Word: fixedness
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Dates: during 1990-1999
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Entitlements are guaranteed to all citizens who qualify, usually measured through income guidelines. Appropriations are fixed and can be exhausted once spending limits are reached.
Supporters of the programs say the proposalfails to account for recessions or naturaldisasters, since the revamped programs would havea fixed spending limit.
The city will switch from a fee-per-service payment plan, in which the city is reimbursed on a case-by-case basis, to a system of "capitation," in which the city will receive a fixed monthly payment expected to cover all costs.
But the new commissioner said many health-maintenance organizations (HMO's), seen to be the future in American health care, have already adopted fixed-payment systems. And the administrator said the new financing system is suitable for a city like Cambridge.
Ralph Crosby, Northrop vice president for the B-2, says CBO's historical analysis can't predict the cost of the next planes because ``we now have a firm, fixed-price offer'' pending at the Pentagon. ``It's based on lean production techniques,'' Crosby says. The 11,000 people working...