The Spread of High-Performance Integrated Care Delivery Systems: Assessing Two Hybrid Approaches


Across the United States, health care organizations are forming new clinical and financial partnerships in pursuit of higher-quality care, better patient outcomes, and lower costs. This project will examine clinical and organizational changes and new physician incentives adopted by two high-performance integrated health care delivery systems: Group Health Cooperative, in Seattle, and Scott & White Healthcare, in Temple, Texas. Both of these formerly closed–model systems have adopted hybrid approaches to population-based care delivery—for example, by employing or contracting with community-based physicians who treat not only patients insured by Group Health or Scott & White but also patients in outside commercial plans. For the study, researchers will interview organizational leaders, managers, and providers; conduct patient focus groups; and analyze data related to health care quality, patient experience, and financial performance.

Grant Details

Grantee Organization:
Group Health Cooperative
Principal Investigator:
Robert Reid, M.D., M.P.H., Ph.D.
Award Amount:
Approval Date:
July 10, 2012
Related Topics
Health Care Delivery

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