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• Can value-based care replace volume-based billing?
               Payers and providers must evolve toward a model that
               rewards results, not procedures. That means:


                   •  Reimbursing for durable remission.
                   •  Incentivizing immune stabilization, not constant
                       escalation.
                   •  Measuring success in years of wellness, not in units
                       of service.

               • Will payers reimburse for time, insight, and immune
               education instead of administration?
               If the physician becomes an immune strategist rather than
               an administrator, their value lies in guidance, interpretation,
               and long-term planning. But those services—historically
               labeled “non-billable cognitive labor”—must now be
               compensated fairly.

               • Can specialists reorient around outcomes—not
               interventions?
               The biologic specialist of the edible era will:

                   •  Spend more time explaining mechanisms than
                       managing acute reactions.
                   •  Help patients understand the arc of immune
                       reprogramming rather than chasing symptom
                       flares.
                   •  Track and optimize long-term biological harmony,
                       not just suppress short-term inflammation.



               Resistance and Reinvention


               Not all practices will welcome this shift. Some will:



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