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And instead of negotiating fixed-price contracts, governments typically bear the risk of designing advanced systems in "cost-plus" arrangements.
Some service agreements are cost-plus arrangements, so the higher the bills the higher the fees.
The Army contract is a cost-plus arrangement and shrouded in secrecy.
The contract to train the Iraqi police went to DynCorp, which, according to Rohde, enjoyed a "cost-plus" arrangement under which it spent as much as it wanted and charged the government a set fee above that.
Anyway... why is it that a monopsony buyer of military equipment, a buyer that puts its suppliers on a cost-plus arrangement most of the time, hasn't managed to kill off innovation in military equipment but a monopsony buyer of health care would strangle all medical advance forever more?The answer seems so perfectly obvious to me that I wonder if I am missing something.
The contract also repeats the "cost plus" arrangement that has proved problematic in the past.
CONFIDENTIAL contract documents indicate that companies will be paid under an arrangement known as "cost plus fixed fee".
Cost sharing arrangements associated with the Cuban program differ from country to country with wealthier host countries expected to pay more for services of the Cuban doctors.
Although surveys are widely used to measure self-reported and hypothetical use of health care by enrollees with cost sharing arrangements, the test-retest reliability of these surveys has not been adequately studied.
This avoids the double cost and logistical arrangements needed should we fail.
EHS Core Centers should utilize existing facility cores where appropriate and describe in the application how members of the EHS Core Center would receive priority access, favorable cost arrangements, and training on unique technologies.
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