1. Conceptualizing new models of care based on traditional structures -- 2. Does anyone know the definition of integration? -- 3. Does what we have now actually work? -- 4. Ignoring fundamentals will produce unwanted results -- 5. Where are we headed and what will get us there? -- 6. The basic PHO (joint governance) or IPA (independence) -- 7. The MSO (services) -- 8. Co-management programs (partnership) -- 9. Contracts and subcontracts (managing relationships) -- 10. Sponsored practices and hired practitioners (employment) -- 11. Align the correct solution supported by effective communications -- 12. Recognize the different parties to the transaction -- 13. Address issues of colleagues, culture, and politics -- 14. Discern between patient management and practice management -- 15. Separate the transactional issues from the transitional process -- 16. Establish fundamental standards and link these standards to definitive policies -- 17. Align the compensation with the programming -- 18. Developing a core set of strategic issues -- 19. Is there a clear value proposition? -- 20. Build an organization that can learn and transform itself -- 21. To understand success, study failure.