Rochester's 50-year community collaboration offers key lessons

Employers in Rochester, N.Y. began to demand better collaboration with health care providers for better outcomes and lower costs back in 1958. The initiative remains one of the strongest community coalitions in the nation, with the fourth-lowest commercial premiums in the country and the lowest Medicare costs. In this case study by Ian Morrison, key success factors include managing bed and technology capacity; an engaged business community; accountability, transparency and shared risk; and primary prevention.