The healthcare system, as we are all aware, is undergoing a series of changes both in the way care is delivered and the mechanism by which it is reimbursed. Today let's place the discussion of how to reform the Annual Physical/Periodic Exam in context of these larger systemic changes. What opportunities or challenges do we face in trying to change (or do away with) the Annual Physical in the present healthcare environment? Do the systemic changes mentioned in both articles, such as the spread of the Medical Home model or the shift away from fee-for-service, enable or complicate attempts to change the physical?
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