This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report:

• Bobbie Berkowitz, Columbia University Medical Center
• Jo Ivey Boufford, New York Academy of Medicine
• Leah Devlin, University of North Carolina at Chapel Hill
• Daniel M. Fox, Milbank Memorial Fund
• Tom Hoerger, RTI International
• David Kindig, University of Wisconsin School of Medicine and Public Health
• Kenneth Kizer, Kizer & Associates, LLC
• David Meltzer, University of Chicago
• Marcia Nielsen, Patient Centered Primary Care Collaborative
• Edward Norton, University of Michigan
• Pierre Vigilance, The George Washington University
• Alan Weil, National Academy for State Health Policy
• Derek Yach, Pepsi Co., Inc.

Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the conclusions or recommendations, nor did they see the final draft of the report before its release. The review of this report was overseen by Kristine M. Gebbie, Flinders University, and Donald M. Steinwachs, Johns Hopkins University. Appointed by the National Research Council and Institute of Medicine, they were responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authoring committee and the institution.