Much has been rightfully made of the success of the Geisinger Health System in delivering high quality care at a lower cost. Here's an article from Philly.com that discusses the issue.
A pertinent quote:
"Medical care is more fragmented in most hospitals, with many doctors self-employed or working for independent groups, and insurance provided by separate companies. That pits those groups against one another economically. In a fully integrated system, like Geisinger's, everyone benefits more easily from holding costs down and improving care, experts said."
Question: How much is due to the common bottom line between the MDs and the hospital, and how much is owning the insurance company? Also, how much of this is transferable to other settings that do not have the dominant market position enjoyed by Geisinger?
Glenn and colleagues, can you please reply?