System-Wide Care Coordination
Health system leaders have repeatedly underscored that taking a leadership role in achieving clinical integration and performance improvement is central to the mission and future of health care. In the future, real value will be created through the coordination of care across the continuum of services and providers. However, most integration efforts to date have been at the financial and legal transaction level, and competitive pressures have driven some health care systems to "disintegrate" their clinical integration efforts.
System members began dialogue on potential incentives and barriers to clinical integration under both risk and non-risk payment arrangements, as well as management models generally associated with each. However, with regulatory barriers to clinical integration increasing, legislative and policy solutions that incent clinical integration, intrasystem referral and care management are unclear. Little, if anything, exists in current literature about the current state and future of clinical integration. System leaders continue to dialogue on both theoretical and practical values to clinical integration.