ABSTRACT
Physicians can be catalysts or constraints, promoters of optimization, or detractors to improvement efforts. Physicians therefore need to be retrained on the thinking of care management. Importantly, "in" are the days of physician acceptance of change, integration, and collaboration. The compensation system in this new world of healthcare should be based on a rewriting of the expectations of the "front lines" of healthcare provision, the PCP, and his supporting staff. All physicians must help create new models that will help advance the ideals of self-management and efficiency of healthcare resource utilization, accept the dissemination of non-physician tasks, and become leaders of large teams that include clinical and non-clinical communal resources. As more and more physicians are salaried, aligning incentives to promote the health and well-being as well as the personal responsibility of the population will become easier and more widely accepted.
