Guy Goodness of Fort Edward keeps his diabetes in check with monitoring and coaching from Jessica Casey, a care manager he sees every two weeks. Patients scheduled to get hip replacements at Glens Falls Hospital must attend a pre-operation class, where they learn about the procedure, recovery and post-surgical therapy. At Moreau Family Health Center, doctors, nurse practitioners and care managers start the day huddled over data to share perspectives on patients who have appointments. These are scenes from the emerging American health system, where increasingly more time is spent on coordination, prevention and education, and less on expensive tests and hospital stays.