Federal officials say more physician practices could see bonuses from the project's second and third years.
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But researchers say cultural barriers should not be ignored as physicians look to improve the health care system.
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More states are creating programs to track and reward physician care of Medicaid enrollees.
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The measure would boost program funding by $35 billion, enough to cover an additional 3.3 million children.
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After months of debate, state lawmakers approved a bill calling for a strategy to cover all Oregonians.
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