It is possible to delivery higher quality care at lower costs in the U.S. health care system. We have to look no further than Grand Junction, CO to prove it is possible. In 2006, average Medicare spending per enrollee in Grand Junction was $5,800, about 30 percent lower than the national average of $8,300 and more than 60 percent lower than high-cost areas like McAllen, Texas. Despite its lack of a formal integrated delivery system, Grand Junction patients benefit from excellent outcomes, state-of-the-art health information technology, and the latest innovations in preventive and palliative care at much lower costs than elsewhere in the U.S.
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