ABSTRACT

The United States must transform its costly, fragmented healthcare system to a new paradigm of healthcare delivery-one that is integrated, takes accountability for the sickness of individuals as well as their wellness, and provides better value for patients, providers, and payers. Care providers of all types are already working to redesign care models, improve quality, and slow the rise in costs in their centers of care, but these changes will only go so far to change the current model. The transformation we are talking about will require changes beyond what’s happening in the provider realm alone-it requires changes in how patients and their families and friends participate in their care (when sick) and in their overall well-being (when healthy).