Crossroads in quality

Health Aff (Millwood). 2008 May-Jun;27(3):749-58. doi: 10.1377/hlthaff.27.3.749.


Expanding insurance coverage is a critical step in health reform, but we argue that to be successful, reforms must also address the underlying problems of quality and cost. We identify five fundamental building blocks for a high-performance health system and urge action to create a national center for effectiveness research, develop models of accountable health care entities capable of providing integrated and coordinated care, develop payment models to reward high-value care, develop a national strategy for performance measurement, and pursue a multistakeholder approach to improving population health.

MeSH terms

  • Delivery of Health Care / standards*
  • Health Care Reform*
  • Health Services Research
  • Humans
  • Insurance, Health / standards*
  • Medical Informatics Applications
  • Quality Assurance, Health Care / methods*
  • Quality Assurance, Health Care / standards
  • United States