And yet the private insurance reimbursement model is literally built on a system of foisting huge overhead on small medical practices.
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On a recent trip, passengers scooted sideways down a 16-inch aisle, some slumped over so their shoulders didn't hit the small overhead bins and their heads didn't scrape the ceiling.
Since insurance is going to be sold on an exchange, there will be very little need for insurers to pay insurance agents, which will decrease the overhead significantly for the small group and individual market.
Aversion to funding overhead does not just affect small programs.
Papara's black-sand beach picks up the south swell, and waves range from small and gentle to overhead, big and fast (check local conditions).
By now, most customers pretty much know what to expect when they enter through the heavy glass door, small green letters hanging overhead on the building exterior.
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"No company has found a way to serve small accounts and scale because overhead for individual search experts is too high, " says Lou Kerner, an analyst at Wedbush Morgan.
It is typically more expensive to serve the small market, so this is why extra overhead is allowed.
Under the front hood it will have a small storage space, "like an overhead bin" on an airplane, Tata says.
And small businesses require fewer employees, have less overhead and are able to cut costs more easily than bigger rivals when the economy goes sour.
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Often the successful ones were small and lean: They didn't have corporate overhead to cover.
Big black bags holding 250 pounds of dirty coveralls and uniforms are dumped from a rail system overhead into 450-pound steel washers big enough to scrub a small rhino.
Anyone who has ever operated a small business knows that, for the business to flourish, overhead must be kept to a minimum.
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Crowds who had gathered in the small town's central square waved and clapped as the white papal helicopter twice passed overhead before landing.
Under pressure to shrink overhead and telescope the new-product cycle, big companies are more likely to turn to universities or small companies to help develop ideas.
Under the ACA, overhead for insurance companies is capped at 15% for the large group market and at 20% for the small group and individual market.
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