How a Health Care Revolution Came to a Red State

This comprehensive approach to patients – focused not just on what happens in the doctor’s office but on how patients recover at home and how much their care costs – hasn’t always been the rule in American healthcare.

But across the country, far from the vitriolic debate over Obamacare, it is driving a quiet revolution that is changing how doctors replace knees, communicate with patients, prescribe drugs, even deliver babies.

Few places have embraced this revolution more fully than Arkansas, which embarked on one of the most sweeping efforts in the nation to improve healthcare quality and control costs.