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Chart Sample Diagnosis Rates for Diabetes, Hypertension for New Adult (18-64) PCP Visits Medicaid Only, January through July Diabetes Hypertension 2013 9.5% 15.7% 18% 16% 14% 12% 10% 8% 6% 4% 2% 0% 2014 Non-Expansion States Expansion States Source: athenaResearch Sample: 1.5 million patient visits to providers active on the athenahealth network since before 2011

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If we don’t perform, we don’t mind being fired. Icon Sample Interoperability Client data should not be held hostage! We should charge for enabling data exchange only what it costs us to build Accountability If we don’t perform, we don’t mind being fired. Performance Performance and outcomes should be measured, monitored, and reported out on. Openness Competition is the prime mover of innovation; we should believe in our solutions enough to welcome it broadly

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