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Systemwide. >> the cleveland clinic model? >> i wouldnt put that as my number one model. i think there are lots of other smaller models working amazingly well. >> give me an example americans can look at. what model works best? if you could scale it from the federal government, which model? >> there is a group out in california called care more. it runs about 30 centers. and it works with medicare advantage. so its got over 65s. it does what i like to call concierge medicine for the chronically ...