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Why Medicare and Medicaid can outmatch private plans on cost

By The New York Times  
   August 28, 2017

If insurance status doesn’t influence how much low-value care patients are being offered, what does? In part, it seems related to the history and organization of local health care markets. A big culprit appears to be a market’s ratio of specialists, like cardiologists and orthopedists, to primary care physicians.

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