TY - JOUR KW - accountable care organizations KW - Community Health Services KW - Continuity of Patient Care KW - Delivery of Health Care, Integrated/organization & administration KW - Federal Government KW - Financing, Government KW - Health Care Reform/organization & administration KW - Health Policy KW - Humans KW - Managed Care Programs KW - Patient Care Team KW - Patient Protection and Affordable Care Act KW - Pilot Projects KW - Policy Making KW - Primary Health Care KW - Private Sector KW - Public Sector KW - Quality Assurance, Health Care KW - Reimbursement Mechanisms KW - Reimbursement, Incentive KW - State Government KW - United States KW - Vulnerable Populations AU - K. Witgert AU - C. Hess A1 - AB - Health care reform legislation has spurred efforts to develop integrated health care delivery systems that seek to coordinate the continuum of health services. These systems may be of particular benefit to patients who face barriers to accessing care or have multiple health conditions. But it remains to be seen how safety-net providers, including community health centers and public hospitals--which have long experience in caring for these vulnerable populations--will be included in integrated delivery systems. This issue brief explores key considerations for incorporating safety-net providers into integrated delivery systems and discusses the roles of state and federal agencies in sup-porting and testing models of integrated care delivery. The authors conclude that the most important principles in creating integrated delivery systems for vulnerable populations are: (1) an emphasis on primary care; (2) coordination of all care, including behavioral, social, and public health services; and (3) accountability for population health outcomes. BT - Issue brief (Commonwealth Fund) C5 - Financing & Sustainability; Healthcare Policy CY - United States JF - Issue brief (Commonwealth Fund) N2 - Health care reform legislation has spurred efforts to develop integrated health care delivery systems that seek to coordinate the continuum of health services. These systems may be of particular benefit to patients who face barriers to accessing care or have multiple health conditions. But it remains to be seen how safety-net providers, including community health centers and public hospitals--which have long experience in caring for these vulnerable populations--will be included in integrated delivery systems. This issue brief explores key considerations for incorporating safety-net providers into integrated delivery systems and discusses the roles of state and federal agencies in sup-porting and testing models of integrated care delivery. The authors conclude that the most important principles in creating integrated delivery systems for vulnerable populations are: (1) an emphasis on primary care; (2) coordination of all care, including behavioral, social, and public health services; and (3) accountability for population health outcomes. PP - United States PY - 2012 SN - 1558-6847; 1558-6847 SP - 1 EP - 18 EP - T1 - Including safety-net providers in integrated delivery systems: issues and options for policymakers T2 - Issue brief (Commonwealth Fund) TI - Including safety-net providers in integrated delivery systems: issues and options for policymakers U1 - Financing & Sustainability; Healthcare Policy U2 - 22928222 VL - 20 VO - 1558-6847; 1558-6847 Y1 - 2012 ER -