Reforms initiated in 1996 never managed to contain costs in Switzerland, which has one of the most expensive health systems after America's.
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Once you factor in the additional costs related to managed accounts, Vanguard is not such a low cost provider anymore.
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Yet, across the country, large numbers of communities have managed to control their health costs rather than ratchet them up.
Actively-managed mutual funds have high costs relative to index funds.
But the interesting thing is that producers have managed to pass on these increased costs in dollars.
Both passive and active ETFs attempt to minimize shareholders costs, but actively managed ETFs might not be as tax efficient as ETFs that track indexes due to increased turnover.
Egenera computers may cost 30% more than a comparable amount of bargain-basement processing, but their centrally managed operations eliminate setup and maintenance costs, as well as cables and multiple copies of systems.
Experts believed that tough, top-down controls would dispense with inefficiencies: Insurance companies would relentlessly cut back payments for hundreds of medical procedures, which would force hospitals, clinics and physicians to get their acts together, thereby boosting productivity and cutting costs. (Managed care's methods are close cousins to what you see in nationalized health care systems.) Because of these anticipated efficiencies, experts figured we would need fewer doctors.
The issue of quality has become paramount as more Americans join managed care plans which aim to control costs by limiting access to specialty care.
While General Motors managed to hold the line on fixed costs in its tentative contract with the United Auto Workers union, the company will still be dishing out plenty of cash to workers over the next four years.
In addition, managed care's emphasis on curbing immediate costs is creating an environment increasingly hostile to innovations, which, initially, are expensive.
It also provides subsidies to private insurers to compete with traditional Medicare, giving seniors the opportunity to join managed-care plans, which typically cut costs by restricting patient access to specialists.
Despite managed care's unceasing attempts to restrain the costs of health care, aging baby boomers are rushing to repair their creaky joints, valves and tendons in record numbers.
Designated Counsel are experienced class action attorneys with an understanding of how class action contingent litigations are to be managed in order to minimize or cap expenses and costs.
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The for-profit managed-care firms that force American hospitals to squeeze costs are unknown in Japan.
Still, Doyle managed to hold the projected increase in raw-materials costs of the new pizzas to less than 10 percent.
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Managed care has transformed medicine in America -- driving down costs, but threatening to drive down quality as well.
To buy an actively managed equity fund (and even some indexed funds) usually costs an investor 5% in front-end fees, of which three-fifths or more goes to the person who sold the fund: almost 80% of retail investors buy their funds through intermediaries, says the Investment Management Association, a trade group.
Consulting the income statement shows that MIPS Technologies managed to streamline operations by minimizing cost of goods sold, increasing necessary costs like research and development, and still being able to boost the bottom line.
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Instead, fundamental systemic reform, with radical change in the way health care is managed and financed, is needed so as to contain the growth of costs over time, as I have discussed in a series of articles.
After more than a decade, managed-care plans--with their incentives for doctors to hold down treatment costs--cover about half the population.
At the same time, Pirates of the Caribbean: On Stranger Tides managed to largely offset the revenue drop, but hurt profitability given its own higher costs.
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American managed care was hearty while it devoted itself to big employers fed up with spiralling insurance costs.
All this fragility must be avoided at all costs by strengthening the process by which monies are made available to money market funds managed by Fidelity and T.
But he managed to sound like a man who knows not only about foreign affairs but also how much it costs to heat a family home in winter.
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Managed care companies, never beloved of the public, have made themselves even more unpopular lately by squeezing costs and hiking premiums.
Bogle says that taxes, fees and trading costs eat away one to two percentage points a year of the taxable assets parked in actively managed funds.
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