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41. Supporting patients through serious illness and the end of life: Sutter Health's AIM model

42. Bringing behavioral health into the care continuum: opportunities to improve quality, costs, and outcomes

46. Be prepared: reducing nursing home transfers near end of life

47. Medicare: CMS should evaluate providing coverage for disposable medical devices that could substitute for durable medical equipment : report to Congressional committees

48. Making the case for prevention: why Washington's Accountable Communities of Health should pursue Domain 3D chronic disease prevention projects

49. Implementing social determinants of health: interventions in Medicaid managed care : how to leverage existing authorities and shift to value-based purchasing