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Responses to the request for information note the problems that arise from the current Medicare and Medicaid systems, which include fragmented care and poorer health outcomes for dual-eligible individuals, higher health spending, and the incentives for health care providers and states to shift costs to the Medicare program

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Enter a territory where the geography changes every hundred kilometers, where you can go from imposing glaciers to lush jungles, from ancient Inca cities to modern cultural centers

(2015) John Murtagh, Jill Rosenblatt Oxford Handbook of General Practice