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bcbs BCBS Massachusetts: The Alternative Quality Contract  
Blue Cross Blue Shield of Massachusetts has developed a new approach to paying for health care, The Alternative Quality Contract, which is intended to improve the quality of care that patients receive and slow the rise in health car costs. Doctors and hospitals are rewarded for keeping patients healthy and for effectively managing chronic illnesses. 
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Members of Group Health Cooperative receive primary care through the Medical Home initiative. Physicians lead teams of nurses, clinical pharmacists, physician assistants, and case managers to address all of patients' preventive, acute, and chronic care needs.