In order to get paid based on an outcome you need a client who is willing to partner with you on that front because it has to be a true partnership. Otherwise, pricing based on performance will not work. But what this partnership and this mode of operation and contracting does is move you from a transactional outsourcing model to a strategic outsourcing model.
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The dynamics of health care have changed since the first retail clinics opened 12 years ago, Helle says, noting concerns back then about the autonomy of NPs and the quality of care they offered. But now, the advent of the Affordable Care Act and all the health challenges we are facing including a physician shortage, an aging population, the prevalence of chronic disease and more than 30 million more patients [eligible for coverage under Obamacare] you are seeing a real shift. Everyone used to say that we don have enough primary care physicians to serve these patient populations.
Those supporting intervention, including Power, were invited to make their case. “Power’s knowledge on the playbook on humanitarian intervention was critical,” says a White House official. “She had an encyclopedic knowledge of what was or wasn’t done, what [Bill] Clinton did or didn’t do, what options were available to policymakers, how they escalate, and what are realistic outcomes.
This would mean that Denver is now out of the Kirk Cousins sweepstakes, leaving the Jets and the Vikings as the front runners to write that monster check. Keenum career year last year it was the first time he started more than nine games or threw more than 200 passes in a single season was deserving of a raise. It will be interesting to see how much of one the 30 year old, who made $2 million last year, will get.
Planets form out of the expansive disks of dust and gas that surround young stars. Small dust grains and pockets of gas eventually come together under gravity, forming larger and larger agglomerations and eventually asteroids and planets. The fine points of this process are not well understood, however.
“The Park Rapids Police Department will always take all necessary precautions to ensure the safety of all residents within the community,” he said in a news release.Assisting at the scene was the Hubbard County Sheriff’s Office, Hubbard County Emergency Management, MN State Patrol, North Ambulance, Park Rapids Fire Department, Minnesota DNR, the City of Park Rapids Public Works Department, and the Crow Wing County Bomb Squad.Surrounding businesses were evacuated, including the West Forty Restaurant where employees and customers were told to go at least a half mile away. Park Rapids Area Schools buses were moved from the bus garage at the fairgrounds to the old Pamida parking lot. In the best interest of safety, the immediate area was evacuated and an area community notification was made.