Examine changes introduced to reform or restructure the U.S. health care delivery system.

There has been increasing pressure on the U.S. healthcare system to restructure because of rising costs and the need to sustain it, especially with an aging populace and an influx people enrolling in health insurance plans as a result of recent reforms like the Affordable Care Act. Policy makers implemented a range of reforms to address the problem. These include pay-for–performance models, which encourage providers to deliver high-quality services and incentivize them to do so based on their quality. Incentives or bundled payments provide reimbursement for episodes of bundled services or individual treatment. Telemedicine is promoting consumer engagement. ACOs coordinate patients across different settings and providers. The ACA marketplace exchanges promotes competition among insurance companies.