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Implementation and Outcomes from a Post-Discharge Intervention Program in a Medicare ACO Population.

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Title: Implementation and Outcomes from a Post-Discharge Intervention Program in a Medicare ACO Population.
Authors: Schiavoni KH; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA.; Mass General Brigham Department of Medicine, Boston, Massachusetts, USA.; Mass General Brigham Department of Pediatrics, Boston, Massachusetts, USA.; Harvard Medical School, Boston, Massachusetts, USA., Chang Y; Mass General Brigham Department of Medicine, Boston, Massachusetts, USA.; Harvard Medical School, Boston, Massachusetts, USA., Hall C; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA., Garalis D; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA., Teng C; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA., Eliopoulos M; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA., Chaudhry A; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA.; Mass General Brigham Department of Medicine, Boston, Massachusetts, USA.; Harvard Medical School, Boston, Massachusetts, USA., Chan H; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA., Mendu ML; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA.; Mass General Brigham Department of Medicine, Boston, Massachusetts, USA.; Harvard Medical School, Boston, Massachusetts, USA.
Source: Population health management [Popul Health Manag] 2026 Apr; Vol. 29 (2), pp. 103-110. Date of Electronic Publication: 2026 Feb 06.
Publication Type: Journal Article
Journal Info: Publisher: Mary Ann Liebert Country of Publication: United States NLM ID: 101481266 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1942-7905 (Electronic) Linking ISSN: 19427891 NLM ISO Abbreviation: Popul Health Manag Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: <searchLink fieldCode="AU" term="%22Schiavoni+KH%22">Schiavoni KH</searchLink>; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA.; Mass General Brigham Department of Medicine, Boston, Massachusetts, USA.; Mass General Brigham Department of Pediatrics, Boston, Massachusetts, USA.; Harvard Medical School, Boston, Massachusetts, USA.<br /><searchLink fieldCode="AU" term="%22Chang+Y%22">Chang Y</searchLink>; Mass General Brigham Department of Medicine, Boston, Massachusetts, USA.; Harvard Medical School, Boston, Massachusetts, USA.<br /><searchLink fieldCode="AU" term="%22Hall+C%22">Hall C</searchLink>; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA.<br /><searchLink fieldCode="AU" term="%22Garalis+D%22">Garalis D</searchLink>; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA.<br /><searchLink fieldCode="AU" term="%22Teng+C%22">Teng C</searchLink>; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA.<br /><searchLink fieldCode="AU" term="%22Eliopoulos+M%22">Eliopoulos M</searchLink>; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA.<br /><searchLink fieldCode="AU" term="%22Chaudhry+A%22">Chaudhry A</searchLink>; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA.; Mass General Brigham Department of Medicine, Boston, Massachusetts, USA.; Harvard Medical School, Boston, Massachusetts, USA.<br /><searchLink fieldCode="AU" term="%22Chan+H%22">Chan H</searchLink>; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA.<br /><searchLink fieldCode="AU" term="%22Mendu+ML%22">Mendu ML</searchLink>; Mass General Brigham Population Health Services Organization, Somerville, Massachusetts, USA.; Mass General Brigham Department of Medicine, Boston, Massachusetts, USA.; Harvard Medical School, Boston, Massachusetts, USA.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Mary+Ann+Liebert%22">Mary Ann Liebert </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>101481266 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1942-7905 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2219427891%22">19427891 </searchLink><i>NLM ISO Abbreviation: </i>Popul Health Manag <i>Subsets: </i>MEDLINE
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        Value: 10.1177/19427891261420046
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      – Code: eng
        Text: English
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        StartPage: 103
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      – TitleFull: Implementation and Outcomes from a Post-Discharge Intervention Program in a Medicare ACO Population.
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              M: 04
              Text: 2026 Apr
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              Y: 2026
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