1. Department of Family Medicine, Brody School of Medicine at East Carolina University, Greenville, North Carolina, and School of Pharmacy; University of North Carolina - Chapel Hill; Chapel Hill North Carolina
2. School of Nursing; University of North Carolina - Chapel Hill; Chapel Hill North Carolina
3. Department of General Internal Medicine, School of Medicine; University of North Carolina - Chapel Hill; Chapel Hill North Carolina
4. Department of Family Medicine, School of Medicine; University of North Carolina - Chapel Hill; Chapel Hill North Carolina
5. Division of Cardiology, School of Medicine; University of North Carolina - Chapel Hill; Chapel Hill North Carolina
6. Center for Health Promotion/Disease Prevention, Gillings School of Global Public Health; University of North Carolina - Chapel Hill; Chapel Hill North Carolina
7. Department of Social Medicine, School of Medicine; University of North Carolina - Chapel Hill; Chapel Hill North Carolina
8. Community Care Plan of Eastern Carolina; Greenville North Carolina
9. CMS Innovation Center; Centers for Medicare and Medicaid Services; Baltimore Maryland