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5 ways to integrate federal health programs

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This JAMA piece by Dhruv Khullar, M.D., and Dave A. Chokshi,  M.D., look at the  need for the federal government to integrate its health programs.

They note that “{t}he breadth, complexity, and incremental development of the federal health system have resulted in a fragmented patchwork, with many potential areas for integration to increase efficiency and improve care coordination.”

They suggest (in considerable detail) five ways could be improved:


  • “Minimizing overlapping service delivery and procurement.”


  • “Reducing duplicate payments.”


  • “Repurposing underutilized facilities.”


  • “Integrating information technology systems.”


  • “Expanding value-based purchasing.”


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