Shari M. Erickson, MPH; Brian Outland, PhD; Suzanne Joy, MPP; Brooke Rockwern, MPH; Josh Serchen, BA; Ryan D. Mire, MD; Jason M. Goldman, MD; for the Medical Practice and Quality Committee of the American College of Physicians *
Financial Support: Financial support for the development of this position paper came exclusively from the ACP operating budget.
Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-2407.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that her spouse has stock options/holdings with Targeted Diagnostics and Therapeutics. Darren B. Taichman, MD, PhD, Executive Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Christina C. Wee, MD, MPH, Deputy Editor, reports employment with Beth Israel Deaconess Medical Center. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Yu-Xiao Yang, MD, MSCE, Deputy Editor, reports that he has no financial relationships or interest to disclose.
Corresponding Author: Shari M. Erickson, MPH, American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001; e-mail, email@example.com.
Current Author Addresses: Ms. Erickson, Dr. Outland, Ms. Joy, Ms. Rockwern, and Mr. Serchen: American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001.
Dr. Mire: Heritage Medical Associates, 4230 Harding Pike, Suite 601 East, Nashville, TN 37205.
Dr. Goldman: 3001 Coral Hills Drive, Suite 340, Coral Springs, FL 33065.
Author Contributions: Conception and design: S.M. Erickson, B. Outland, B. Rockwern, J.M. Goldman.
Analysis and interpretation of the data: S.M. Erickson, B. Outland, J. Serchen, R.D. Mire, J.M. Goldman.
Drafting of the article: B. Outland, B. Rockwern, J. Serchen, R.D. Mire, J.M. Goldman.
Critical revision of the article for important intellectual content: S.M. Erickson, B. Rockwern, R.D. Mire, J.M. Goldman.
Final approval of the article: S.M. Erickson, B. Outland, S. Joy, B. Rockwern, J. Serchen, R.D. Mire, J.M. Goldman.
Administrative, technical, or logistic support: S.M. Erickson, B. Rockwern, J. Serchen.
Collection and assembly of data: S.M. Erickson, B. Outland, J. Serchen.
The American College of Physicians (ACP) has long advocated for universal access to high-quality health care in the United States. Yet, it is essential that the U.S. health system goes beyond ensuring coverage, efficient delivery systems, and affordability. Fundamental restructuring of payment policies and delivery systems is required to achieve a health care system that puts patients' interests first and supports physicians and their care teams to deliver high-value, patient- and family-centered care. The ACP calls for reform of U.S. payment, delivery, and information technology systems to achieve this vision. The ACP's recommendations include increased investment in primary care; alignment of financial incentives to achieve better patient outcomes, lower costs, reduce inequities in health care, and facilitate team-based care; freeing patients and physicians of inefficient administrative and billing tasks and documentation requirements; and development of health information technologies that enhance the patient–physician relationship.
Erickson SM, Outland B, Joy S, et al, for the Medical Practice and Quality Committee of the American College of Physicians. Envisioning a Better U.S. Health Care System for All: Health Care Delivery and Payment System Reforms. Ann Intern Med. 2020;172:S33–S49. doi: https://doi.org/10.7326/M19-2407
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Published: Ann Intern Med. 2020;172(2_Supplement):S33-S49.
Healthcare Delivery and Policy.
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