62-495: Veterans' health care in the United States is separated geographically into 19 regions (numbered 1, 2, 4–10, 12 and 15–23) known as VISNs, or Veterans Integrated Service Networks, into systems within each network headed by medical centers, and hierarchically within each system by division level of care or type. This article lists VA VISN facilities by region, location, and type. VA medical facilities and Vet Centers are run by
124-541: A mental illness was 15 percent in 2007. The percentage of veterans with mental illnesses has trended up. The VHA allocated an extra $ 1.4 billion per year to mental health program between 2005 and 2008. Mental health services in 2006 were evaluated as a part of the Mental Health Strategic Plan. The report concluded: "Quality of care at the VA was shown to be better than the private sector. The VA had
186-642: A VA doctor, and in each of these six cases, “we are unable to conclusively assert that the absence of timely quality care caused the deaths of these veterans.” With the Choice Act in place, wait times (and ultimately care) at VHA facilities began to improve. According to a study conducted by the Journal of the American Medical Association (JAMA) in 2014, the average wait times to receive health care were 22.5 for VHA and 18.7 days for
248-639: A chart of risk factors and medications to decide treatments. Patients have a home page that have boxes for allergies and medications, records every visit, call and note, and issues prompts reminding doctors to make routine checks. This technology has helped the VHA achieve cost controls and care quality that the majority of private providers cannot achieve. The Veterans Health Administration Office of Research and Development 's research into developing better-functioning prosthetic limbs, and treatment of PTSD are also heralded. The VHA has devoted many years of research into
310-512: A disability incurred in the line of duty, for a hardship or "early out." The VA determines the minimum requirements when the veteran enrolls for VA health care benefits. To apply for entry into the VA health care system the veteran must complete VA Form 10-10EZ, Application for health care benefits. Eligible veterans will receive a VA Veterans Health Identification Card (VHIC) formerly Veteran identification card (VIC) for use at all VA medical facilities . By federal law, eligibility for benefits
372-460: A full-service VA medical facility, or it is in the best medical interest of the Veteran, based on Veteran and provider agreement. Additional regulations issued by VA also changed the access standards that would make a Veteran eligible reducing the time from 30 days to 20 days of a request or at a facility within 30 minutes of average driving for a primary care appointment or 28 days and 60 minutes for
434-631: A higher level of performance then the private sector for 7 out of 9 indicators. In fact, they "exceeded private plan performance by large margins....Patients did not indicate improvement in their conditions. However, they had a very favorable opinions of their care. In 2009, the VA implemented an initiative called Suicide Assessment and Follow-Up Engagement: Veteran Emergency Treatment (SAFE VET) to identify and treat veterans at risk of suicide by providing care coordination for outpatient mental health services and community-based support. Veteran Affairs utilization rates among Iraqi and Afghanistan-war veterans in
496-412: A low cost open source electronic medical records system VistA which can be accessed remotely (with secure passwords) by health care providers. With this system, patients and nurses are given bar-coded wristbands, and all medications are bar-coded as well. Nurses are given wands, which they use to scan themselves, the patient, and the medication bottle before dispensing drugs. This helps prevent four of
558-470: A medical doctor, released a report called Friendly Fire: Death, Delay, and Dismay at the VA which detailed the actions and misconduct of employees of the Department of Veteran Affairs. The report is based on yearlong investigations conducted by Senator Coburn's office on Veterans Health Administration facilities across the nation. The report details the many veterans who have died waiting for health care as
620-690: A much larger population of veterans than it had served in previous years. In 1988, President Reagan signed the Department of Veterans Affairs Act , which elevated the VA to Cabinet -level, then becoming known as the Department of Veterans Affairs. The Department of Veterans Affairs oversees the Veterans Health Administration. In the mid-1980s the VHA was criticized for their high operative mortality. To that end, Congress passed Public Law 99–166 in December 1985 which mandated
682-405: A policy that affiliated new VA hospitals with medical schools. Hawley also promoted resident and teaching fellowships at VA hospitals. Ultimately, Hawley was responsible for starting the hospital-based research program at the VA. Bradley resigned in 1947. However, upon resignation, 97 hospitals were in operation and 29 new hospital had been built. As a result, the VA health system was able to serve
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#1732781090872744-474: A result of the VA misconduct. Secret waiting lists, poor patient care, the millions of dollars that are intended for health care that has gone unspent every year and reports of bonuses paid out to employees who have lied and covered up statistics are also detailed in the report. However, a VA Inspector General's report issued on August 26, 2014, reported that six, not forty, veterans had died experiencing “clinically significant delays” while on waiting lists to see
806-419: A result, percentage of patients receiving primary care at the VA increased from 38 percent to 45 percent to 95 percent, during 1993, 1996, and 1999. This mandate served as the foundation for the VA reorganization under Dr. Kenneth W. Kizer. Dr. Kizer, a physician trained in emergency medicine and Public Health, was appointed by President Bill Clinton as Director of U.S. Veterans Health Administration in 1994. He
868-457: A specialty appointment. In 2018, as a result of the passage of the 2018 Consolidated Appropriations Act , VHA was allowed to combat veterans and victims of military sexual trauma who were discharged administratively with an other than honorable discharge (OTH) to access mental health treatment in VA or community care facilities. it also allowed all veterans with a discharge that would typically bar veterans' health care and benefits to petition
930-486: A study from 1994–2000 to evaluate the efficacy of the healthcare reform. They gathered the results of the evaluated key indicators from each of the networks and interpreted the results. There were noticeable improvements, compared with the same key indicators used for the Medicare fee for service system, as soon as two years after the reorganization. These improvements continued through year 2000. These results indicate that
992-649: A veteran must have a service-connected compensable dental disability or condition. Those who were prisoners of war (POWs) and those whose service-connected disabilities have been rated at 100 percent or who are receiving the 100 percent rate by reason of individual unemployability (IU) are eligible for any needed dental care, as are those veterans actively engaged in a 38 USC Chapter 31 vocational rehabilitation program and veterans enrolled who may be homeless and receiving care under VHA Directive 2007–039. Department of Veterans Affairs Act The Department of Veterans Affairs Act of 1988 ( Pub. L. 100–527 ) changed
1054-539: A wide-scale reform. However, Kizer was known as being very innovative. To publicize his vision he expressed his mission and vision of the "new VHA" and outlined seven key principles to guide change. His ultimate goal was to provide coordinated, high quality care at a low cost. He launched his reorganization plan in 1995 by decentralizing the VA system. He organized all VA operating units into 22 geographic based networks known as Veterans Integrated Service Networks (VISNs). This allowed networks to manage themselves and adapt to
1116-473: Is by far the largest portion of the department, reaching nearly 90% of the department's annual amount allocated annually by Congress in FY2022. For FY2022, the department's budget requested a total of $ 269.9 billion USD , of which $ 97.5 billion USD was allocated for various VHA programs, including $ 58.8 billion to support direct care in VA facilities, and $ 23.4 billion in support of community care claims. This
1178-637: Is complicated by the fact that most users of VHA's services receive at least part of their care from outside providers." The first Federal agency to provide medical care to veterans was the Naval Home in Philadelphia , Pennsylvania . The home was created in 1812 and was followed by the creation of Soldiers Home in 1853 and St. Elizabeth's Hospital in 1855. Congress created the National Home for Disabled Volunteer Soldiers in 1865 in response to
1240-887: Is determined by a system of eight priority groups. Retirees from military service, veterans with service-connected injuries or conditions rated by VA, and Purple Heart recipients are within the higher priority groups. Current and former members of the Reserves and the National Guard who were called to active duty (other than for monthly drills and annual training) by a federal executive order may be eligible for VA health care benefits. Veterans without rated service-connected conditions may become eligible based on financial need, adjusted for local cost of living. Veterans who do not have service-connected disabilities totaling 50% or more may be subject to copayments for any care they received for nonservice-connected conditions. Primary care
1302-1403: Is provided mainly by VA-owned hospitals but may also be done in VA-owned community-based outpatient clinics (CBOC). VA hospitals are also capable of providing emergency care , although a Veteran can go to any hospital in an emergency. VHA also provides management and screening of a number of chronic conditions includes heart disease, diabetes, cancer, glandular disorders, osteoporosis and fibromyalgia as well as sexually transmitted diseases such as HIV/AIDS and hepatitis. Rehabilitation, home care, and long-term care referrals are given to those in need of rehabilitation therapies such as physical therapy, occupational therapy, speech-language therapy, exercise therapy, recreational therapy, and vocational therapy. VA also provides some home health care through its Skilled Home Health Care Services (SHHC) and Homemakers and Home Health Aide Services (H/HHA) programs. SHHC services are in-home services provided by specially trained personnel, including nurses, physical therapists, occupational therapists and social workers. Care includes clinical assessment, treatment planning and treatment provision, health status monitoring, patient and family education, reassessment, referral and follow-up. H/HHA Services are personal care and related support services that enable frail or disabled Veterans to live at home. If
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#17327810908721364-426: Is provided through what is referred to as Patient Aligned Care Teams (PACT). PAC Teams provide accessible, patient-centered care and are managed by primary care providers with the active involvement of other clinical and non-clinical staff. Veteran patients will be at the center of a "teamlet," which will include a primary care provider, RN care manager, LPN/health tech, and a medical support assistant (MSA). This teamlet
1426-561: Is supported by a broader "team," which includes social workers, dieticians, pharmacists, and mental health specialists. General care includes health evaluation and counseling, disease prevention, nutrition counseling, weight control, smoking cessation, and substance abuse counseling and treatment as well as gender-specific primary care, e.g., cervical cancer screens (Pap smears), breast cancer screens (mammograms), birth control, preconception counseling, Human Papillomavirus (HPV) vaccine and menopausal support (hormone replacement therapy). This care
1488-683: Is the component of the United States Department of Veterans Affairs (VA) led by the Under Secretary of Veterans Affairs for Health that implements the healthcare program of the VA through a nationalized healthcare service in the United States, providing healthcare and healthcare-adjacent services to veterans through the administration and operation of 146 VA Medical Centers (VAMC) with integrated outpatient clinics, 772 Community Based Outpatient Clinics (CBOC), and 134 VA Community Living Centers (VA Nursing Home) Programs. It
1550-504: Is the largest division in the department, and second largest in the entire federal government, employing over 350,000 employees. All VA hospitals, clinics and medical centers are owned by and operated by the Department of Veterans Affairs (as opposed to private companies), and all of the staff employed in VA hospitals are federal employees . Because of this, veterans that qualify for VHA healthcare do not pay premiums or deductibles for their healthcare but may have to make copayments depending on
1612-439: Is usually provided in non-VA contracted hospitals at VA expense; care is usually limited to a mother. (VA may furnish health care services to a newborn child of a woman Veteran who is receiving maternity care furnished by VA for not more than seven days after the birth if the Veteran delivered the child in (1) a VA facility, or (2) another facility pursuant to a VA contract for services relating to such delivery). For VA dental care
1674-832: The Veterans Health Administration of the United States Department of Veterans Affairs . Vet Centers focus on post-war adjustment, counseling and outreach services for veterans and their families. There are currently 152 VA Medical Centers and approximately 1,400 community-based outpatient clinics in the US. Facilities types (level of care types) are listed in the VISN tables below as: VISN 13 & 14 merged into VISN 23 . in Veterans Health Administration The Veterans Health Administration ( VHA )
1736-531: The Choice Act features access (wait time and travel distance) standards into a new Veterans Community Care Program. It also established several additional criteria that qualify the Veteran to receive community care, such as if a Veteran needs a service not available at any VA facility (i.e., maternity care for women), a Veteran lives in a U.S. state (Alaska, Hawaii, New Hampshire) or territory (Guam, American Samoa, Northern Mariana Islands, U.S. Virgin Islands) without
1798-657: The Secretary (through the Veterans Benefits Administration ) to determine whether or not the character of their discharge is a complete bar to benefits. Even if VBA makes a determination that they are ineligible for monetary and educational benefits, they may still find that such a Veteran is eligible for health care benefits for any service-connected disability. The system is divided into 21 distinct service regions, called Veterans Integrated Services Network (VISN) , that provide funding and care to
1860-403: The VA due to a lack of knowledge of VA eligibility and services. Women's care at VHA hospitals and clinics include reproductive health care such as limited maternity care, infertility evaluation and limited treatment, sexual problems, tubal ligation, urinary incontinence, and others. VHA is prohibited from providing either in-vitro fertilization or abortion services. Maternity and pregnancy care
1922-448: The VA facility if a primary care system was fully implemented in 1993. The study also showed that the VA facilities believed that 83 percent of veterans would choose to receive primary care at the VA if fully implemented by 1998. These results made it clear to the administration that it was time for a reform. As a result, the VA issued a directive in 1994, that required all VA healthcare facilities to have primary care teams by year 1996. As
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1984-454: The VA health system. There was no data on veterans who sought medical services outside of the VA health system. We can have a better understanding of the mental health needs of veterans returning to civilian life. Moreover, it would be beneficial to explore and examine how utilization of mental health services is affected by the stigma that persists among veterans. Additional awareness of medical resources available to veterans can help to erase
2046-734: The VA system a leader in the fields of geriatrics , spinal cord injuries , Parkinson's disease VA.gov | Veterans Affairs , and palliative care . The VHA has initiatives in place to provide a "seamless transition" to newly discharged veterans transitioning from Department of Defense health care to VA care for conditions incurred in the Iraq War or war in Afghanistan . The Veterans Health Administration Office of Research and Development 's research into developing better-functioning prosthetic limbs, and treatment of PTSD are also heralded. The VHA has devoted many years of research into
2108-463: The VA was ready for managed care. The negative results of market research forced the VA system to re-evaluate its current operations. Research revealed that three out of four veterans would leave the VA network if a national healthcare system were adopted. They also found that there was a high demand for primary care throughout the VA system. Research showed that many VA facilities believed that 55 percent of patients would choose to receive primary care at
2170-487: The VHA to report their outcomes in comparison to national averages and the information must be risk-adjusted to account for the severity of illness of the VHA surgical patient population. In 1991 the National VA Surgical Risk Study (NVASRS) began in 44 Veterans Administration Medical Centers. By December 31, 1993, there was information for 500,000 non-cardiac surgical procedures. In 1994 NVASRS
2232-433: The availability of the government's open-source electronic records system VistA . Currently the VHA is experiencing a physician shortage and as of 2018 10% of jobs in the VHA remain unfilled. This shortage can be especially harmful to Veterans since a quarter of Veterans live in rural areas. These are the kind of areas that are most vulnerable to a shortage since they are already isolated and it can be hard to get access to
2294-469: The changes made throughout the VA healthcare system, under the leadership of Kizer, did improve the efficiency and quality of care in VA healthcare system. In 2014, Congress passed the Veterans Access, Choice, and Accountability Act , commonly known as simply the Choice Act. VA Secretary Robert Wilkie assured veterans that the VA wouldn't be privatized and that veterans would still be able to get
2356-685: The demographics of their location. Patients were then assigned to a group of doctors who would provide coordinated care. One director was hired for each VISN network. Instead of hiring all directors internally, a third of the newly hired VISN directors were hired outside of the VA system. The directors were responsible for meeting performance goals and improving upon measurable key efficiency and quality indicators. Directors monitored performances and reports were generated to show each network's performance. Some of these indicators included chronic disease quality, prevention performance, patient satisfaction ratings, and utilization management. The reform also changed
2418-415: The former Veterans Administration , an independent government agency established in 1930, primarily at that time to see to needs of World War I , into a Cabinet-level Department of Veterans Affairs . It was signed into law by President Ronald Reagan on October 25, 1988, but actually came into effect under the term of his successor, George H. W. Bush , on March 15, 1989. This bill passed into law over
2480-452: The full period for which they were called or ordered to active duty also may be eligible for VA health care. The minimum duty requirements are that veterans who enlisted after September 7, 1980, or who entered active duty after October 16, 1981, must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible. The minimum duty requirement may not apply to veterans who were discharged for
2542-534: The health effects of the herbicide Agent Orange used by military forces in Vietnam . To be eligible for VA health care benefit programs one must have served in the active military, naval or air service and separated under any condition other than dishonorable. Current and former members of the Reserves or National Guard who were called to active duty (other than for training only) by a federal order and completed
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2604-503: The health effects of the herbicide Agent Orange used by military forces in the Vietnam War . The VHA has also adopted Boston University's Project RED program, designed to improve the discharge process for veterans in hopes that, by educating patients, the VHA will experience a reduced number of readmission among veterans and provide more information on telerehabilitation . VHA is especially praised for its efforts in developing
2666-406: The healthcare they need. However, since 2018, these shortages have been decreasing steadily, with the greatest need being mental health providers and nursing corps. The funding the VA receives is split into mandatory, which is an amount of spending dictated by law, and discretionary spending, which is spending that can be adjusted year to year. VHA's budget is part of the discretionary spending and
2728-585: The high number of Civil War casualties. These homes were initially intended to be room and board for disabled veterans. However, by the late 1920s, the homes were providing a level of care comparable to hospital care. President Hoover created the Veterans Administration (VA) in 1930 to consolidate all veteran services. General Omar N. Bradley was appointed to VA administrator and Bradley appointed Major General Paul Hawley as director of VA medicine, both in 1945. Hawley successfully established
2790-687: The medical procedure. VHA is not a part of the US Department of Defense Military Health System . Many evaluations have found that by most measures VHA care is equal to, and sometimes better than, care provided in the private sector, when judged by standard evidence-based guidelines. A 2009 Congressional Budget Office report on the VHA found that "the care provided to VHA patients compares favorably with that provided to non-VHA patients in terms of compliance with widely recognized clinical guidelines — particularly those that VHA has emphasized in its internal performance measurement system. Such research
2852-450: The mid-Atlantic region with PTSD diagnosis between 2002 and 2008 were tracked using ICD-9 codes of those newly diagnosed. When compared to veterans already being treated, veterans new to VA treatment program were less likely to complete follow up visits, and had fewer medication-possession days (74.9 days versus 34.9 days); also long wait times hindered VA medical utilization. Limitations to this study included: type of treatment intervention
2914-512: The most common dispensing errors: wrong med, wrong dose, wrong time, and wrong patient. The system, which has been adopted by all veterans' hospitals and clinics and continuously improved by users, has cut the number of dispensing errors in half at some facilities and saved thousands of lives. At some VHA medical facilities, doctors use wireless laptops, putting in information and getting electronic signatures for procedures. Doctors can call up patient records, order prescriptions, view X-rays or graph
2976-1054: The need arises, veterans are eligible for transplant service. VA has sixteen transplant centers across the country that provides solid organ transplants for most major organs, such as the heart, lung and kidneys, Patients will be referred to these transplant centers by their Primary Care Team. Travel to these centers is either free of charge to the Veteran or is reimbursed to them upon completion. Mental health treatment includes evaluation and assistance for issues such as depression, mood, and anxiety disorders; intimate partner and domestic violence; elder abuse or neglect; parenting and anger management; marital, caregiver, or family-related stress; and post-deployment adjustment or post-traumatic stress disorder (PTSD). Veterans who may also have experienced sexual harassment or sexual assault , known as military sexual trauma (MST) during their service are also eligible for service. VHA provides free, confidential counseling and treatment for MST-related mental and physical health conditions. The percentage of patients with
3038-454: The objection of some of President Reagan's fellow Republicans , who were committed to preventing the U.S. federal government from expanding further. Many Republicans along with most Democrats ultimately supported it on the basis that it was really more of a reorganization than an expansion of government as the new department was in reality going to be doing very few things that the former Veterans Administration had not already been doing. There
3100-701: The private sector. However, by 2017, VHA wait times were significantly shorter than wait times to see a private doctor dropping to 17.7 days for VHA, while the wait for a private doctor increased to 29.8 days. Based on the successes of the original program, Congress expanded the eligibility of the program by passing the John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018 Pub. L. 115–182 (text) (PDF) , S. 2372 , 132 Stat. 1393 ), which permanently codified
3162-408: The procedure for allocating funds to the various VISNs. Historically, funds were distributed between hospitals based on historical costs. However, it was found that this method affected efficiency and quality of services. Therefore, funding for each VISN was distributed based on the number of veterans seen in each network, rather than on historical values. The New England Journal of Medicine conducted
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#17327810908723224-462: The same quality of care they had been receiving. In May 2014, major problems with scheduling timely access to medical care became public. According to a retired doctor at the center interviewed by CNN, at least 40 veterans died waiting for care at the Phoenix, Arizona Veterans Health Administration facilities. An investigation of delays in treatment throughout the Veterans Health Administration system
3286-443: The stigma of seeking mental health treatment. With the population of women veterans projected to rise from 1.6 million in 2000 to 1.9 million in 2020, the VA has worked to integrate quality women's medical services into the VA system. However, studies show that 66.9 percent of women who do not use the VA for women's services consider private practice physicians more convenient. Also, 48.5 percent of women do not use women's services at
3348-509: The systems 1,293 medical centers and their associated clinics. Funding for each VISN is based on the anticipated number of Veterans enrolled in care within the covered region. When a VISN sees a large influx of number of Veterans, the funding levels for that region will increase proportionally, while other areas may see a decrease (especially if they are losing Veteran population). As of 2021, the Desert Pacific Network (VISN 22)
3410-572: The transformation was the tracking of a number of performance indicators—including quality-of-care measures—and holding senior managers accountable for improvements in those measures. The Clinton Healthcare Plan was a health care reform proposed by the Clinton Administration. Even though the reform was not successful, a task force was created in response to the Clinton Healthcare Reform proposal to determine if
3472-483: Was PTSD. The typical veteran affected by PTSD was male, from the Army or Marines, and a lower-ranked officer. Veterans with PTSD had a high utilization of the VA system at over 91 percent. While this was a comprehensive study, there is more to be studied and understood about the effects of PTSD on returning veterans from active combat. A major limitation is that this study only captured the utilization of veterans within
3534-545: Was an increase of 10% over the FY 2021 appropriations, which were under $ 250 billion USD. The VHA has expanded its outreach efforts to include men and women veterans and homeless veterans. The VHA, through its academic affiliations, has helped train thousands of physicians, dentists, and other health professionals. Several newer VA medical centers have been purposely located adjacent to medical schools. The VHA support for research and residency/fellowship training programs has made
3596-520: Was conducted by the Veterans Affairs Inspector General, but it only found six deaths during the delay. On May 30, 2014, Secretary of Veterans Affairs Eric Shinseki resigned from office due to the fallout from the scandal. Despite the negative exposure and the subsequent vows by Washington lawmakers to take action, the major problems still exist. On June 24, 2014, Senator Tom Coburn, Republican from Oklahoma, and
3658-600: Was expanded to all 128 VHA hospitals that performed surgery. The name was then changed to the National Surgical Quality Improvement Program. Beginning in the mid-1990s VHA underwent what the agency characterizes as a major transformation aimed at improving the quality and efficiency of care it provides to its patients. That transformation included eliminating underutilized inpatient beds and facilities, expanding outpatient clinics, and restructuring eligibility rules. A major focus of
3720-430: Was hired to update and modernize the VA health system in order to eliminate negative perception and to align the system with current market trends. Core issues included advancements in technology and biomedical knowledge, aging and socioeconomically disadvantaged Medicare patients, coordinating care, and rising healthcare costs. There was much opposition to a major reform. Many legislators preferred an incremental change over
3782-527: Was not delineated; only looked at PTSD treatment over a short period of time (180 days). Another study found there was an increase in demand of the VA health system among veterans. Nearly 250,000 veterans were identified between 2001 and 2007; Iraq and Afghanistan war veterans had a 40 percent utilization rate, compared to only 10 percent of Vietnam veterans. Veterans were categorized into three groups: non-mental health diagnosis, non-PTSD mental diagnosis, and PTSD mental diagnosis. The most prevalent diagnosis
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#17327810908723844-684: Was the largest region by population, with over 1.7 million total veterans (2018 estimate), while the Pacific Northwest Network (VISN 20) is the largest by geography -- 817,417 sq mi (2,117,100 km ), including the highly rural state of Alaska. Doctors who work in the VHA system are typically paid less in core compensation than their counterparts in private practice. However, VHA compensation includes benefits not generally available to doctors in private practice, such as lesser threat of malpractice lawsuits, freedom from billing and insurance company payment administration, and
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