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Today’s focus on quality of care has a far-reaching impact on medical practices throughout the country. Driven by a commitment to improving patient health and by emerging payer incentives, physicians are exploring clinical and operational strategies to increase the number of patient visits for screenings and preventive care. Medical Associates Health Center (MAHC) consists of 90 providers at 12 locations throughout southeastern Wisconsin, and was among many practices challenged with finding effective methods for prompting patients to schedule recommended services