title: Pathways Model Aligns Care, Population Health.
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Sartorius
mesh_terms: D002908:Chronic Disease; D019058:Community Networks; D019033:Delivery of Health Care, Integrated; D006297:Health Services Accessibility; D006304:Health Status; D006801:Humans; D008824:Michigan; D017146:Models, Organizational; D019982:Organizational Case Studies