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Small and medium-sized physician practices use just one-fifth of patient-centered medical homes’ processes. On the other hand, large practices and those owned by hospitals or HMOs use more medical home processes, like chronic disease registries or nurse care managers. Results were published in the August issue of Health Affairs.… This year’s new flu vaccine formulation has been approved by the Food and Drug Administration. This formulation will be used by the six manufacturers licensed to produce and distribute the vaccine for the 2011–2012 flu season. Between 5 and 20 percent of the U.S. population develops influenza each year, leading to more than 200,000 hospitalizations from complications, according to the Centers for Disease Control and Prevention…. How well have states been doing in creating health insurance exchanges? A new report by the Henry J. Kaiser Family Foundation says that “some states have already taken major steps towards establishing an exchange, while other states have struggled to pass legislation or have opted not to begin the process of establishing one.”

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