Dr. Donald Berwick, who oversaw Medicare and Medicaid until earlier this month, defended the programs Monday, but said they are trapped in a U.S. health system that promotes wasteful spending and inefficient care.
"Health care is broken," Berwick said in an interview with Kaiser Health News. "… We have set up a delivery system that is fragmented, unsafe, not patient-centered, full of waste and unreliable. Despite the best efforts of the workforce, we built it wrong. It isn't built for modern times."
Berwick said the 2010 federal health law is changing how doctors and hospitals are paid and deliver care through such new arrangements as accountable care organizations, which are designed to improve coordination and lower costs.
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