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The article discusses a study which demonstrated that a hospital-based case manager could increase rates of appropriate osteoporosis treatment to 51 percent compared with 22 percent for usual care. Compared with usual care, it found that using a case manager for patients with hip fractures increased rates of appropriate osteoporosis treatment. The intervention dominated usual care and it suggests that systems implementing an intervention similar to ours should expect to see a reduction in fractures, gains in life expectancy and substantial cost savings.