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North Carolina Medicaid: a fruitful payer-practice collaboration.(EDITORIAL)(Editorial)

Annals of Family Medicine

| July 01, 2008 | Bodenheimer, Thomas | COPYRIGHT 2008 Annals of Family Medicine. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

The article in this issue "Community Care of North Carolina: Improving Care Through Community Health Networks" describes a decade-long program of quality improvement and cost reduction created by North Carolina Medicaid. The article provides lessons of value to all health professionals and leaders concerned with the cost and quality of care. (1)

LESSON 1: SIZE MATTERS

During the past 10 years, improvement work has flourished in a number of developed nations, including the United States. Most of this work, however, takes place in one institution--a hospital safety project or a primary care diabetes program-and is small. The Community Care of North ...

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