System Flux

Past

• Inpatient Care

• Workload-Based

• Space Available Care

• Episodic Care - ER Based

• Fee for Service

• Self Referral

• Medical Management

Future

• Ambulatory Care

• Population-Based

• Guaranteed Access

• Primary Care for Enrolled Population

• Managed Care

• Primary Care Manager

• Self Management

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• Managed Care Will Dominate Healthcare
  • Enrollment Based
  • “At Risk” System

• Professionals, Payers, Patients
  • High Quality, Low Cost, Great Service
  • Increased Patient Role

• Increased Readiness Focus
  • Joint / Integrated