The U.S. has entered a new era in health and human service driven by concern over both rising cost and lack of consumer access to services. Regardless of one’s perspective – payer, service provider, consumer, or government, there seems to be little disagreement that the current health and human services delivery system is inefficient, ineffective, and confusing. Fragmentation, costly duplication and administrative redundancy are its primary characteristics. While the United States spends more on health care than any other nation in the world, its population is not healthier and does not have a longer life expectancy than other nations . . .