There are many steps to improve quality and value, including: 1. While there is ongoing debate about the ability of various delivery system reforms to increase value, there are clear attributes of different approaches to reform that are more likely than others to improve health and slow cost growth. 2. Interventions that are targeted to specific patient populations and clinical areas typically have a greater impact on quality improvement and cost containment than broader approaches. 3. Delivery system reforms are most effective when they are integrated and ensure real accountability from providers and patients to improve results. 4. Reforms are needed to transition provider reimbursement away from volume and intensity of services and toward
