Evolving Better Health Care for Every American.

Authors

Gillian Sanders Schmidler, Patricia Green, Marianne Hamilton Lopez

Published in

NEJM catalyst innovations in care delivery. Volume 7. Issue s2. Pages CAT260123. Epub Apr 30, 2026.

Abstract

Transforming the U.S. health system requires coordinated alignment across financing, care delivery, workforce, and innovation infrastructure. Persistent fragmentation, fee-for-service incentives, administrative burden, and underinvestment in primary care continue to undermine outcomes and drive unsustainable costs, particularly for communities with limited access to preventive and social supports. This article synthesizes policy and operational strategies to advance value-based care, integrate social determinants into risk adjustment, modernize data systems, strengthen safety-net capacity, and build workforce resilience. A sequenced road map outlines short-, intermediate-, and long-term actions, led by federal and state agencies, private sector partners, and community organizations, to achieve durable improvements in quality, equity, and cost.

PMID:
42455984
Bibliographic data and abstract were imported from PubMed on 16 Jul 2026.

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