Baronoff also touched upon a phenomenon that a lot of dealmakers have complained about in recent years: the dearth of quality targets at attractive prices.

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The more the hospital exceeds its cost-reduction and quality-improvement targets, the more money it can keep.

NEWYORKER: Big Med

Ms Lewis said "overall colleges are doing better than the Welsh assembly government's targets for learner achievement and for the quality of the teaching".

BBC: Teacher working (library)

Rather than improving the quality of care, the board will have to make standard line item cuts that reach annual targets, which will reinforce rather than fix systemic problems and create unsustainable savings.

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The government said there were targets in place for patients' access to psychology services - and to improve the quality of care delivered to people presenting with mental health problems.

BBC: Edinburgh, Fife & East Scotland

However on Sunday NHS Wales chief executive David Sissling told BBC Wales there was "increasing confidence" LHBs will hit their break-even targets "without in any sense compromising the quality of care".

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"I think there's increasing confidence they will hit their break even targets and do so without in any sense compromising the quality of care, " Mr Sissling said.

BBC: Wales

Hei points out that there are four million births a year in the U.S. and Orbit Baby targets the top 10% of consumers who will pay a premium for high quality products.

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