You are an aide to the governor of State X. A billionaire has said he will give the governor $3 billion if he comes up with a satisfactory plan to improve health and medical care for the state. Assume the state currently spends $300 billion on health care annually. The goal is ensuring quality of health care, improving the patient experience, improving the overall health of the state’s population, and containing the increase in health care costs. Develop the criteria for assessing the success of the plan. Where will the major shifts in resources occur? Give a rationale for your recommendations. 

As you consider this case, you might address the following questions: 

1. How might the billionaire evaluate whether the governor’s plan is satisfactory? 

2. After the money is given to fund the plan, what must happen to improve health care delivery performance substantially in State X?