1. Kevin P. Fiori, Anna Flattau, and Sandra Braganza are with the Department of Family and Social Medicine, Albert Einstein College of Medicine (AECOM), Bronx, NY. Andrew Racine is with Montefiore Medical Group, Bronx. Kelly Lue and Molly Lauria are affiliated with the Community Health Systems Lab, Integrate Health, New York, NY. Caroline G. Heller and Colin D. Rehm are with the Office of Community and Population Health at Montefiore Health System, Bronx. Amanda Parsons is with MetroPlus Health Plan, New York.