Elizabeth H. Bradley is professor of public health at Yale University, faculty director of its Global Health Leadership Institute, and master at Branford College. The recipient of a Bill & Melinda Gates Foundation grant, she was previously director of the health management program and co-director of the Robert Wood Johnson Clinical Scholars Program at Yale and served as hospital administrator at Massachusetts General Hospital. She lives in New Haven, Connecticut.Lauren A. Taylor studies public health and medical ethics at Harvard Divinity School, where she is a presidential scholar. She was formerly a program manager at the Yale Global Health Leadership Institute, where she led a research team in building a model for scaling up public health innovations for the Bill & Melinda Gates Foundation. She completed a master's in public health at Yale University in 2009. She lives in Boston, Massachusetts.

• C O N T E N T S A Note on Quotations vii Foreword by Harvey V. Fineberg ix Preface xiii CHAPTER 1 THE PARADOX 1 CHAPTER 2 HISTORICAL PERSPECTIVES 21 CHAPTER 3 FRONT-LINE INSIGHTS 49 CHAPTER 4 LEARNING FROM ABROAD 81 CHAPTER 5 HOME-GROWN INNOVATIONS 121 CHAPTER 6 AN AMERICAN WAY FORWARD 151 CHAPTER 7 CONTINUING THE DISCOURSE 181 Appendix A: Interviewees 199 Appendix B: Social Values in Scandinavia and the United States: Similarities and Differences 203 Appendix C: Accountable Care Organization (ACO) Performance Measures, 2012 209 Notes 213 Index 237

Elizabeth H. Bradley is professor of public health at Yale University, faculty director of its Global Health Leadership Institute, and master at Branford College. The recipient of a Bill & Melinda Gates Foundation grant, she was previously director of the health management program and co-director of the Robert Wood Johnson Clinical Scholars Program at Yale and served as hospital administrator at Massachusetts General Hospital. She lives in New Haven, Connecticut.Lauren A. Taylor studies public health and medical ethics at Harvard Divinity School, where she is a presidential scholar. She was formerly a program manager at the Yale Global Health Leadership Institute, where she led a research team in building a model for scaling up public health innovations for the Bill & Melinda Gates Foundation. She completed a master's in public health at Yale University in 2009. She lives in Boston, Massachusetts.

• C O N T E N T S A Note on Quotations vii Foreword by Harvey V. Fineberg ix Preface xiii CHAPTER 1 THE PARADOX 1 CHAPTER 2 HISTORICAL PERSPECTIVES 21 CHAPTER 3 FRONT-LINE INSIGHTS 49 CHAPTER 4 LEARNING FROM ABROAD 81 CHAPTER 5 HOME-GROWN INNOVATIONS 121 CHAPTER 6 AN AMERICAN WAY FORWARD 151 CHAPTER 7 CONTINUING THE DISCOURSE 181 Appendix A: Interviewees 199 Appendix B: Social Values in Scandinavia and the United States: Similarities and Differences 203 Appendix C: Accountable Care Organization (ACO) Performance Measures, 2012 209 Notes 213 Index 237

Elizabeth H. Bradley is professor of public health at Yale University, faculty director of its Global Health Leadership Institute, and master at Branford College. The recipient of a Bill & Melinda Gates Foundation grant, she was previously director of the health management program and co-director of the Robert Wood Johnson Clinical Scholars Program at Yale and served as hospital administrator at Massachusetts General Hospital. She lives in New Haven, Connecticut.Lauren A. Taylor studies public health and medical ethics at Harvard Divinity School, where she is a presidential scholar. She was formerly a program manager at the Yale Global Health Leadership Institute, where she led a research team in building a model for scaling up public health innovations for the Bill & Melinda Gates Foundation. She completed a master's in public health at Yale University in 2009. She lives in Boston, Massachusetts.

• C O N T E N T S A Note on Quotations vii Foreword by Harvey V. Fineberg ix Preface xiii CHAPTER 1 THE PARADOX 1 CHAPTER 2 HISTORICAL PERSPECTIVES 21 CHAPTER 3 FRONT-LINE INSIGHTS 49 CHAPTER 4 LEARNING FROM ABROAD 81 CHAPTER 5 HOME-GROWN INNOVATIONS 121 CHAPTER 6 AN AMERICAN WAY FORWARD 151 CHAPTER 7 CONTINUING THE DISCOURSE 181 Appendix A: Interviewees 199 Appendix B: Social Values in Scandinavia and the United States: Similarities and Differences 203 Appendix C: Accountable Care Organization (ACO) Performance Measures, 2012 209 Notes 213 Index 237