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    In the new system of ‘global payments,’ patients will have more contact with their primary providers — like it or not

    Each month, Dr. Richard Dupee and his office staff work their way through a sizable list of patients. They put out e-mails and calls to men in their 40s with slightly high blood pressure that warrants re-checking. They track down 55-year-olds who are avoiding colonoscopies, diabetics who require eye exams, and patients with chronic lung disease who need breathing tests.

    “You bring in every one of your patients and you watch them like a hawk,’’ said Dupee, 66, an internist and geriatrician in Wellesley.

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