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Its hard to be profitable. Concerns continued Gelfand said his center runs on relatively modest profits and policies where a company yields higher returns on a few drugs (which can turn into more and more over time) like this are insidious. A 2023 study in JAMA found clinics could lose out on nearly $2,000 per month if their drugs are delivered via an insurance company (aka bagging) rather than when they directly purchase the drugs

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