1. The triple aim: Care, health, and costs;Berwick;Health Aff,2008
2. Data Brief: Seniors with Chronic Conditions and Functional Impairment 2011 www.thescanfoundation.org/sites/default/files/1pgdatabrief_no20.pdf
3. Rodriguez S Munevar D Delaney C Effective Management of High-Risk Medicare Populations 2014 http://avalere-health-production.s3.amazonaws.com/uploads/pdfs/1411505132_AH_WhitePaper_TSF.pdf
4. Individuals Living in the Community with Chronic Conditions and Functional Limitations: A Closer Look 2010 www.lewin.com/~/media/Lewin/Site_Sections/Publications/ChartbookChronicConditions.pdf
5. Geriatric care management for low-income seniors: A randomized controlled trial;Counsell;JAMA,2007