Today the Boston Globe had an interesting story about a major provider system in Massachusetts: Why reorganize the way it does business to reign in costs now? Bundled payments, an example of payment reform. This, of course, is one of many examples of the kind of things in ACA that are going to be really important in the long-term. Changing the way we pay for and deliver health care is crucial going forward if we want to get serious about improving quality and containing costs. Good for those who are getting started early.