title: The group employed model as a foundation for health care delivery reform.
abstract: With a focus on delivering low-cost, high-quality care, several organizations using the group employed model (GEM)-with physician groups whose primary and specialty care physicians are salaried or under contract-have been recognized for creating a culture of patient-centeredness and accountability, even in a toxic fee-for-service environment. The elements that leaders of such organizations identify as key to their success are physician leadership that promotes trust in the organization, integration that promotes teamwork and coordination, governance and strategy that drive results, transparency and health information technology that drive continual quality improvement, and a culture of accountability that focuses providers on patient needs and responsibility for effective care and efficient use of resources. These organizations provide important lessons for health care delivery system reform.
authors.affiliation: AcademyHealth, USA. jenny.minott@academyhealth.org
authors.forename: Jenny
authors.initials: J
authors.lastname: Minott
authors.forename: David
authors.initials: D
authors.lastname: Helms
authors.forename: Harold
authors.initials: H
authors.lastname: Luft
authors.forename: Stuart
authors.initials: S
authors.lastname: Guterman
authors.forename: Henry
authors.initials: H
authors.lastname: Weil
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000379:methods*; D030881:Disclosure; D006123:Group Practice / Q000458:organization & administration*; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D017146:Models, Organizational; D018802:Patient-Centered Care / Q000458:organization & administration*; D010819:Physician's Role; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000458:organization & administration; D011785:Quality Assurance, Health Care; D012051:Reimbursement Mechanisms; D012941:Social Responsibility; D014481:United States