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State policymakers should establish and develop all-payer claims databases.

A chronic condition or illness is one that is likely to last more than one year, requires ongoing medical attention, and can limit a person’s daily activit

Systems and strategies that help people of all ages maximize function, independence, and well-being should be supported.

Medicare and Medicaid policies should result in the efficient delivery of optimal care for beneficiaries with chronic illness and disabling conditions.

Medicare and Medicaid should facilitate joint funding streams to enable the coordinated delivery of health services and LTSS for beneficiaries enrolled in

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.