design thinking aco biotechnology pharmaceuticals cms 5 star medicare advantage value-based healthcare behavior change 4x4 healthcare patient-centered healthcare delivery model p4p care coordination provider engagement managed care innovation risk management bj fogg medication reconciliation community pharmacy hcc risk score adjustment healthcare delivery quality management pcmh accountable care organization health information technology cms 5 star rating program hcc risk score management digital health mobile health value-based care healthcare it care coordination platform data analytics risk stratification hie population management documentation practice change patient safety pdsa cycle incentives liedtke behavioral change daniel pink motivation big data human phenome workshop sccipa behavior design care team medical home summit patient-centered medical home hospital readmissions medication therapy management systems thinking ipa shared decision-making santa clara county ipa (sccipa) medical loss ratio mlr integration hedis health outcomes survey (hos) management quality annual stakeholders meeting iha pharmacy national medical home summit west svcn! silicon valley council of nonprofits health care reform summit care transitions software health access solutions healthcare information technology ppmsi accountable care healthcare history
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