GRIPA was founded in 1996 as a unique collaboration between hospitals and physicians, for the purpose of simultaneously improving the quality and efficiency of health care. The membership-based organization, comprised of over 1,300 physicians and their affiliate hospitals, continues to be innovative in the Accountable Care and population health approach to health care delivery. Implementation of a revolutionary clinical integration program—GRIPA Connect™ Clinical Integration: In 2007, it was only the second such program in the country to receive a favorable advisory opinion from the Federal Trade Commission. It also established GRIPA as a national leader in the movement toward a progressive business model for independent and community-based physicians. GRIPA is not simply responding to the future of health care, we are creating and helping shape it every day—with measureable and meaningful progress underway. Building a continuum of fully coordinated accountable care is about much more than integration and efficiency—it’s about truly managing a patient’s total health across all of the care experiences.