Health Plans | Provider Organizations | |||
---|---|---|---|---|
Barriers | Public Plans or Purchasers | Private Plans | Multispecialty Groups | Independent Practice Association |
Insufficient analytic power | X | X | ||
Regulatory restrictions | X | X | ||
Economic constraints | X | |||
Insufficient creativity | X | |||
Pay for production | X | X | ||
Insufficient financial capital | X | X | X | |
External Inertia | X | X | X | X |
Internal Inertia | X | X | X | X |
Insufficient information technology | X | |||
Insufficient human capital | X | X | ||
Facilitators | ||||
Data resources | X | X | ||
Size | X | X | ||
Experience | X | |||
PPACA | X | |||
Leadership | X | X | X | |
Personnel | X | X | ||
Agility/responsiveness | X | X | ||
Culture of continuous improvement | X | |||
Willingness to take risks | X | X |