Attempting to launch an accountable care organization before building a culture around physician and hospital collaboration won't work.

That was the message given by Mark Shields, M.D., senior medical director at Advocate Physician Partners during a presentation at the Medical Group Management Association annual meeting, held in Las Vegas this week. Shields described Advocate's steady development of what he called "clinical integration," a model of facilitating collaboration across multi-specialty physicians via shared managed care contracts, which include pay-for-performance bonuses.

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