How can cardiologists and our internal medicine colleagues work together to promote the patient-centered medical home as an efficient strategy for re-organizing care that will reduce costs and improve quality of care? How can we improve communication between specialist and subspecialist providers? Dr. John Tooker, executive vice president and CEO of the American College of Physicians, joins host Dr. Jack Lewin to outline some of the best practices and lessons learned from current integrated health systems, and emphasizes the importance of accountable care organizations. Can some of these lessons even apply to more fragmented delivery of care models?