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Most programs are built around the premise that women would work a 40 hour workweek . Practices accredited as offering patient-centered care would get payments ahead of time for delivering a defined package of services to a patient.Doctors would have to show that they have systems in place to do things such as generate reminders to patients to practice certain forms of preventive care , track the care delivered to patients with chronic diseases such as diabetes , and give patients greater access to doctors through e-mail and phone calls.Doherty suggested that savings from wider adoption of the model could help pay for the overhaul of the current Medicare physician payment formula , which is triggering a series of yearly payment cuts that can only be blocked through legislative action.Although it said the approach would save money , ACP acknowledged that savings might take time to materialize . They even dabbled in scientific experimentation by attempting to prove that twinkies will vaporize if microwaved - but it turns out that it just got really hard and oozed white stuff . The difference is an esoteric one , since both schools of thought agree that mukti can be had by worship of the Lord in either form . In this court 's view , substantial is one of those everyday words having a common sense core meaning that jurors will be able to understand .