title: A call to action.
abstract: OBJECTIVE
  To summarize the challenges facing the U.S. health care system between now and 2013.
  
  
  CONCLUSIONS
  Between now and 2013, the American health care system will need to make major changes to successfully address Medicare's funding challenges. Making the patient a partner in care, developing systems that promote and reward prevention efforts, and ensuring that health care purchasers understand and pursue value will be key. The growing prevalence of diabetes and cardiometabolic conditions is one area in which concerted efforts are needed.
authors: Deloitte Center for Health Solutions, Washington, DC, USA. tchamberlain@m2res.com
authors: Tommy G
authors: TG
authors: Thompson