This issue brief from The Commonwealth Fund uses large fonts, simpler English, and infographics to explain issues of quality improvement and cost reductions that are essential to reforming the U.S. health care system. The issue brief explains the concepts of fee-for-service, and the challenges of care coordination, avoidable hospital readmissions, and excess (unnecessary) care. Concepts of bundled payments, global payments, and accountable care organizations also are explained.

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