Is it possible to get quality primary care without worrying about deductibles, copays, or dealing with the insurance company? An old model is being revamped to simplify primary care and change the incentives.

In the fee-for-service model where many primary care physicians are owned by large hospital systems, the incentives for the doctors may be skewed away from patient care and cost. More tests, procedures, and appointments mean more revenue for the doctor or hospital system, and if they are part of a large system, physicians have added pressure to refer their patients to specialists and surgeons in that network, regardless of whether they are the best or most cost effective.

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