On behalf of my co-authors, I thank Drs. Rozzini, Sabatini, and Trabucchi for their comments on our article. They raise important issues concerning disease management programs for heart failure. One of their questions concerns the “feasibility of a large scale disease management program” in their country. There are various models of disease management programs for heart failure. These include minimal specialty involvement, such as nurse-run or nurse practitioner-run clinics. Other models of disease management include electronic monitoring programs, whereby patients record vital signs and weights, which are then read at a central station; the information is provided to a private physician to decide what action is necessary. Some community hospitals have programs that are jointly run by physicians and nurses or nurse practitioners. These programs usually provide clinic visits for the patients. In our institution, we decided to provide a comprehensive multispecialty service that involves cardiologists, nurse practitioners, and nurses. In the case described above, I suspect the model that works best is the one that matches the peculiarities of your community.