1. Lesson Learned: Model development: Clinical case management is a key aspect of HIV/AIDS care model.

How related to achievements: Developed model of care that can work well in a general community health center. Related to Achievement #3, "Developed a model of care for HIV/AIDS patients that can work well within a full service community health center and in a capitated care setting."

2. Lesson Learned: Realized the difficulty of and the need for collecting cost/utilization data prior to negotiating with the payer. Solved this by utilizing multiple approaches to data collection and accepting approximations.

How related to achievements: Related to Achievement #1, "Prepared data for EBNHC to negotiate capitation rates: utilization costs of care for HIV/AIDS patients."

3. Lesson Learned: Realized the need for a threshold number of patients involved in capitated programs to support a managed care infrastructure. Experienced the opposite incentives of fee-for-service and managed care.

How related to achievements: Related to Achievement #2, "Modeled the process by which a community based provider prepares for capitation."

4. Lesson Learned: Realized the need to adequately address patient's mental health/substance abuse issues to improve medical outcomes, cost/utilization, as well as quality of life.

How related to achievements: Related to Achievement #3, "Developed a model of care for HIV/AIDS patients that can work well within a full service community health center and in a capitated care setting."