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41. Community needs assessment overview

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

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

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

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

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

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