• Efforts to encourage innovative payment and delivery models may help steward the transition to a continuously learning system. The Center for Medicare & Medicaid Innovation, created to promote the rapid development and diffusion of innovation that could improve the effectiveness and efficiency of care, has stimulated activities beyond the 16 initiatives introduced in its first year.
  • Increased comparative effectiveness research may yield insights that can help clinicians and patients make better-informed health care decisions. The Patient-Centered Outcomes Research Institute (PCORI), created to increase the quality and quantity of information about what works best for whom, will receive annual funding of $500 million from 2014 through 2019.
  • Partnerships and collaborations are increasingly identifying and testing opportunities for improving care delivery. Multiple initiatives by employers, specialty societies, patient and consumer groups, health care delivery organizations, health plans, and others are aimed at improving the health care system. These initiatives include the American Board of Internal Medicine (ABIM) Choosing Wisely campaign, the Good Stewardship project, the Patient-Centered Primary Care Collaborative, and others.


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