Moreover, among the numerous services, few are those of prevention, diagnosis, injections, vaccinations, drugs, health education, consultancy, hearing and vision. Additionally, when a primary care provider signs a tax or capitation agreement, a list of specific services that must be provided to patients is included in the contract (Alguire, 2015). Having young doctors who can perform these specific types of preventative practices is helpful and an ongoing necessity. This is why contract trading is so important and this source provides a detailed list of (PMPY), cap rates and services. The flip side of capitation rates is the amount of referrals exceeding costs, which can put managed care facilities in financial distress. Without capitation rates, managed care would not be able to stabilize costs. Capitalization rates vary depending on age, categories and withholding amounts. Additionally, cap rates vary from region to region, so proximity can be beneficial, as opposed to different states being more distant. Different rates and withholdings also apply to Medicaid for those who are eligible to receive services. GPs must always be forward-thinking when it comes to payments, services, hiring specialists and continuity