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Page L - Primary care physicians are under tremendous pressure to keep costs down and income up. Though there aren't a lot of new ways to do this, it may be time to consider an approach that's growing in acceptance: hiring midlevels such as nurse practitioners (NP) and physician assistants (PA). Midlevels offer a clear advantage over any other medical workers you could hire. While most members of any practice's clinical staff cannot generate income, and actually add costs to the practice's overhead, midlevels can pay for themselves.

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