Conflict of Interest Disclosures: Dr Ayanian reported receiving grants from Merck Foundation; personal fees from the JAMA Network, Harvard University, University of Massachusetts Medical School, University of California San Diego, and Emory University; and nonfinancial support from the National Academy of Medicine and the Academy of Health outside the submitted work; and having served on the board of directors of the Physicians Health Plan representing his employer, the University of Michigan, without additional compensation for this role. Dr Kullgren reported receiving grants from the HealthWell Foundation, Robert Wood Johnson Foundation, Donaghue Foundation, and Michigan Health Endowment Fund outside the submitted work and grants from the State of Michigan Department of Military and Veterans Affairs; receiving consulting fees from SeeChange Health, HealthMine, the Kaiser Permanente Washington Health Research Institute, and the Washington State Office of the Attorney General; and honoraria from the Robert Wood Johnson Foundation, AbilTo Inc, the Kansas City Area Life Sciences Institute, the American Diabetes Association, the Luxembourg National Research Fund, the Donaghue Foundation, the National Science Foundation, the University of California, Los Angeles, and the University of Pennsylvania. No other disclosures were reported