In April 2011, the leadership of the Massachusetts General Hospital (MGH) and the Massachusetts General Physicians Organization formed five care redesign teams charged with identifying new, higher-quality and more efficient ways to care for patients. For patients, the promise of care redesign is providing a better experience and doing so at a lower cost. For the institution and the providers, the promise of care redesign is to position MGH to succeed and thrive as health care transitions from the fee-for-service model to an accountable care model. The traditional fee-for-service model has been criticized for leading to fragmentation of care and excess utilization. The proposed future model is integrated payments that will require providers to deliver more integrated care with more thoughtful utilization. Further complicating matters, there will be no clear transition point where all patients transition from the old model to the new one. Rather, we will simultaneously treat some...

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