This photo taken Jan. 30, 2013 shows a Health Buddy electronic monitoring device sitting on the bed as patient Marlena Bechtel-Rysdam, left, from Elgin, Ore., goes over training materials with registered nurse Christina Leese at Oregon Health Sciences University in Portland, Ore. Hospitals are under new pressure from Medicare to slow a pricey revolving door _ the number of people who are rehospitalized only weeks after they left for problems that could have been prevented. In Mitchell's program, patients with heart failure get extra education before they're discharged and some are tracked at home with special telemedicine monitors. (AP Photo/Don Ryan)
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