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21. Care management for Medicaid enrollees through community health teams

22. Gaston Memorial Hospital: driving quality improvement with data, guidelines, and real-time feedback

23. Group Health Cooperative: reinventing primary care by connecting patients with a medical home

26. Intensive outpatient care program: a care model for the medically complex piloted by employers

27. Bringing primary care home: the Medical House Call Program at MedStar Washington Hospital Center

28. Project ECHO's complex care initiative: building capacity to help "superutilizers" in underserved communities

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

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