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When economic conditions permit, states should accumulate budget reserves adequate to maintain services during recessions.

Deficit-reduction efforts should avoid cuts in programs that serve low- and moderate-income populations. 

States should not tie essential spending programs to unstable revenue sources. 

Budget-neutrality requirements should be eliminated for current and future Medicare and Medicaid demonstrations regarding care coordination and medical hom

Beneficiary and provider participation in chronic-care coordination programs and medical homes should be voluntary, should entail no additional cost to ben

A medical home should include voluntary patient selection of a primary provider or medical practice.

Medicare should continue to test multiple types of ACOs to determine which models achieve improved quality and reduced costs.

Consumers have a right to accurate, secure, and confidential health and health-related information.

Federal and state governments and employers should explore and pursue innovative strategies to reduce health care costs- to constrain growth in price, volu

Federal and state governments should test and evaluate payment approaches that create incentives for providers to be more efficient and effective and that