Fredric D Wolinsky conceived of the study, wrote both grant applications, designed the analyses, interpreted the results, and drafted and revised the manuscript. Thomas R Miller cleaned and linked all of the data files, and conducted all of the statistical analyses. Hyonggin An assisted in the design and oversight of the statistical analyses and their interpretation. Paul R Brezinski reviewed and synthesized the literature on continuity of care, and reviewed appropriate Medicare reimbursement regulations. Thomas E Vaughn reviewed and synthesized the literature on dual use among older veterans. Gary E Rosenthal participated in the conceptualization of the grant applications and the overall study design, provided clinical expertise at all stages of the analysis, and assisted in framing the discussion. All authors read and approved the final manuscript.