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Washington, Seattle, WA; 2VA Puget Sound Healthcare System, Seattle, WA; 3VA Boston Healthcare System, Boston, MA; 4Boston University, Boston, MA; 5VA Puget Sound Healthcare System, Seattle, WA; 6Veterans Health Administration, Seattle, WA.

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Medical School, Boston, MA; 2National Bureau of Economic Research, Cambridge, MA; 3Blue Cross Blue Shield of Massachusetts, Boston, MA; 4Tufts University School of Medicine, Boston, MA; 5Beth Israel Deaconess Medical Center, Boston, MA.

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BACKGROUND: Montefiore Medical Center (MMC) is a large urban Accountable Care Organization in Bronx, NY with an integrated primary care network.

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