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Smoke clouds the view of Mount Adams behind a charred field near The Dalles, Ore., on Monday, Aug. 19, 2013. (AP Photo/Jonathan J. Cooper)

SALEM, Ore. (AP) — Oregon health officials are concentrating on coordinating services and preventing hospital stays. New Jersey medical centers are rewarding doctors who can save money without jeopardizing patient care. And Massachusetts is expanding the role of physician assistants and nurse practitioners.

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