12 Key Elements of Delivery System Reform Local accountability for quality and cost across the care continuum »Reforms should build in expectations of cost containment and quality improvement Feasible across diverse practice types/organizational settings »Reforms should be flexible to allow for variation in the structure and strategies of local health systems Shift payments from rewarding volume and intensity to increasing value »Payments should encourage collaboration and shared responsibility among providers and consistent incentives/measures from payers Help consumers make better decisions »With increased accountability on the part of providers must come greater transparency and decision support for consumers
{}