Delivery system reform includes a variety of activities aimed at changing the structure and incentives in the health care system to encourage quality and efficiency, reward  care coordination among various health care providers and entities through the sharing of information, often using health information technology, and improve patient and consumer engagement.  Examples of care coordination include patient-centered medical home models and accountable care organizations (ACOs), both included in the Patient Protection and Affordable Care Act (ACA).  the state based health insurance exchanges, also established by the ACA, will also fundamentally alter the way health care is delivered once they become operational in 2014.  Topics related to delivery system reform in Tennessee include:

• Antitrust
• Care Coordination/Care Management
• Health Information Technology
• Medicare Data Requirements
• Medicaid/CHIP Data Requirements
• Private Insurance Data Requirements
• Quality Measurement and  Reporting