This is the job description http://www.oliver-sinz.de/shop/ il miglior priligy generico "Health care reform only makes the staffing shortages worse," notes Salka. A variety of payment changes and care delivery models have proliferated under Obamacare, including Accountable Care Organizations, patient-centered medical homes, bundled payments, readmission payment penalties, adherence to treatment protocols and other quality-based metrics. The focus on value-based care puts a premium on prevention and team-based care coordination, led by primary care practitioners. This is challenging hospital executives, who are operating under two conflicting payment systems. Houttekier says it's akin to straddling a "crevasse."