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State officials may need to enaa new state legislation or provide waivers to allow providers to Several panelists recommended that explicit agreements be written, which clarify relationships between each hospital and each ambulance service. Boston, AMBBp AN PBDRIATIC SOCIETY.

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Medicare payments to rural providers that are based on historical charges reflect the differential in charges between urban and rural practitioners.

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Community need for specific health care services may not have played as important a role in establishing these services as it would have absent Medicare's GME largess.

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