Lecture, three hours. Requisites: courses 200A, 200B. Examination of U.S. ambulatory care delivery system, with focus on more recent trends that are highlighted under Patient Protection and Affordable Care Act of 2010. Structure of ambulatory care service delivery system, infrastructure challenges, financing and quality of care, role of healthcare reform in shaping future of ambulatory care, concepts of chronic care/disease management, medical home, and accountable care organizations, measurement, implementation, and impact of these models. Letter grading.