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"The commonwealth has contracts with providers.
A spokesman for Ms. Burke said that if the providers were unable to agree on an approach, her office had the authority to write compensation standards into state regulations and contracts with providers.
The city's Department of Homeless Services had no contracts with providers that control more than half of the nearly 10,000 units used to house homeless families, according to the audit.
Under new contracts with providers, the state government does not specify staffing levels, and providers are free to allocate employees as they see fit while stretching dollars to cover their programs.
We consider a situation where HMOs sign exclusive contracts with providers; that is, a provider who works for an HMO cannot supply health care to patients who are not affiliated with that HMO.
In this article, without taking into account this possible effect, our results indicate that the premiums charged by nonintegrated insurers may decrease with the number of HMOs when they sign exclusive contracts with providers.
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The second method is the indirect contract with providers.
Historically, regulation has tended to block competition, for example by preventing health-care purchasers from selective contracting with providers.
This would continue to be a decentralized system with existing health plans contracting with providers, but their insurance would no longer be employment-based.
Mr. Barry said Applied had not signed an exclusive contract with providers at its projects, preferring to maintain flexibility so it could offer several options to residents.
While mid-size and large companies are likely to have employees in these functions, most also contract with providers for these services.
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