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But it leaves in place the current system of paying doctors, based on a fee schedule that sets payment rates for 7,000 different services.
The agreement, which is being finessed by lawyers, increases payments for programmes sold online, sets payment levels for content streamed online and allows web-based programmes to be unionised.
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The existing water assistance program sets payments on a case-by-case basis.
The government will not set payment rates for prescription drugs, organ transplants or kidney dialysis.
With housing benefit, rental officers could plan around set payment dates for each tenant.
Medicare officials set payment rates each year, using a complex formula that sets overall goals for spending on doctors' services.
It will set payment benchmarks for different types of business, and then investigate those that fall short.
An independent board will set payment rates for doctors and hospitals, as well as benefit packages for patients.
After considering public comments on the proposal, the government will issue final rules setting payment rates, effective Jan . 1
As Congress tries to overhaul Medicare, the administration is still required to set payment rates under existing law.
The classic fixed-annuity provided people a set payment for however long they lived — from a few months to decades.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com