( ient; · Use of health information an...)Comprehensive Reforms to Move Toward Patient-Centered Care,Health

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· Use of health information and other system improvements to enhance access to care, to provide access to evidence-based guidelines at the point of care, to support the ability of physicians to follow up on recommended treatments and patient self-management plans, and to measure and report on the quality of care being provided.

Dr. Kirk went on to address the need for patient-centered care to be available to all Americans, not just all insured Americans. She emphasized ACP's belief that immediate steps must be taken to expand health insurance coverage, with the goal of providing coverage to all Americans.

‘By definition, a health care system that leaves out nearly 47 million Americans is NOT one that is centered on patients' needs,’ continued Dr. Kirk. ‘The nearly 47 million Americans who now lack health insurance coverage are much less likely to have a regular source of care, never mind having access to physician practices that are organized to provide patient-centered primary care.’

The College also released a companion position paper to the State of the Nation's Health Care report, ‘A System in Need of Change: Restructuring Payment Policies to Support Patient-Centered Care,’ which offers a series of nine recommendations to fundamentally reform current Medicare physician payment and delivery systems.

The recommendations include paying physicians on a risk-adjusted, bundled, and prospective basis for providing patient-centered care through a qualified medical home, instead of paying doctors solely on the volume of services billed. The College also proposes an alternative to Medicare's flawed sustainable growth rate formula that will stabilize payments and create powerful incentives for physician participation in programs that will result in quality improvements and cost savings.

ACP also released a legislative roadmap for implementing the College's recommendations, which will be the basis for di
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