.

INDIANAPOLIS, Dec. 11 -- For low-income seniors, the likelihood of providing the recommended standard of health care services could be enhanced by integrating home-based and institutional services, found researchers here.


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From High Tech to Soft Touch: The Everett Clinic uses innovative ways to control health care costs, by Bryan Corliss, Washington CEO, November 26, 2007.

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“CAPP’s 35 MSMGs [multispecialty medical groups] share a common vision as learning organizations dedicated to the improvement of clinical care. Their features include physician leadership and governance; commitment to evidence-based care management processes; well-developed quality improvement systems; team-based care; the use of advance clinical information technology; and the collection, analysis, and distribution of clinical performance information. These features are congruent with the [Institute of Medicine’s] recommendations on key elements needed to redesign delivery systems.”

From Chapter 5, “Developing the Test Bed—Linking Integrated Service Delivery Systems: Council of Accountable Physician Practices,” by Michael A. Mustile, MD. The Learning Healthcare System: Workshop Summary (IOM Roundtable on Evidence-Based Medicine), edited by LeighAnne Olsen, Dara Aisner, and J. Michael McGinnis, National Academies Press, 2007.

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“A shift from the current care model to a more coordinated care model centered on primary care is one potential way to help stave off the healthcare dilemma.”

“It's too expensive to be a primary-care doctor,” by Debra A. Geihsler, president and CEO of Harvard Vanguard Medical Associates & Atrius Health. Boston Globe, July 25, 2007.

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“Obama Visits Clinic Known for Quality Care, Controlling Costs,” by David Brown, The Washington Post, July 23, 2009

The Post takes a more in-depth look at The Cleveland Clinic, a CAPP medical group, that was touted by President Obama as a model of health care efficiency and quality.

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“Yes, models for cost-efficient health care do exist,” by Jim Landers, The Dallas Morning News, July 28, 2009

CAPP group Scott & White is featured in this article that reviews some of the Dartmouth findings on organizations that can curb health care costs.

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“Atul Gawande: The Cost Conundrum Redux,” by Atul Gawande, The New Yorker, June 23, 2009.

Gawande responds to the skeptics of his highly publicized New Yorker article.

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“The Cost Conundrum: What a Texas town can teach us about health care,” by Atul Gawande, The New Yorker, June 01, 2009

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