Dr. Vivian Lee interviews Dr. John Bulger, chief quality officer for the Geisinger Health System, about the start of the ProvenCare initiative, which began with the idea that if incentives for physicians, hospitals and payers are aligned, patients can receive better quality care at a lower cost. Dr. Bulger and his team started with “warrantied” heart surgery as a case study to the concept. In this interview, he discusses what his team learned from the results of the experiment and how they changed procedures and philosophies to achieve better care for patients.