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A few commenters stated that OTPs serve as a fixed point of responsibility in the provision of whole person-centered care and improving health outcomes through collaborative arrangements with health care providers outside of the OTP and that the goal of care management is to reduce health care costs, specifically preventable hospital admissions, readmissions, and avoidable emergency room visits

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We were also interested in potential program integrity concerns that interested parties may have regarding this policy, such as overutilization or fraud and abuse

We note that this matches the pattern of CA019 clinical labor time for the rest of the codes in the family, which remained the same or slightly decreased in each case

doi:10.1136/bmj.38142.554479.AE