1. From the Division of General Internal Medicine (G.A.L.), Division of Cardiology (R.F.R.), Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco; Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, ME (F.L.L.); The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School, Hanover, NH (J.S.); and Division of Cardiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH (D.J.M.).