Typically, physician face time during a patient's office visit is measured in minutes. However, accountable care is changing that scenario at Orlando (Fla.) Health, a large integrated delivery system with eight hospitals. At some of its outpatient practices, it's implemented group medical visits, at which 10 to 12 patients with similar conditions get 90-minute discussions with a physician, nurses and other care specialists.

At these extended visits, patient problems and questions are approached from a variety of angles, all intended to help patients stay well and keep them out of expensive care settings. "We're setting the patients up for success," says Tawnya Adkisson, director of care coordination for Orlando Health.

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