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One significant obstacle to integrated care programs is that although they may lower Medicare costs through fewer hospitalizations and emergency department visits, states have been unable to financially benefit from these savings and may see their costs rise for Medicaid-covered LTSS and behavioral health services

A COA delivers detailed analytical data essential for experimental reproducibility, regulatory compliance, and quality assurance documentation

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The high heterogeneity observed across all three subgroups suggests potential differences in intervention intensity, baseline sample characteristics (e.g., age, health status), or study design within these subgroups