CONDITION MANAGEMENT  PHASE 1  CHRONIC DISEASE CHF DIABETES COPD PALLIATIVE ROI REDUCED NUMBER OF:  HOSPITALIZATIONS  HOSPITAL DAYS  ED VISITS  RISK MANAGEMENT  PHASE 2 HIGH RISK FOR DISEASE OBEISTY SMOKING ROI REDUCED NUMBER OF: MEDICATIONS  MISSED WORK DAYS    HEALTH MANAGEMENT  PHASE 3 RISK PREVENTION  SCREEN EARLY DETECTION EDUCATE RISKS  ROI  REDCUED INCIDENCE OF: ACTIVE DISEASE RISK FACTORS

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