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Community prevention and care management strategies can achieve short- and long-term returns January 26, 2017 Jeremy Cantor and Larissa J. Estes In the United States, more than 50 percent of health care costs are accrued by 5 percent of patients. It is not surprising, then, that health leaders’ focus on the Triple Aim — which calls for simultaneously reducing costs, raising quality and improving population health — includes high utilization. There is substantial opportunity for innovation. For example, federal, state and private sector entities are allocating resources to new, high-utilizer

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I spent many sleepless nights in the months after my son’s autism diagnosis fretting whether I could have done something to prevent it. I recounted, in obsessive detail, the course of my pregnancy, the birth, and the two years of child-rearing that led to the moment when our pediatrician confirmed my fears — and life as I’d known it tilted off its axis. In my spare waking hours, I pored over research that exhausted me mentally and emotionally.

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