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Innovative approaches to healthcare delivery at the Providence VA Medical Center.

The major goal of the VA system is costeffective, high quality healthcare. Because VA physicians are salaried, there is no entrepreneurial incentive to bill for fee-for-service. Thus, VA healthcare providers are more likely to use physician extenders or other means of expanding outreach and have therefore developed innovative methods of delivering care to selected populations of patients. Examples of innovative modalities of care are described below.