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One promising approach to containing soaring healthcare costs involves providing more primary care. In the medical home model, family doctors have long-term relationships with patients and coordinate their care with specialists. Aircraft manufacturer Boeing saw healthcare spending decline by 20% for a group of employees and dependents with chronic conditions whom it enrolled in a medical home pilot called the Intensive Outpatient Care Project in Puget Sound, Wash. After an initial exam, a medical team devised a care plan for each patient and used office visits, phone calls and e-mails to help patients manage their conditions.

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