components of health care delivery systems

What role do payers have in impacting the health care delivery system? What are some positive and negative aspects of this influence?
Some critical health services are delivered by funding streams outside the delivery system–like grants for public health home visiting, community health workers, and telemedicine. How should we value or consider these additional elements?
To what extent does a decentralized model promote innovation and exploration that might not be possible in a centralized approach?
Do you think a patient or provider would answer this discussion question the same way? Why or why not? Is that a good thing, bad thing, or value-neutral thing?

1 page, dont have to answr all