C. Leveraging decentralization while controlling fragmentation

Leveraging the benefits of decentralization—without incurring the costs of fragmentation—will require broad and effective information sharing.

Many participants raised concerns that decentralization would result in a scattering of the very data necessary to effectively coordinate care. If patients can receive care from a greater number of providers in a wider variety of settings, how will the subsequent clinical data be gathered and integrated?

To prevent fragmentation, successful implementation of new initiatives will require more sophisticated means of gathering and distributing information, regardless of where care is delivered. Panelists and participants agreed that for decentralized approaches to succeed, all parties— from patients and providers to payors and suppliers— would need access to data that measure the quality as well as the cost of care.

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