In an interview, David Blumenthal, former national coordinator for health information technology, talked about using information to drive value in health care. Accountable care is synonymous with encouraging the healthcare system to concentrate on producing value -- to be accountable to the public, to purchasers, and to the profession. There are three major influences on the efficiency and quality of care. The first is payment, the second is how care is organized, and the third is the information that's available for decision making. Right now, the federal government is putting close to $30 billion on the table to reform the information systems that are critical to their collective success with the Medicare and Medicaid programs, but those programs cover only about half the care that's provided in this country. The other half is paid for by the private insurance companies, and he doesn't see any organized system or program to do the same thing on their side.