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121. Community needs assessment overview

122. Innovations in diabetes care around the world: case studies of care transformation through accountable care reforms

123. Aging gracefully: the PACE approach to caring for frail elders in the community

124. The Hospital at Home model: bringing hospital-level care to the patient

125. Hennepin Health: a care delivery paradigm for new Medicaid beneficiaries

126. Guided care: a structured approach to providing comprehensive primary care for complex patients

127. The "One Care" Program at Commonwealth Care Alliance: partnering with Medicare and Medicaid to improve care for nonelderly dual eligibles