A government entity selects and pays one or several private sector providers to deliver specific health services to specific populations. These programs sometimes replace government-provided services. This most often takes the form of a Public Private Partnership (PPP).
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Founded in 1972 by families of hearing-impaired teenagers, the DERDIC was incorporated into the Pontificia Universidade Católica de São Paulo and is run by their Speech and Hearing school. The organization provides free clinical services for low-income Brazilians, educational training, and research.