Doctors Charge Upfront Fees for Better Care

In a time when most primary care physicians see 25 to 35 patients a day, the fee-based system allows doctors to shorten patient rosters and spend more time with each person. In some cases, the model cuts out insurance, reducing the paperwork burden on staff.

It's a change that some say reinvigorates doctors and gives patients more personalized, comprehensive and preventive care. Yet others raise concerns that it could limit health care access to those who are wealthy and health-conscious enough to pay for it.

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