Return control for pain management to primary care providers through financial incentives and protections against unwarranted punitive actions.

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1. Encourage complex patient financial incentives currently in place with the CMS billing system for  Chronic Care Management codes, which can double billings without increased face to face time.

2. Pain clinics should only be secondary referral sources upon written referral from the primary care provider, with plan to return care to primary care as with all consultants unless the consultant assumes all primary care. 

3. Pain clinics are performing primary care roles in pain control and must be regulated.

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