The committee provides three recommendations.

Recommendation 13

The committee recommends that HHS agencies and state and local government public health agencies (GPHAs) evaluate existing (e.g., chronic care model, expanded chronic care model), emerging and/or new models of chronic disease care that promote collaboration among community-based organizations, the health care delivery system, employers and businesses, the media, and the academic community to improve living well with chronic illness.

• CDC and state and local GPHAs should serve convening and facilitating functions for developing and implementing emerging models.

• HHS agencies (e.g., the Health Resources and Services Administration, the Centers for Medicare and Medicaid Services, the Administration on Aging, CDC) and GPHAs should fund demonstration projects and evaluate these emerging models.

• Federal, private, and other payors should create new financing streams and incentives that support maintaining and disseminating emerging models that effectively address persons living well with chronic illness.

Recommendation 14

The committee recommends that CDC develop and promote, in partnership with organizations representing health care, public health, and patient advocacy, a set of evidenced-based policy goals and objectives specifically aimed at actions that decrease the burden of suffering and improve the quality of life of persons living with chronic illness.

Recommendation 15

The committee recommends that federal and state policy makers develop and implement pilot incentives programs for all employers, particularly low-wage employers, small businesses, and community-based organizations, to provide health promotion programs with known effectiveness for those living with chronic illness.

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