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MedChi, the Maryland State Medical Society, is warning that insurance reimbursement cuts planned for 2009 will make it harder for physicians to stay in business, even as the state's supply of physicians is waning. The state's largest nonprofit health plan, CareFirst BlueCross BlueShield, recently issued fee schedules to doctors that include cuts - called "adjustments" by the insurer - to take effect in 2009.

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