A few years ago, Nadia Lugo went door-to-door in Hartford’s North End with a list of names and a mission: Find people who were going to the emergency room frequently. Figure out what was keeping them from staying healthy or getting the right kind of care. And try to help. It was the kind of work many in health policy now view as key toward improving the outcomes of high-need patients. But incorporating it into the health care system remains a challenge.
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