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In the United States, primary care physicians have begun to ship main care exterior of the managed care (insurance-billing) system through direct major care which is a subset of the more acquainted concierge drugs. Physicians in this model invoice patients immediately for services, both on a pre-paid monthly, quarterly, or annual basis, or invoice for every service within the office. Examples of direct major care practices embrace Foundation Health in Colorado and Qliance in Washington.

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• In particular, the practice of health professionals and the operation of health care institutions is typically regulated by national or state/provincial authorities via acceptable regulatory bodies for functions of