Corresponding Author: Hamilton Moses III, MD, Alerion, PO Box 150, North Garden, VA 22959 (hm@alerion.us).
Author Contributions: Dr Moses had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Dr George and Mr Palisch contributed equally.
Study concept and design: Moses, Matheson, Cairns-Smith, Dorsey.
Acquisition, analysis, or interpretation of data: All authors.
Drafting of the manuscript: Moses, Matheson, Cairns-Smith, George, Palisch.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Moses, George, Palisch.
Administrative, technical, or material support: Moses, Matheson, Cairns-Smith, Dorsey.
Study supervision: Moses, Matheson, Cairns-Smith, Dorsey.
Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr Moses reports membership in a variety of foundation and company boards in health care and financial services. Dr Moses, Messrs Matheson and Palisch, and Dr Cairns-Smith report providing management consulting services to hospital systems, insurers, foundations, and pharmaceutical, device, and IT companies. Dr Dorsey reports consultancy for Amgen, Avid Radiopharmaceuticals, Clintrex, Lundbeck, Medtronic, the National Institute of Neurological Disorders and Stroke, and Transparency Life Sciences; a filed patent related to telemedicine and neurology; and stock/stock options in Grand Rounds (a second opinion service). No other disclosures were reported.