Fostering Accountable Health Care:
Moving Forward In Medicare

Real savings to the Medicare program could occur within five years with only modest changes in providers' spending behavior.

Advances in biomedical knowledge and technological innovation offer the promise of marked improvements in health; however, growing evidence suggests that the U.S. health care system is not now delivering on that promise. The provision of evidence-based health care is remarkably uneven, and the challenge of coordinating care in an increasingly complex and fragmented delivery system is widely acknowledged.