Coordinating care for high-risk patients was expected to save money and improve quality of care. A Medicare experiment didn't pan out. Roy Scott/Getty Images/Ikon Images hide caption

itoggle caption Roy Scott/Getty Images/Ikon Images

One of the first signs drivers see on the way into Unionville, Mo. is this billboard advertising cardiology at Putnam County Memorial Hospital. Offering specialty services, like cardiology and psychiatry turned the hospital around, community leaders say. Bram Sable-Smith/KBIA/Side Effects Public Media hide caption

itoggle caption Bram Sable-Smith/KBIA/Side Effects Public Media

Patient perceptions have been tough to change at Rowan Regional Medical Center in Salisbury, N.C. Joanna Serah/Wikimedia hide caption

itoggle caption Joanna Serah/Wikimedia