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We chose Costco as a comparison because it is an example of a system where the incentives are set up to deliver value on total cost, much like paper towels, patient cost-sharing for generics in Medicare Advantage Part D tends to be low, but this masks a system that is not currently set up to deliver value to the program overall.

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    What movie is this sentence taken from? "You're gonna need a bigger boat."
    A Titanic
    B Dead Calm
    C All is Lost
    D Jaws