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(9) Patient Population-Level Management As specified in the proposed APCM code descriptors, we are proposing to establish an APCM service element for Patient Population-Level Management that would include practice capabilities for population-based, data-driven approaches to manage preventive and chronic care for their patient population and to plan and implement strategies to improve care and outcomes

While these models have not met the criteria for expansion to date, the findings suggest advanced primary care may reduce unnecessary utilization and improve diabetes care and cancer screening rates

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