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But only 18 of the 32 pioneer ACOs produced savings,including 13 that saved enough to split a total of $88 millionwith Medicare. Fourteen others generated losses, including twothat produced $4 million in losses large enough to be sharedwith the federal healthcare program for the elderly anddisabled.
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"Given the size of this customer, and the fact that theirexisting pricing was set a few years ago, we believe thestep-down in revenue will have a notable impact in the quarterthe renegotiation takes place, and will impact overall companygrowth rates over the next few quarters," Leighton said.
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The managed care company said the government shutdown woulddelay payments related to its military health services contractand that it could be liable for up to $175 million worth ofclaims if the payments do not come through.
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I was here in Congress in 1986, which makes me one of the few individuals to have experience with major tax reform. Last time around, the process took over two years. It was not an easy two years for anyone, and I am sure we could have rushed things through and saved some of us a great deal of trouble.
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Most pictures were created by scientists as part of their research. Dorit Hockman, from the University of Cambridge, took the photograph of bat embryos shown below. She told the BBC: "I am trying to understand vertebrate embryo development. |
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