Bright Spots Research

Researching high-value care providers across the U.S.

Stanford University's Clinical Excellence Research Center (CERC) has undertaken a unique public benefit project funded by the Peterson Center on Healthcare (PCH) to:

  • Systematically identify mainstream U.S. health care providers that operate at the frontier of value, defined by both high quality of care and low total annual healthcare spending
  • Promote national understanding and adoption of care delivery features likely to explain their exceptional value  


We began in early 2013 by assessing physician office sites providing at least primary care, then expanded to include community hospitals and seven other medical specialties.

To learn more about our work in primary care, you can download an overview of our approach and early findings as well as snapshots that briefly describe eleven of the primary care practices identified and what makes them distinctive.

Designs Originating from Bright Spots Research

Primary Care

Bright spots exist among U.S. primary care practices. They provide higher quality care with >20% lower total healthcare spending.

Opportunities for savings

A conservative estimate of national annual savings from full replication features of bright spots in primary care discovered via CERC's America's Most Valuable Care study is more than $300 billion dollars.

Safely reducing annual per capita spending via features of U.S. primary care "bright spots"

CERC's national analysis of primary care "bright spots" on value revealed ten targetable features of care delivery that aggregate around three differences from conventional primary care, namely:

  • Deeper patient relationships
  • Wider scope of responsibility 
  • Team-based clinical practices

Interested In Learning More?

If you would like to receive more information about the project or get involved in spreading and scaling our findings, please contact us at