Every individual insurer has their own system, and so the doctor finds it very difficult to customize what they're doing to every single insurer. Many of these are also coupled with systems where you can make more by making sure your patient appears to be sick,. When they turn out ok, you get a lot of money. I think for everyone there should be a fair component of performance base payment. And any time you're not paying for what people really want, somehow you're going to run into trouble.

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