According to the Center for Studying Health System Change, direct-payment practices increased from 9.2 percent of the market in 2001 to 12.4 percent by 2008.
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The "scale is so much bolder than things we've seen, " said Paul Ginsburg, president of the Center for Studying Health System Change, a Washington nonprofit group.
It also said that Mr. Freeh's findings, which were based partly on a handful of emails among former Penn State officials, didn't acknowledge that most emails from the relevant time period weren't available due to a computer system change.
They also said that Mr. Freeh's report was based largely on a handful of emails between Mr. Paterno and other former Penn State officials but didn't acknowledge that due to a computer system change most emails from the relevant time period weren't available.
The fact that different bodies in the solar system change their relative positions as they orbit the sun will, Dr Hooke concedes, complicate routing a bit: when the earth and Mars are on opposite sides of the sun, for example, it might be best to send e-mail via Venus.
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While they strongly believe that system change must come at the legislative level, Bakalian and Meneghello cite a lack of financial literacy among borrowers and their families as one of the factors that leads students to assume debt burdens that may take them decades to make a dent in repaying.
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Given the level of opportunity that we have today, combined with our ability to bring about rapid global change through system-change and exponential technology, there is no better time to start moving than now.
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Once an applicant becomes a new hire, the demands on the HR system naturally change.
Jaffe wanted the system to change in the early 1990s and she still hopes for change today.
Al Mansour believes in working within the system to change it rather than fighting against it by not participating.
His party called for legislation to reform the planning system, change the school term and ban smoking in cars carrying children.
"If you believe something has to be changed, I think you have to work within the system to change it, " he said.
It can take years for shifts in public perception to work their way through the court system, change judicial views, and so turn the ship round.
At Camp David, Bush can use the AMX system to change camera angles during a videoconference with General Tommy Franks, download reconnaissance photos and even adjust lighting.
She says her firm's use of Google's open source Android system should change that, but adds that she wants to see more than just ports of games designed to run on tablets and phones.
She would undo most if not all of the "structural" reforms that have been put in place in recent years--mayoral control, performance-based pay, charter laws and other choice schemes, reliance on entrepreneurship and market incentives, federal efforts to incentivize and prod the system to change in constructive directions, testing- and results-based accountability and more.
It's unlikely that any future global handicap system will radically change the way handicaps are computed in the U.S., if only because the USGA system is already the basis for two thirds of the world's handicaps, and thus will probably be the framework for whatever comes.
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The woman who set out to change the system, he imagines, would have recognised the change from what we knew, a centralised unitary state to a devolved, increasingly federal way of governing, as a means of maintaining her belief in Britain.
And we need to look at the system, however first, because we do need to change the system that people get choice and they get higher quality.
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The incoming chairman of the House Armed Services Committee, Skelton said the all-volunteer system should not change.
The trouble is that it takes decades to develop a complex new defence system but threats change quickly.
The system has to change - that is what reformasi means to me.
GST, or at least the notion that their tax system needs wholesale change.
By doing so, it recognizes two essential realities: the seven-decade-old Social Security system needs to change, and it will.
If this were truly a hybrid system, any change you made on any platform would automatically sync to the other.
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This is not the world that we live in anymore, and the system needs to change to reflect modern realities.
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