After all, ever more of them are choosing to cut out middlemen and buy cover direct from insurers, or even to leave some risks uninsured.
But the approach has not worked so well since the financial crisis hit in 2008 and many insurers cut or cancelled cover.
The alternative would be to send physicians their payments at the reduced rate and then, should Congress ultimately fix the problem, ask physicians to bill CMS for the difference and then cut additional checks to cover the shortfall.
The main challenges are to expand health coverage (there are currently reckoned to be about 46m Americans without any form of medical-insurance cover) and to cut costs.
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But the trail, in this case, is intriguing: Someone lifted a heavy manhole cover and climbed down several feet to cut the cables.
Tata designed a simple protective cover for the grilles, plus a slip-on fabric cover for belts and watches that is now used to cut down on expensive waste at each of Tata Motors' factories.
"His face was swollen quite a bit, he had a protective cover over his nose, his lip was swollen and cut and there were two vertical gashes on the back of his head, " he said.
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Stick a Rise Above pin in it, then cover with a Come Together cup: the payroll tax cut is good and dead.
When he pummelled Panesar 10 rows back over the mid-wicket fence, India were in with an even chance but Dhoni cut Anderson to point and Bell accounted for Powar and Chawla with sharp catches at mid-wicket and extra-cover.
Lieberman says the rules could cover thousands of items in each store, going beyond just the prepared foods case and extending to cut fruit, bakery items like pies and loaves of bread and other store items that aren't already packaged and labeled.
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