Word: costing
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Dates: during 2000-2009
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...gamble that will determine whether the chain continues to grow or stagnates in a domestic market where more diners are eating in and a tight lending environment is making it difficult to open new locations. The company's partners in Mexico and the Middle East are financing the cost of the new restaurants, though P.F. Chang's will earn up-front territory fees and royalties from sales...
...Others buy state-of-the-art diagnostic hardware and charge state-of-the-art fees to use it. "Focus on your bottom line," urges a brochure for in-office CT-scan machines from one manufacturer. And as long as insurers pay the bills, patients don't ask what things cost. "A colonoscopy used to take 45 minutes to perform," says Ted Epperly, board chairman of the American Academy of Family Physicians. "Now it takes 15, but the cost hasn't come down." (See how to prevent illness...
...that are learning to do things right. He could have cited others too: the Cleveland Clinic, the Mayo Clinic, Kaiser Permanente. What these providers have in common are the creative ways they're doing away with fee-for-service and replacing it with an imaginative mix of systems that cost less, keep patients healthier and make doctors happier. "We need a transition to rewarding the actual value of care," says Dr. Elliott Fisher, director of population health and policy at the Dartmouth Institute. "For now, our payment system is getting in the way." (See the Cleveland Clinic's smarter approach...
...hear that this was allowed, or even considered as a sane solution to the budget crisis." Gonzalez fears that students will not be able to make up for the lost school time, noting that teachers are struggling to adapt their lesson plans. "It's not only passing on the cost to the parents but to the kids," she said. "They're getting a second-rate education." (See a story about a chance encounter with Obama in Hawaii...
...state and its public teachers union, the Hawaii State Teachers Association, community day-care providers scrambled to create space for an expected onslaught. But on the eve of the first furlough, day-care enrollment was lower than anticipated. At $25 to $50 a day, providers speculated that the cost for families, especially those with more than one child, might be too great. Some working parents appeared to rely on family members to care for their kids. Others took the day off to be with their children. And this being Hawaii, a lot of older students went to the beach...