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This presentation (and discussion) will outline the results of a recent national VHA study on the effectiveness of the PatientsLikeMe social networking experience in a cohort of patients with a chronic health condition (epilepsy). The study captured patient usage data and tested the impact on accepted and validated metrics of self-management. This talk will detail these results, while reflecting on the broader implications on the potential value of these findings. The discussion will address the current incentive structure in the healthcare system which does not naturally support this type of healthcare 'intervention', and will posit alternative solutions to 'valuing' these types of patient engagement mechanisms.