Your browser doesn't support JavaScript. Please upgrade to a modern browser or enable JavaScript in your existing browser.
Skip Navigation U.S. Department of Health and Human Services
Agency for Healthcare Research Quality
Archive print banner

This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: Let us know the nature of the problem, the Web address of what you want, and your contact information.

Please go to for current information.

Integrated Delivery Systems In Managed Care

What Are Integrated Delivery Systems?

Part II: Models in Action


Darlene Burgess, Vice President for Corporate Government Affairs, Henry Ford Health System, Detroit, MI.

Ellen M. Zane, Network President, Partners HealthCare System, Massachusetts General Hospital-Brigham and Women's Hospital, Boston, MA.

Ms. Burgess gave an overview of the health care marketplace in Michigan and how the Henry Ford Health System fits in. She described the Henry Ford Health System as a vertically integrated, regional, not-for-profit organization with a flagship tertiary care hospital.

Their strategies for responding to marketplace changes include:

  • Delivery system redesign such as "right-sizing" (e.g., ratio of specialty care to primary care practitioners/services ).
  • Organizational development, highlighting their managed care college, leadership development, and continuous quality improvement.

Ms. Zane described the health care market in eastern Massachusetts and gave an overview of Partners Community HealthCare, Inc., which is not a hospital-centered integrated delivery model. She highlighted requirements by various regulatory agencies confronted in network development, including the following:

  • Installment payments (U.S. Department of Health and Human Services and the Office of the Inspector General).
  • Anti-trust provisions (U.S. Department of Justice, Federal Trade Commission, Massachusetts Attorney General Antitrust Division).
  • Use of tax-exempt dollars (Internal Revenue Service).

In speaking of the value of an integrated health care system, Ms. Zane equated integrated health systems with improved quality of service and care for the patient.

Previous Section Previous Section       Contents         Next Section Next Section

The information on this page is archived and provided for reference purposes only.

AHRQ Advancing Excellence in Health Care