"They are guaranteed to make a profit on the cost overruns, " Dooley said.

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Nearly 71 million Americans got expanded access to preventive service at no charge through their private insurance plans, and 47 million women now have guaranteed access to additional preventive services without cost sharing.

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Yet, allowing patients to face the discipline of market forces rather than shielding them entirely (as is done in Canada, where cost sharing for health services guaranteed under federal law is prohibited) has the potential to reduce spending by nearly a third.

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The 34 others have some form of guaranteed "high-risk-pool" capped-cost coverage that is nonetheless expensive enough to drown many potential customers in debt, and limited enough to pile large out-of-pocket costs on those who can afford the premiums.

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"We have an obligation to Mutual Energy as electricity consumers indirectly to make up any shortfall in their revenue, otherwise they won't be able to pay the cost of their borrowing - which we have guaranteed from the day they undertook that borrowing, " Mr Simpson explained.

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Many of the strategies developed during this phase are not particularly in-depth, and more nimble agencies may not be able to account for the cost of developing this strategy without some sort of guaranteed return on that investment.

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Owners will get more cost containment, and veteran players may actually receive a portion of the guaranteed money that previously was invested in rookies.

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