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Starting with a one-room office in the fall of 1996, Preventive Medicine Associates, Inc. has become Massachusetts' largest outpatient addiction treatment provider, serving about 700 new patients every month from about 50 locations. Its founder and president attributes the growth of his private-practice business to a variety of factors, from its integration of primary medicine and substance use treatment to the expanded access to care that has come about under Massachusetts' universal health care law.
Preventive Medicine Associates president Punyamurtula Kishore, M.D., told ADAW that his clinics strive for integration in numerous forms, including combining medication treatments with psychosocial support. He said the state's focus in its health reform efforts has offered several parallels to his organization's own approach to treatment.
"More recently, our practice has thrived because of the state's increased focus on the medical home model of care, and the notion that care is …