The Group Employed Model as a Foundation for Health Care Delivery Reform

Abstract from the Issue Brief published by The Commonwealth Fund, April 2010

With a focus on delivering low-cost, high-quality care, several organizations using the group employed model (GEM)—with physician groups whose primary and specialty care physicians are salaried or under contract—have been recognized for creating a culture of patient-centeredness and accountability, even in a toxic fee-for-service environment. The elements that leaders of such organizations identify as key to their success are physician leadership that promotes trust in the organization, integration that promotes teamwork and coordination, governance and strategy that drive results, transparency and health information technology that drive continual quality improvement, and a culture of accountability that focuses providers on patient needs and responsibility for effective care and efficient use of resources. These organizations provide important lessons for health care delivery system reform.

Read the posts and listen to podcasts from Bassett Health Network’s CEO, Dr. William Streck: Getting from Here to There and physician leader, Dr. Henry Weil: Practicing 21st Century Leadership on their group employed model and their participation at the September 2009 colloquium, whose findings are reported in the Issue Brief.

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