Finally, the law invests in the Patient-Centered Outcomes Research Institute and the CMS Innovation Center, which may lead to new ideas to contain costs as well.

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In other words, what Medicare needs is accelerated implementation of initiatives such as the Patient-Centered Outcomes Research Institute and the Accountable Care Organizations that are the little-noticed backbone of the Affordable Care Act.

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But they also included a foundation built on the fortune of the co-founder of Intel Corp. (the Gordon and Betty Moore Foundation) and a non-profit created by Congress and expected to give away roughly a billion dollars by 2015, the Patient-Centered Outcomes Research Institute (PCORI).

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Grace-Marie Turner is president of the Galen Institute, a nonprofit research organization focusing on patient-centered solutions to health reform.

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