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Clinical co-management arrangements are unlike other arrangements between hospitals and physicians. A medical director agreement, or an on-call agreement, for example, come with a customary set of responsibilities to be performed. In contrast, clinical co-management arrangements can cover just about anything. Structures, services delivered, participants, compensation—all show wide variability. If you’ve seen one such arrangement, then you’ve seen—one. The answer to the perennial question of what you can pay under such arrangements is, it depends what you are paying for.

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