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Some workers with separate per-person deductibles or out-of-pocket maximums for family coverage do not have a specific number of family members that are required to meet the deductible amount and instead have another type of limit, such as a per-person amount with a total dollar amount limit
This is rare but available for cases with strong clinical justification
Exploring approaches to utilize Medicare procedural billing codes for appropriately identifying MVPs relevant to a clinician specialty type could further increase MVP participation, ensure that clinicians report an MVP that is relevant to their scope of care to make performance measurements more clinically relevant for specialists, and inform patient choice of care with meaningful and comparative clinician performance data
Suzuki T, Yamamoto R
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