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Without the ability to recoup some of the expense of these systems by joining a network and achieving increased contracting efficiencies, it will be difficult, if not impossible, for many physicians across the country to make the heavy investments in time and money that the adoption of such a system would require.
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These latter schemes are also known as performance-based contracts, efficiency stipulation schemes or effectiveness guarantee schemes [ 13, 19- 24, 24- 35].
This issue is linked to some other preconditions: if risk-equalization is underdeveloped, this may dampen the incentives for selective contracting and efficiency.
But congregations banding together across denominations — and working into their contract energy efficiency improvements and residential discounts for members — are fairly new, some energy companies said.
As the mayor of Newark, New Jersey, he established the city's first environmental commission and Office of Sustainability and contracted energy-efficiency retrofits on city buildings to a union that specializes in green construction.
Finally, the usual mechanisms that increase efficiency in contracting -- like choosing, rewarding and punishing firms based on their experience and reputation -- have again been short-circuited.
Manufacturing here is making a comeback, driven in large part by homeland security contracts and the manufacturing efficiencies provided by a new generation of automated factory equipment.
In other cases, though, the cost-efficiency of contracting out may reduce the incentives to automate.What sort of world will this on-demand model create?
Such factors may well undermine the efficiency of contracting.
This may further impede selective contracting, creating an accessibility-efficiency trade-off.
If legislation forces Irish insurers to contract with a network of providers that offers services within a specified distance of enrollees' residences, this would further hamper selective contracting, constituting an accessibility-efficiency trade-off.
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