Carlo Favaretti


At academic medical centers (AMCs) all over the country, health care delivery and payment reform are becoming reality. AMCs need to think in a new way about the markets they serve. Timing for AMCs transforming care delivery is critical. We need to find the perfect middle ground, or what I like to call the “Goldilocks Factor.” AMCs need to transform delivery, definitely not too slowly, but not too fast for their markets either.  And finding “just fast enough” is not easy.

The services we provide are, now more than ever, about comprehensive care and population management to achieve the “Triple Aim” of improved quality, improved health, and controlled cost.  Primary care is key to successful care of defined populations under payment models such as Patient Centered Medical Homes, capitation, and shared savings. But some highly subspecialized services will likely remain fee-for-service…

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