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. Current Challenge. The Reality: Primary Care currently functions in a fee or transaction-based model. Thus reimbursement does not recognize the value of nor reward for individualized, comprehensive, and coordinated care.. The Result:Significant reductions in physicians entering into and remaining in primary care specialtiesEscalation of care unnecessarily into higher cost settings (e.g., emergency room visits, frequent disjointed subspecialty care, and hospitalizations.).

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